CrawlJobs Logo

Coordinator - Credentialing and Enrollment

advocatehealth.com Logo

Advocate Health Care

Location Icon

Location:
United States , Charlotte

Category Icon

Job Type Icon

Contract Type:
Employment contract

Salary Icon

Salary:

24.10 - 36.15 USD / Hour

Job Description:

Coordinator - Credentialing and Enrollment FT Days position at Carolinas Medical Center. Department: 10116 Enterprise Corporate - Administration: Medical Staff Services. Full time position with 40 hours per week. Schedule details vary.

Job Responsibility:

  • Processes and submits complete, timely and accurate applications to chief(s) of the appropriate department(s) for review and recommendation to the Facility Credentials Committees and communicates the status of credentialing applications to all constituents directly
  • Interprets and assists in implementing the standards of The Joint Commission
  • Prepares the maintenance documentation, as defined on the Delineation of Privileges Forms, for presentation to the Facility Credentials Committees at the time of reappointment
  • Processes requests and prepares correspondence to appointees regarding change of status, expansion of privileges (either an increase or a decrease), and resignations. Maintains and updates database accordingly
  • Serves as the first contact when communicating with hospital personnel regarding appointees clinical privileges and if they are allowed to go forward with cases, as scheduled
  • Prepares the appointees credentials files for audits
  • Maintains current licensure, certifications, malpractice insurance and any other applicable regulatory items at time of appointment and continuous maintenance going forward to ensure timeliness, accuracy and integrity of the credentialing and clinical privileging database system and compliance with the regulatory agencies

Requirements:

  • High School Diploma or GED required
  • Bachelor's Degree preferred
  • Certification by National Association Medical Staff Services or Certified Provider Credentialing Specialists preferred
  • Previous experience as a Credentialing Coordinator preferred
  • Knowledge of The Joint Commission standards for hospitals and Behavioral Health Centers preferred
What we offer:
  • Paid Time Off programs
  • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
  • Flexible Spending Accounts for eligible health care and dependent care expenses
  • Family benefits such as adoption assistance and paid parental leave
  • Defined contribution retirement plans with employer match and other financial wellness programs
  • Educational Assistance Program

Additional Information:

Job Posted:
February 04, 2026

Employment Type:
Fulltime
Work Type:
On-site work
Job Link Share:

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Coordinator - Credentialing and Enrollment

Enrollment Coordinator

Allara is seeking a detail-oriented Enrollment Coordinator to support our missio...
Location
Location
United States
Salary
Salary:
25.00 - 30.00 USD / Hour
allarahealth.com Logo
Allara Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Experience with Verifiable and CAQH
  • 2+ years of experience in provider credentialing, preferably in a healthcare setting
  • Excellent organizational and time-management skills
  • Strong attention to detail and accuracy
  • Exceptional communication and interpersonal skills
Job Responsibility
Job Responsibility
  • Timely review, investigation, enrollment, and updating of provider applications
  • Maintain quality, production, and timeliness standards
  • Review, data entry, and process all enrollment/update provider enrollment types and related documents, and correct audit errors
  • Work on complex Provider Enrollment applications under strict deadlines
  • Address and resolve issues during the credentialing process
  • Provide feedback on problem prevention for early intervention
What we offer
What we offer
  • 100% remote within the U.S.
  • Equal-opportunity workplace
  • Commitment to diversity and inclusion
Read More
Arrow Right

Medical Staff Credentialing Specialist and Coordinator

The Medical Staff Credentialing Specialist and Coordinator assists the Medical D...
Location
Location
United States , Medina
Salary
Salary:
50000.00 - 60000.00 USD / Year
orleanscommunityhealth.org Logo
Orleans Community Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Associates Degree or Certified Provider Credentialing Specialist (CPCS)
  • A minimum of 2-3 Years Credentialing experience is preferred
  • Excellent verbal and written communication skills, ability to relate well with people of diverse backgrounds, training and experience
  • Proficiency with medical practice software programs, Familiarity with credentialing requirements of hospitals and insurance carriers
  • Understanding of Malpractice insurance coverages and policies
  • Knowledge and understanding of credentialing process
  • Ability to organize and prioritize work and manage multiply priorities
  • Ability to research and analyze data
  • Ability to work independently with minimal supervision
  • Ability to establish and maintain effective working relationships with providers, management, staff and external contacts
Job Responsibility
Job Responsibility
  • Compiles and maintains current and accurate data for all providers
  • Completes provider credentialing and re-credentialing applications, monitors applications and follow-up as needed
  • Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers
  • Maintains corporate provider contract files
  • Maintains knowledge of current health plan and agency requirements for credentialing providers
  • Sets up and maintains provider information in online credentialing databases and system
  • Tracks license and certification expirations for all providers to ensure timely renewals
  • Ensures practice addresses are current with health plans, agencies and other entities
  • Audits health plan directories for current and accurate provider information
  • Completes credentialing/re-credentialing application packets for hospital, insurance carriers and government programs
What we offer
What we offer
  • vacation and sick time
  • health, dental and vision
  • pension and retirement plan
  • competitive wages, with superior pension and retirement plans with employer contributions
  • 12% shift differential for working evening and night shifts
  • excellent vacation, holiday and sick leave package
  • tuition assistance
  • free parking
  • Fulltime
Read More
Arrow Right

