Credentialing Coordinator

Palmetto Infusion Careers•Columbia, SC

16h•Remote

About The Position

The Credentialing Coordinator processes, coordinates, and maintains provider credentialing and recredentialing documents in compliance with regulatory agencies, payer requirements, and accreditation standards. The role supports timely and accurate provider enrollment to help ensure uninterrupted patient care and reimbursement. This is a remote position for candidates located in Virginia, North Carolina, South Carolina, Georgia, Florida, Alabama, or Tennessee. Occasional travel to Palmetto Infusion office locations may be required. The schedule is Monday through Friday, 8:00 AM to 5:00 PM; deadlines may occasionally require extended hours. The position requires prolonged sitting and computer use. Employees must protect the confidentiality of protected health information and follow HIPAA policies.

Requirements

High school diploma or equivalent.
Prior experience in provider credentialing, payer enrollments, or medical staff onboarding or administration.
Experience and knowledge of credentialing standards and regulatory requirements, including CMS, Medicaid, state boards, and major healthcare payers.
Proficiency with partner programs such as MS Outlook, Word, and Excel.
Ability to cope calmly with an ambiguous, changing environment while under pressure.
Ability to work as a team member and develop productive, cooperative working relationships with all members of the Palmetto Infusion team.
Ability to meet the physical demands of the position, including prolonged sitting and computer use.

Responsibilities

Initiate and manage initial and recredentialing applications for providers with government and commercial payers.
Collect, verify, and maintain credentialing documents, including licenses, DEA information, board certifications, NPI, and work history.
Track credentialing and enrollment statuses to ensure timely completion and prevent lapses in provider coverage.
Maintain accurate, complete, and organized provider credentialing files and databases.
Communicate with providers, internal departments, and payer representatives about application status and outstanding or missing documentation.
Monitor expiration dates for licenses, certifications, and payer contracts, and initiate and process renewals as needed.
Ensure compliance with organizational policies, payer guidelines, and accreditation standards.
Support the Reimbursement/Revenue Cycle (RCM) team with credentialing-related research and issues.
Generate and analyze reports on credentialing status, timelines, and compliance metrics.
Maintain and update CAQH profiles, including document uploads and attestations, and payer directory databases.
Perform other duties as assigned to support credentialing and enrollment operations.