Payor Credentialing Coordinator

Illumia

79d

About The Position

We are seeking a Payor Credentialing Coordinator to join our team. In this role, you will manage all aspects of payer enrollment and credentialing for healthcare providers, ensuring seamless participation in Medicare, Medicaid, and commercial insurance networks.

Requirements

• Strong knowledge of healthcare credentialing processes and payer enrollment
• Proficient in Microsoft Excel and other data management systems
• Excellent organizational skills with the ability to prioritize multiple tasks and meet deadlines
• Exceptional verbal and written communication skills
• High attention to detail and accuracy in data entry and document management
• Ability to handle confidential information with discretion
• Strong problem-solving and analytical abilities
• Customer service oriented with a professional approach to interactions
• High school diploma required; associate or bachelor’s degree in healthcare administration, business, or related field preferred
• 1–3 years of experience in healthcare credentialing, billing, or healthcare administration
• Familiarity with CAQH and NPPES systems preferred
• Must be fluent in English (written and spoken)

Nice To Haves

• Certified Provider Credentialing Specialist (CPCS) through NAMSS preferred

Responsibilities

• Manage the entire payer credentialing process: prepare and submit applications, track approvals, and maintain accurate provider records
• Enroll new providers with Medicare, Medicaid, and commercial insurance companies to expand network access
• Maintain re-credentialing schedules to avoid lapses in provider participation
• Manage CAQH profiles and update NPPES registrations
• Collect, verify, and maintain critical provider credentials, including licenses, certifications, and malpractice insurance
• Ensure compliance with state, federal, and payer-specific credentialing requirements
• Serve as liaison between providers, insurance payers, and internal teams such as billing and HR
• Respond to payer inquiries and resolve credentialing delays or issues promptly
• Lead or participate in status meetings to prioritize credentialing projects and meet deadlines

Benefits

• Competitive Pay
• 401(k) with Company Match
• Career Advancement Opportunities
• National & Local Recognition Programs
• Teammate Assistance Fund
• Medical, Dental, Vision Insurance
• Mileage Reimbursement or Fleet Vehicle Program
• Generous Paid Time Off + 7 Paid Holidays
• Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care)
• Education Support & Tuition Assistance (ASN to BSN, BSN to MSN)
• Free Continuing Education Units (CEUs)
• Company-paid Life & Long-Term Disability Insurance
• Voluntary Benefits (Pet, Critical Illness, Accident, LTC)

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED