CrawlJobs Logo

Coordinator - Credentialing and Enrollment

United States, Charlotte Employment contract 24.10 - 36.15 USD / Hour · Job Posted February 04, 2026
Apply Position
Job Link Share

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

Looking for more opportunities?

Search for other job offers that match your skills and interests.

Similar Jobs for

Coordinator - Credentialing and Enrollment

8 matching positions

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

Enrollment Coordinator

Aquent is partnering with a leading organization dedicated to improving healthca...
Location
Location
United States , Cumberland
Salary
Salary:
22.00 - 25.00 USD / Hour
aquent.com Logo
Aquent
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Be authorized to work in the United States
  • Not require sponsorship of any kind for the duration of the assignment
  • Be able to work on a W-2 basis
  • Verifiable High School Diploma or GED
  • Strong communication skills, both written and verbal
  • Excellent organizational skills with a keen eye for detail and the ability to manage multiple tasks simultaneously
  • Demonstrated reliability and consistent attendance
Job Responsibility
Job Responsibility
  • Complete Government and Commercial enrollment applications for behavioral health providers and groups in a timely manner
  • Develop and apply a working knowledge of behavioral health payor policies across multiple states
  • Consistently document work assignment progress, enrollment follow-up status, and relevant in-process tasks within specified systems and timeframes
  • Update and maintain all necessary government credentialing and revalidations for providers
  • Interact with providers via phone or email as needed to gather information and resolve inquiries
  • Proficiently communicate and collaborate with internal partners to resolve provider denials and credentialing-related claims issues
  • Contribute to the refinement of procedure manuals to ensure all payor enrollment processes are documented accurately and effectively
  • Manage all aspects of user online access, including various web portals
  • Attend conference calls and team meetings as requested to stay informed and contribute to team goals
  • Submit initial and revalidation applications for providers
What we offer
What we offer
  • Subsidized health, vision, and dental plans
  • Paid sick leave
  • Retirement plans with a match
  • Free online training through Aquent Gymnasium
  • Fulltime
Read More
Arrow Right

Credentialing Coordinator III

Participates in departmental activities to ensure quality in conducting, maintai...
Location
Location
United States of America , Rochester
Salary
Salary:
23.06 - 32.29 USD / Hour
urmc.rochester.edu Logo
University of Rochester
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Associate's degree in business or healthcare related field and 2 years of medical administrative experience required
  • Or equivalent combination of education and experience
  • 1 year of medical credentialing and/or payer enrollment experience preferred
  • Fluent English language skills (oral and written) required
  • Proficiency in MS Office (e.g. Word, Excel, and PowerPoint), email, internet required
  • Knowledge of and experience with Joint Commission, CMS, and NCQA Regulations related to medical staff services and Commercial Payers Credentialing preferred
  • Knowledge of and experience with database applications preferred
  • Exceptional interpersonal and communication skills preferred
  • Ability to develop and maintain relationships with a variety of key stakeholders across the organization preferred
  • Certified Medical Professional Services Management (CPMSM) upon hire preferred
Job Responsibility
Job Responsibility
  • Determines practitioner eligibility for membership/participation
  • Analyzes application and supporting documents for accuracy and completeness and informs the practitioner of the application status
  • Obtains, researches, and evaluates information from primary sources to ensure compliance with accreditation and regulatory standards
  • Recognizes, investigates, and validates discrepancies and adverse information obtained during the application process
  • Processes requests for privileges when applicable
  • Monitors the initial and reappointment process for all Medical and Allied Health Professional staff
  • Monitors the status of completed files in departmental review and/or committee review until final approval
  • Monitors personal performance statistics related to accuracy and productivity
  • Reviews performance measures and goals with auditors and management regularly
  • Collaborates and coordinates activities with the Credentialing Managers and staff
  • Fulltime
Read More
Arrow Right

Enrollment Coordinator

Ansible Health seeks a dedicated and detail-oriented Enrollment Coordinator to j...
Location
Location
United States
Salary
Salary:
55000.00 - 60000.00 USD / Year
ansiblehealth.com Logo
AnsibleHealth Inc.
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Experienced with such as systems PECOS, CAQH, MAC portals, and commercial payer portals
  • 2+ years of payer enrollment and/or credentialing experience in a healthcare setting (commercial, Medicare, Medicaid)
  • Strong organizational and time-management skills
  • able to manage multiple priorities under deadlines
  • High attention to detail and accuracy in handling provider data and applications
  • Strong communication skills, with the ability to liaise across internal teams and with payer representatives
  • Comfortable working independently in a remote, contract environment
Job Responsibility
Job Responsibility
  • Manage payer enrollment applications across commercial, Medicare, and Medicaid plans, ensuring accurate and timely submissions
  • Maintain payer portals (e.g., United, Medicare MACs, Medicaid state systems, commercial payer portals), including updates to tax IDs, provider demographic information, and group contracts
  • Track and reconcile enrollment statuses across internal tracking sheets and payor portals to ensure data accuracy and workload transparency
  • Monitor and follow up on applications through payer portals and escalate issues when timelines stall
  • Ensure revalidations, updates, and corrections are submitted promptly to prevent billing disruptions
  • Collaborate with internal stakeholders (credentialing, revenue cycle, and operations teams) to resolve enrollment-related issues and communicate changes (e.g., contract or tax ID updates)
  • Provide recommendations on process improvements to reduce delays and improve payer communication
  • Work within Athena payer enrollment processes, updating and maintaining provider records to reflect current contracts, tax IDs, and group associations
  • Fulltime
Read More
Arrow Right

