Credentialing Associate

Coastal Health•Orange Park, FL

5d•Onsite

About The Position

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

Requirements

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)
High school diploma or equivalent (required)
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
Payer experience (Required)
High school Diploma or equivalent (Required)

Nice To Haves

Experience in a multi-specialty healthcare setting (preferred)
Medical Credentialing: 2 years (Preferred)
Provider Enrollment: 2 years (Preferred)
Experience in a multi-specialty setting (Preferred)

Responsibilities

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