Credentialing Associate

Coastal Health

Coastal Health is seeking a highly motivated and detail-oriented Credentialing Coordinator to join our growing team. This role is essential in ensuring timely and accurate provider enrollment and credentialing while supporting physicians and internal stakeholders throughout the process.

We offer a competitive compensation and benefits package along with a supportive environment that encourages professional development and long-term career growth.

Benefits Include:

• Competitive wages
• Health, dental, and vision insurance
• Life insurance
• Short- and long-term disability
• 401(k) retirement plan
• Up to 3 weeks of paid time off (PTO)
• 7 paid holidays
• Opportunities for career advancement within a growing organization

• Manage the submission, tracking, and completion of provider enrollment applications
• Perform consistent follow-up to ensure provider numbers are established accurately and within required timelines
• Maintain thorough knowledge of payer-specific enrollment requirements, including prerequisite forms, supporting documentation (DEA, licenses, CVs, etc.), and applicable regulations
• Maintain accurate documentation and reporting related to provider enrollment
• Retain records of completed enrollment applications in accordance with company and regulatory standards
• Collaborate closely with providers to expedite completion of applications, including obtaining signatures and required documentation
• Maintain up-to-date provider enrollment information within the credentialing database
• Ensure credentialing files are current and complete, including monitoring expiration dates for licenses, board certifications, professional liability insurance, DEA registrations, and other required credentials
• Process re-credentialing applications for providers with facilities and/or payers
• Perform additional credentialing-related duties as assigned by the Credentialing Manager

• Proficiency in Microsoft Office (Word, Excel, Outlook)
• Strong verbal and written communication skills, with the ability to interact professionally with physicians and payers
• Exceptional organizational skills with strong attention to detail
• Ability to manage multiple priorities and meet time-sensitive deadlines
• Ability to work independently with minimal supervision

• Minimum of 2 years of experience in medical credentialing (required)
• Minimum of 2 years of provider enrollment experience (required)
• Payer enrollment experience (required)
• Experience in a multi-specialty healthcare setting (preferred)

• High school diploma or equivalent (required)

Requirements

• Proficiency in Microsoft Office software (Word, Excel, and Outlook)
• Excellent verbal communication skills, and the ability to communicate effectively with physicians
• Maintain high levels of organization while being detail oriented
• Capable of meeting time-sensitive deadlines
• Ability to prioritize tasks efficiently and effectively
• Capable of working independently

Experience:

• Medical Credentialing: 2 years (Preferred)
• Provider Enrollment: 2 years (Preferred)
• Payer experience (Required)
• Experience in a multi-specialty setting (Preferred)

Education:

• High school Diploma or equivalent (Required)