Provider Enrollment Specialist

The Provider Enrollment Specialist ensures seamless plan enrollment (initial and...
Location
Location
United States , St. Louis
Salary
Salary:
21.00 - 27.00 USD / Hour
anderscpa.com Logo
Anders Minkler Huber & Helm LLP
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Associate degree, preferred
  • High School diploma or GED required
  • 3-5 years of experience in payer enrollment
  • Strong organizational and time management skills, with the ability to manage multiple tasks and meet deadlines
  • Excellent attention to detail and accuracy in data entry and record-keeping
  • Effective communication skills, both written and verbal, with the ability to interact professionally with providers, staff and external entities
  • Ability to work independently and as part of a team, demonstrating flexibility and adaptability
  • Strong problem-solving skills, with the ability to identify and resolve issues promptly and effectively
  • Knowledge of healthcare regulations and compliance requirements
  • Familiarity with NCQA, URAC, and CMS standards
Job Responsibility
Job Responsibility
  • Process and submit initial provider applications, revalidations, and renewal applications in compliance with NCQA, URAC, and CMS accreditation standards
  • Perform thorough and accurate data entry and verification of provider information into credentialing databases
  • Conduct timely follow-up on missing or incomplete information with the provider, client, or team lead responsible for a provider file to ensure prompt and efficient provider enrollment
  • Assist in the preparation and submission of required documentation for provider enrollment and credentialing to include delegation rosters
  • Coordinate with internal staff and external entities to resolve issues related to provider enrollment and credentialing
  • Monitor and track the status of provider applications, payer directories, conducting regular follow-up with health plans until verification of completion is received from each payor
  • Support the enrollment and delegation team with various tasks as needed
What we offer
What we offer
  • Work Flex program which gives you the opportunity to work at our Chesterfield office, our Downtown St. Louis office, remotely, adopt a hybrid approach or even switch between these options as you prefer
  • Professional development opportunities
  • Benefits that directly impact mental, physical and financial wellness
  • Fulltime
Read More
Arrow Right

Manager Provider Enrollment - HP Enrollment Eligibility

The Provider Enrollment Manager is a leadership position that provides support, ...
Location
Location
United States , Irving
Salary
Salary:
Not provided
christushealth.org Logo
CHRISTUS Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • A Four-year bachelor's degree or equivalent experience required
  • At least 4 years’ experience in credentialing payer & provider enrollment for an insurance company, hospital, or other large provider organizations
  • At least 2 years’ experience managing staff & building department policies and procedures
  • Experience navigating payer enrollment and credentialing issues with managed Medicare, Medicaid, and commercial health plans
Job Responsibility
Job Responsibility
  • Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
  • Ensures that areas within the Provider Enrollment functions are directionally aligned with CHRISTUS
  • Develops daily workflow monitoring for areas of responsibility and staffs to meet the needs of the organization
  • Responsible for the outcomes of the performance initiatives and supports the metrics outlined for performance measurements
  • Coordinates the development and professional growth of the direct reports
  • Ensures success of the provider enrollment lifecycle by monitoring client level metrics as well as ensuring timeliness and accuracy of team’s enrollment activities related to new enrollment, reenrollment, enrollment denials and client level special projects
  • Makes recommendations on work-flow processes throughout the enrollment cycle to assist in achieving consistency and success
  • Develops and makes recommendations on policies, guidelines, and implements procedures to ensure consistent department-wide implementation and adherence
  • Monitors timeliness and effectiveness of department activities, implements processes to identify and eliminate gaps
  • Works collaboratively with operations and regional Leadership to ensure goals and objectives are achieved
  • Fulltime
Read More
Arrow Right

Provider Enrollment Coordinator

We are looking for a highly organized and proactive Provider Enrollment Coordina...
Location
Location
United States , Orlando
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • A minimum of 1 year of experience in healthcare administration, insurance, coding, or a related field
  • Experience in credentialing is a must
  • Strong organizational skills with a keen eye for detail and accuracy
  • Excellent interpersonal and communication skills to effectively coordinate with clients and internal teams
  • Ability to manage multiple tasks and prioritize work in a fast-paced environment
  • Basic knowledge of the healthcare industry, including insurance processes and regulations
  • Proficiency in using CRM systems and other administrative tools
  • Bachelor’s degree in a relevant field is preferred but not required with sufficient experience
  • Demonstrated problem-solving skills and a proactive, go-getter attitude
  • Must live in the Central Florida area
Job Responsibility
Job Responsibility
  • Coordinating with the practice on providing onboarding and enrollment with governmental and commercial insurances
  • Complete and submit insurance enrollment applications on behalf of healthcare providers
  • Collaborate with medical practices to determine the most suitable insurance options for their needs
  • Communicate regularly with clients to ensure smooth enrollment processes and address any questions or concerns
  • Maintain accurate records and documentation for all enrollment activities
  • Monitor application statuses and follow up with insurance companies as needed to ensure timely approvals
  • Provide exceptional customer service by responding promptly to inquiries and resolving issues efficiently
  • Coordinate with internal teams to ensure seamless integration of services and compliance with industry standards
  • Proactively identify and resolve potential problems to ensure smooth operations
  • Keep up-to-date with changes in healthcare regulations and insurance requirements
What we offer
What we offer
  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan
  • Fulltime
Read More
Arrow Right

