Healthcare Provider Credentialing & Onboarding Coordinator

SMG System Medical Group; United States; On-site; USD 40,000 - 60,000; Full time

Job summary

WVU Medicine Morgantown, WV seeks a Credentialing Coordinator to manage the transition of provider credentials, licenses, and certifications. You will serve as liaison among onboarding, Medical Staff Affairs, Recruitment, and state boards to ensure timely credentialing and licensure for physicians and APPs.

Responsibilities include preparing documents, coordinating with CVO, maintaining records, monitoring licenses, and generating credentialing reports.

Qualifications

• Associates Degree or higher with 2 years of healthcare or administrative experience
• Experience with privileging/credentialing preferred
• Ability to interact with department leadership and governance bodies

Responsibilities

• Facilitates the credentialing process for incoming doctors and APPs: licensure, agreements, permissions, and privilege documentation across multiple organizations.
• APP-specific support: payroll liaison, scheduling support, and onboarding logistics including EPIC setup and distribution lists.
• Coordinates reappointment packets and builds reports from multiple data sources to validate volume requirements.
• Tracks state licenses, board certifications, and required training to ensure compliance and up-to-date records for each provider.
• Manages provider evaluations (FPPE and OPPE), logs volumes, and coordinates signatures and approvals.
• Coordinates with Health Partners Network for payor enrollment to ensure provider enrollment with necessary payors.
• Monitors state board websites for changes and communicates updates to leadership.
• Maintains CME records and transcripts; understands JCAHO, NCQA, URAQ, and other regulatory standards.
• Maintains an organized online database recording credentialing statistics and key information for stakeholders.
• Implements data and demographic reporting to generate medical staff profiles and quality indicators; manages credentialing software.
• Processes WVUHS Insurance Provider Enrollment requests and updates provider profiles accordingly.
• Prepares and presents credentialing status reports in departmental meetings; flags potential delays to leadership.
• Supports project work as needed; coordinates with multiple sites across state lines for credentialing at each privilege site.
• Establishes engagement with new faculty from offer to hire and recredentialing cycles every two years at each site.

Skills

Basic computer skills

Communication skills

Confidentiality

Organizational skills

Typing 35 wpm

Education

Associates Degree or High School Diploma

Tools

EPIC

NetLearning

Job description

WVU Medicine Morgantown, WV seeks a Credentialing Coordinator to manage the transition of provider credentials, licenses, and certifications. You will serve as liaison among onboarding, Medical Staff Affairs, Recruitment, and state boards to ensure timely credentialing and licensure for physicians and APPs.

Responsibilities include preparing documents, coordinating with CVO, maintaining records, monitoring licenses, and generating credentialing reports.