Credentialing Maintenance Coordinator

Catalyst Consulting - The Business of Medicine; Austin (TX); Remote; USD 45,000 - 65,000; Full time

Benefits offered by this job

Remote work

Flexible scheduling

Job summary

Catalyst Consulting in Austin, TX is seeking a Credentialing Maintenance Coordinator to support the maintenance team and keep provider credentials, payer records, and enrollment information current.

You will manage ongoing credentialing for an assigned provider portfolio, ensuring renewals, attestations, recredentialing, and revalidations stay on schedule through proactive follow-up and clear communication.

Qualifications

• At least two years of experience in provider credentialing, payer enrollment, or credentialing maintenance.
• Hands-on experience maintaining CAQH profiles and working with commercial payer credentialing processes.
• Knowledge of provider licensure, malpractice documentation, and Medicare and Medicaid revalidation requirements.
• Strong attention to detail, written and verbal communication, and ability to manage multiple deadlines.
• Working knowledge of Microsoft Excel and comfort using credentialing systems and payer portals.

Responsibilities

• Track license, DEA, state registrations, and malpractice expiration dates; notify providers and obtain updates.
• Maintain and attest CAQH profiles with licensure, malpractice, demographics, and docs.
• Keep credentialing files and state application information accurate and organized.
• Complete recredentialing documentation and follow submissions through completion.
• Update health plan provider directories with demographics, locations, and affiliations.
• Resolve credentialing-related network and authorization issues; document follow-up and escalate.
• Monitor Medicare and Medicaid revalidation dates and submit follow-ups.
• Support contracting opportunities by collecting contract language and fee schedules.
• Maintain tracking records, deadlines, and status updates.

Skills

Credentialing maintenance

Payer enrollment

Attention to detail

Written & verbal communication

Multi-task management

Education

N/A

Tools

CAQH

Payer portals

Credentialing systems

Job description

atalyst Consulting | Austin, TX | Full-time

Compensation: Competitive, based on experience

Work arrangements: Remote work and flexible scheduling opportunities

About Catalyst Consulting

Catalyst Consulting has supported medical clients nationwide for more than 26 years. We are seeking a Credentialing Maintenance Coordinator to support our maintenance team and keep provider credentials, payer records, and enrollment information current.

About the Role

You will support ongoing credentialing maintenance for an assigned provider portfolio. Accurate tracking, proactive follow-up, and clear communication will keep renewals, attestations, recredentialing, and revalidations on schedule and help resolve network participation issues.

Key Responsibilities

Track medical license, DEA, applicable state controlled-substance registration, and malpractice expiration dates; notify providers before expiration and obtain updated documents. Providers remain responsible for completing required renewals.

Maintain and attest CAQH profiles, including current licensure, malpractice face sheets, demographic information, and supporting documents.

Keep provider credentialing files and applicable state application information accurate, complete, and organized.

Complete managed care recredentialing documentation, resolve deficiencies, and follow submissions through completion.

Update and attest health plan provider directories as needed, including provider demographics, practice locations, and affiliations.

Resolve credentialing-related network and authorization issues with providers and health plans; document follow-up and escalates unresolved issues.

Monitor Medicare and Medicaid revalidation due dates and complete required submissions and follow-up with the team.

Support review of new contracting opportunities by collecting contract language and fee schedules and flagging items for the contracting team.

Maintain accurate tracking records, deadlines, and next steps; communicate outstanding items and status updates.

Required Qualifications

At least two years of experience in provider credentialing, payer enrollment, or credentialing maintenance.

Hands-on experience maintaining CAQH profiles and working with commercial payer credentialing processes.

Knowledge of provider licensure, malpractice documentation, and Medicare and Medicaid revalidation requirements.

Strong attention to detail, written and verbal communication, and ability to manage multiple deadlines.

Working knowledge of Microsoft Excel and comfort using credentialing systems and payer portals.

Preferred Qualifications

Experience with PECOS, Medicaid portals, directory attestations, multistate maintenance, multiple-client support, and payer contracts or fee schedules.

Why Join Us

Competitive compensation and benefits, remote work and flexible scheduling opportunities, supportive leadership, and opportunities to develop your skills and grow with our team.