HR Coordinator

Our client, a rapidly growing biotech research company in Carlsbad, is expanding...
Location
Location
United States , Carlsbad
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 1–3 years of HR experience (internship or coordinator level acceptable)
  • Experience in biotech, clinical, scientific research, or regulated industries preferred
  • HRIS knowledge—Rippling, ADP Workforce Now, UKG, or BambooHR
  • Strong writing skills and professional communication
  • High attention to detail
  • must be comfortable managing complex, sensitive documentation
  • Ability to work independently and in a team-focused environment
Job Responsibility
Job Responsibility
  • Assist with full-cycle recruiting including job postings, screening applicants, interview scheduling, and candidate correspondence
  • Prepare and maintain onboarding schedules, ensure new hire paperwork accuracy, and coordinate lab safety training and certifications
  • Manage employee records, HRIS data entry, personnel file audits, and compliance documentation
  • Support benefits administration including enrollment changes, eligibility tracking, and open enrollment coordination
  • Provide HR support for lab managers, engineering teams, and administrative staff
  • Assist HR leadership with culture-building initiatives, employee engagement activities, and recognition programs
  • Track mandatory training, credentialing, and continuing education requirements
  • Maintain confidentiality at all times while acting as a trusted resource for employees
What we offer
What we offer
  • medical
  • vision
  • dental
  • life and disability insurance
  • 401(k) plan
  • Fulltime
Read More
Arrow Right

Manager, Onboarding Operations

Lead critical operational functions supporting a rapidly growing network of 350+...
Location
Location
United States , New York City
Salary
Salary:
75000.00 - 85000.00 USD / Year
allarahealth.com Logo
Allara Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 3+ years of healthcare operations experience
  • At least 1 year in a management role
  • Experience managing distributed healthcare provider networks (100+ providers preferred)
  • Proven track record in operational analytics and KPI management
Job Responsibility
Job Responsibility
  • Ensure providers are fully credentialed, maximized in payer enrollments, and ready to deliver care from day one
  • Direct and mentor a team of Specialists and Coordinators
  • Maintain warm and engaging relationships with providers throughout the credentialing and onboarding process
  • Define project priorities, timelines, and KPIs
  • Develop and maintain SOPs, QA measures, and dashboards for monitoring enrollment, licensing, and compliance
  • Collaborate with internal stakeholders to improve operational workflows and data management practices
  • Design and implement automations to foster process improvement
What we offer
What we offer
  • Equity
  • Comprehensive health benefits (medical, dental, vision)
  • Generous paid time off
  • Wellness and professional development perks
  • Unlimited PTO & 11 company holidays
  • Health Savings Account (HSA) & Flexible Spending Account (FSA)
  • Long- and short-term disability coverage
  • Annual employee wellness stipend
  • 401(k) plan
  • Parental leave & family planning support benefits
  • Fulltime
Read More
Arrow Right
New

Brazilian Jiu Jitsu Intern

The Brazilian Jiu-Jitsu (BJJ) team supports the organization’s submission grappl...
Location
Location
United States , Las Vegas
Salary
Salary:
Not provided
ufc.com Logo
UFC
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Currently enrolled in a relevant degree program
  • Junior, Senior, Graduate-level preferred or within six months of graduation
  • Passion for Brazilian Jiu-Jitsu, ideally someone who trains and is a blue belt or higher
  • Willing to work flexible hours during event weeks (including weekends)
  • Proficiency in Google Drive, Docs, and Sheets
  • Ability to handle confidential information with discretion and professionalism
  • Strong team player with the ability to collaborate across functions
  • Eager to learn, take initiative, and grow in a fast-paced environment
Job Responsibility
Job Responsibility
  • Support logistics and operations for live UFC BJJ events, including equipment, athlete check-in, and venue coordination
  • Assist with administrative tasks: scheduling, data entry, tracking athlete development, documents and data
  • Help coordinate travel, credentialing, and communications for athletes and coaches
  • Assist with on-site event setup and breakdown during shows and weigh-ins
  • Support planning and execution of our upcoming UFC BJJ reality show
  • Contribute to research, outreach, and organizational support as needed across business and marketing efforts
What we offer
What we offer
  • Hands-on experience and exposure to the global sports and entertainment industry
  • Participate in events such as welcome/farewell sessions
  • Speaker series featuring company leaders
  • Career training workshops addressing LinkedIn profile enhancement, resume building, interviewing skills, and networking
  • Fulltime
Read More
Arrow Right