Healthcare Credentialing Coordinator – Part-Time – Remote

Symbria; Woodridge (IL); Remote; USD 45,000 - 65,000; Full time

Job summary

A leading healthcare provider in Woodridge is seeking a Healthcare Credentialing Coordinator. This role involves verifying provider credentials, assisting with applications, and ensuring compliance with regulations. Candidates should have experience in credentialing and strong communication skills. The company offers competitive pay and a comprehensive benefits package.

Benefits

Competitive pay

Full Benefits Package

Generous paid time off

Professional liability coverage

Employer-funded ESOP retirement plan

401(k) and Roth(k) plans

Continuing education

Credit union membership

Qualifications

• Previous experience in medical credentialing or related field.
• Knowledge of credentialing processes, regulations, and standards.
• Familiarity with medical terminology and the healthcare industry.
• Proficient in using credentialing software and databases.
• Ability to work independently and handle multiple tasks simultaneously.

Responsibilities

• Confirm and verify provider credentials including licenses and education.
• Assist healthcare providers with credentialing and re-credentialing applications.
• Prepare and submit credentialing applications to relevant organizations.
• Conduct primary source verification by contacting educational institutions.
• Monitor license expiration dates and manage re-credentialing processes.
• Respond to insurance company documentation requests.

Skills

Attention to detail

Organizational skills

Excellent communication

Interpersonal skills

Education

High school diploma or GED

Associate or Bachelor’s degree

Tools

Credentialing software

Job description

Overview

We are seeking a detail-oriented individual to join our team as a Healthcare Credentialing Coordinator. Your expertise will be essential in providing exceptional service to our clients. Come join us and make a meaningful impact in the healthcare industry!

Responsibilities

• Confirm and verify provider credentials, including licenses, board certifications, education, training, work history, and references.
• Assist healthcare providers with credentialing and re-credentialing applications for Wisconsin Medicaid, Medicare, and commercial payers, ensuring all required documents are accurate, complete, and submitted on time.
• Coordinate the credentialing process for physical therapists, physical therapist assistants (PTAs), occupational therapists, certified occupational therapy assistants (COTAs), speech-language pathologists (SLPs), and other allied health professionals.
• Prepare and submit credentialing applications to relevant organizations, insurance companies, and government agencies, maintaining accuracy and compliance with payer and regulatory requirements.
• Conduct primary source verification by contacting educational institutions, licensing boards, professional organizations, and previous employers, and maintain thorough documentation of all verification activities.
• Maintain up-to-date and accurate provider records in credentialing systems such as CAQH ProView, ensuring attestations, malpractice coverage, licensure, and other required information are current.
• Create and maintain CAQH profiles for new providers, update practice locations in ProView, and keep the credentialing tracking report current for internal reference.
• Monitor and track expiration dates for licenses, certifications, and insurance policies, proactively notifying providers of upcoming renewals and assisting with the renewal process.
• Manage the re-credentialing process to ensure timely renewals and continuous compliance with all payers, state, and federal requirements.
• Manage Medicare Part B credentialing for providers through the CMS PECOS system, including completing and submitting CMS-855I applications, linking providers to group practices with CMS-855R, uploading required documentation, and coordinating with Medicare Administrative Contractors (MACs) to obtain PTANs.
• Stay current with Medicare enrollment regulations, platform changes, and payer-specific credentialing requirements, and adjust processes accordingly.
• Respond promptly to insurance company and payer documentation requests and serve as the primary liaison between providers, insurance companies, regulatory agencies, and internal departments.
• Communicate effectively and professionally with all stakeholders to resolve credentialing-related issues or discrepancies in a timely manner.
• Participate in quality assurance activities to ensure the accuracy and integrity of the credentialing process. Identify areas for improvement and implement necessary changes to enhance efficiency.
• Attend weekly update meetings.
• Any and all duties as assigned.

Qualifications

High school diploma, general education degree (GED).

• Previous experience in medical credentialing or related field.
• Knowledge of credentialing processes, regulations, and standards.
• Familiarity with medical terminology and the healthcare industry.
• Attention to detail and organizational skills.
• Excellent communication and interpersonal skills.
• Proficient in using credentialing software and databases.
• Ability to work independently and handle multiple tasks simultaneously.
• Adherence to ethical standards and confidentiality guidelines.

Associate or Bachelor’s degree.

Why work for us?

At Symbria our employees act like owners — because we are owners! As one of the few 100% employee‑owned healthcare providers, our focus remains on delivering best‑in‑class services within our Pharmacy, Rehabilitation and Well‑Being operations, which allows our clients to improve the lives and well‑being of their patients and residents. Our teams utilize insights and analytics to drive better health outcomes for our partnered post‑acute and senior living communities while providing them with flexible service options.

Symbria’s Core Values drive the way we partner with those clients, their patients and residents and the way our diverse employee‑owners work together:

• Integrity — Honest, Fairness and ethics
• Compassion — Commitment to serving seniors
• Stewardship — Maximizing mission and margin
• Innovation — Striving to enhance our value to your organization
• Teamwork — Working together unselfishly toward goals

As an employee‑owner, Symbria’s success becomes your success. In addition, we provide:

• Competitive pay, aligned with market guidelines
• Full Benefits Package, including very generous paid time off plans
• Professional liability coverage
• 100% employer‑funded ESOP retirement plan
• 401(k) and Roth(k) plans
• Continuing education
• Credit union membership

A ll applicants will be afforded equal opportunity without discrimination because of race, color, religion, sex, sexual orientation, marital status, order of protection status, national origin or ancestry, citizenship status, age, physical or mental disability unrelated to ability, military status or an unfavorable discharge from military service.