Enrollment Coordinator

The Enrollment Coordinator is responsible for administering the enrollment proce...
Location
Location
United States , Seal Beach
Salary
Salary:
20.00 - 22.00 USD / Hour
aveanna.com Logo
Aveanna Healthcare
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor’s degree is preferred, but not required
  • Minimum of one year of customer service experience within the last four years
  • Ability to work effectively with others
  • Excellent interpersonal skills
  • self-driven, motivated and results oriented
  • Must be able to problem solve and apply creative solutions
  • Strong analytical and judgment skills
  • Intermediate computer skills using Microsoft Windows, Word, Excel and ability to be trained on Aveanna’s proprietary software programs
  • Ability to successfully handle multiple tasks simultaneously
  • strong organizational skills
Job Responsibility
Job Responsibility
  • Adhere to Aveanna Core Values
  • Process enrollment forms including: Employment Eligibility Verification (I-9 Forms & documentation), data entry into AvennaCare, sending login credentials once hired
  • Maintain communication with pending applicants and families throughout the onboarding process to ensure a smooth hiring process
  • Assist care provider in meeting all hiring requirements, including (but not limited to) CPR/FA class enrollment or referral to a preferred CPR/FA vendor
  • Responsible for ensuring compliance and up to date documentation is on file for CPR/FA documents and any other required forms
  • Maintain and update Employee & Client Service Accounts in AveannaCare
  • Run AveannaCare reports and process data imports as needed
  • Prioritize tasks based on incoming volume of new cases and enrollment forms
  • Performs other duties as assigned or needed
What we offer
What we offer
  • Thorough training
  • Flexible schedules
  • Electronic charting
  • Access to a clinical supervisor 24/7
  • Tuition Reimbursement
  • Advancement opportunities
  • Weekly pay via multiple payment options
  • Award-Winning Culture
  • Employee Connection & Support
  • Inclusive Learning Environment
  • Fulltime
Read More
Arrow Right

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

Graduation and Conferral Coordinator

Key duties include responsibility for timely and accurate graduation processing....
Location
Location
United States , Norfolk
Salary
Salary:
50000.00 - 55000.00 USD / Year
odu.edu Logo
Old Dominion University
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Considerable knowledge of the principles of higher education and/or state and federal degree program enrollment regulations
  • Considerable knowledge of FERPA and NSC regulations and processes
  • Considerable knowledge of university operational calendars and information flow regarding student records, biographical data and University policies and procedures
  • Considerable knowledge of academic regulations and graduation requirements through the various curriculum and policy committees
  • Exceptional skill in reviewing credentials and issuing verification documents
  • conducting educational-based research analyses, identifying problem areas, coordinating complex activities in support of student enrollment services, and promoting and evaluating statewide policies and assigned educational programs
  • Considerable skill in accuracy and attention to detail to respond and interact with diverse populations
  • Exceptional customer service skills in a student-centric environment
  • Excellent organizational, communication, and time management skills
  • Ability to both work as part of a team and work autonomously when appropriate
Job Responsibility
Job Responsibility
  • Responsibility for timely and accurate graduation processing
  • Organization of the graduation petition paperwork and proper oversight of collection processes to ensure accurate graduation lists
  • Compile and verify final course requirements based on degree requirements and exception approvals
  • Maintain the computerized degree audit system by programming curriculum changes, entering academic department approved overrides, ensuring accuracy and readability, troubleshooting issues reported by end users, and providing training
  • Fulltime
Read More
Arrow Right

Hr coordinator

The Human Resource Coordinator aids with and facilitates the human resource proc...
Location
Location
United States , Logan
Salary
Salary:
25.00 - 30.00 USD / Hour
asirobots.com Logo
Autonomous Solutions
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Excellent verbal and written communication skills
  • Excellent interpersonal and customer service skills
  • Excellent organizational skills and attention to detail
  • Working understanding of human resource principles, practices and procedures
  • Excellent time management skills with a proven ability to meet deadlines
  • Ability to function well in a high-paced and at times stressful environment
  • Proficient with Microsoft Office Suite or related software
  • Bachelor's degree in human resources or related field and/or equivalent experience
  • At least two years related experience required
  • SHRM-CP credential preferred
Job Responsibility
Job Responsibility
  • Administers health and welfare plans, including enrollments, changes and terminations. Processes required documents through payroll and insurance providers to ensure accurate record-keeping and proper deductions
  • Performs customer service functions by answering employee requests and questions
  • Completes Forms I-9, verifies I-9 documentation and maintains I-9 files
  • Submits online investigation requests and assists with new-employee background checks
  • Reconciles benefits statements
  • Conducts audits of payroll, benefits or other HR programs and recommends corrective action
  • Assists with processing of terminations
  • Assists with the preparation of the performance review process
  • Assists with recruitment and interview process. Tracks status of candidates in HRIS and responds with follow-up letters at the end of the recruiting process
  • Schedules meetings and interviews as requested by the director of HR
  • Fulltime
Read More
Arrow Right