Credentialing Coordinator

This is a fully remote position, open to applicants in United States.

📋 Description

• Facilitate the comprehensive credentialing process for OCN providers, working closely with our third-party credentialing partner on a daily basis.

• Monitor application progress among payers and providers; alert relevant internal personnel to any delays or potential timeline risks.

• Follow up on any missing or incomplete information required for provider applications; engage directly with providers and practice staff to gather necessary details.

• Assist in determining when group credentialing is the appropriate strategy and support the coordination of those submissions.

• Respond to inquiries from the internal team regarding credentialing status, timelines, and necessary requirements.

• Ensure accurate and current tracking of all credentialing activities.

• Collaborate with RCM and Operations teams to guarantee that credentialing milestones are in sync with billing preparedness and go-live schedules.

• Participate in the documentation and enhancement of processes as the network expands.

⛳️ Requirements

• 2–5 years of experience in healthcare payer credentialing or provider enrollment.

• Understanding of essential credentialing principles: CAQH management, payer enrollment processes, group versus individual credentialing, and typical application obstacles.

• Excellent organizational skills — you meticulously track your tasks, consistently follow through, and keep stakeholders informed.

• Able to manage multiple applications and providers at once without losing sight of important details.

• Strong, professional communication skills — both internally and with providers and payer representatives.

• Experience in a multi-provider or multi-site setting is advantageous.

• Background in psychiatric, behavioral health, or specialty practices is a plus.

• Familiarity with healthcare technology or startup environments is beneficial, but not mandatory.

🏝️ Benefits

• Healthcare coverage

• Dental insurance

• Vision insurance

• Generous family leave policy

• Flexible Spending Account (FSA) / Dependent Care Flexible Spending Account (DCFSA)

• Mental health benefits

• 401(k) retirement plan

• Flexible paid time off