Credentialing Coordinator Jobs
Credentialing Coordinator jobs are open across healthcare systems, hospitals, medical groups, insurance payers, and managed care organizations, from entry-level to senior and lead roles, with specializations in provider enrollment, payer credentialing, and facility privileging. Scan the live roles below and apply to whichever ones fit.
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Showing 5 of 39+ Credentialing Coordinator jobs
Overview:
The Credentialing Coordinator plays a key role in the credentialing and onboarding processes for Tribeca Pediatrics providers, ensuring compliance with regulatory standards and organizational policies. This role involves collecting, verifying, and maintaining provider credentials, facilitating the payor application process, and collaborating with various departments to support the organization's operational needs. The Credentialing Coordinator is also responsible for managing insurance contracts and communicating with payor and provider teams.
Roles and Responsibilities:
- Serve as the primary point of contact for providers regarding credentialing inquiries and processes.
- Create provider profiles and input provider information into credentialing databases and EMR systems.
- Collect and verify the credentials of pediatric providers, including education, training, licensure, and certifications.
- Track the expiration of licenses and certifications for all providers and ensure timely renewals.
- Maintain provider CAQH profiles, AMA profiles, and NPDB continuous queries.
- Send provider pre-hire items (e.g., reference requests, intake applications, background checks) and track completion. Report findings to the manager.
- Process applications for initial appointments and reappointments of hospital privileges as needed.
- Submit and track credentialing and re-credentialing applications to insurance companies and regulatory bodies.
- Maintain accurate and up-to-date credentialing records in the credentialing databases, ensuring compliance with legal and accreditation standards.
- Stay updated with credentialing policies and procedures specific to pediatric care.
- Work closely with credentialing management, human resources, provider staff, and compliance departments to streamline the credentialing process.
- Respond to internal and external audits related to credentialing and compliance.
- Apply for delegated credentialing with insurance payors.
- Manage the credentialing inbox.
- Coordinate the additions, updates, and terminations of providers from insurance contracts within the payors’ specified timeframes.
Qualifications:
- 3+ years of experience in healthcare credentialing or related administrative roles.
- Familiarity with regulatory requirements and accreditation standards (e.g., NCQA, CMS, NY/NJ State Credentialing Requirements).
- Exceptional organizational skills and attention to detail.
- Excellent communication and interpersonal skills.
- Ability to work independently in a remote setting and manage multiple tasks efficiently.
- Reliable internet access.
- Strong Excel skills preferred.
- Must be comfortable with ever-changing priorities in a fast-paced environment.
Environmental/Working Conditions:
This is a fully remote position, requiring reliable internet access and a quiet workspace. Meetings will be conducted via video conferencing.
Physical Demands:
Requires sitting and standing associated with a normal office environment. Manual dexterity is needed for using a computer keyboard. While performing the duties of this position, the employee is regularly required to talk or hear. The employee needs to be able to see and is frequently required to use hands or fingers to handle or feel objects. The employee is occasionally required to stand, walk, sit, and reach with hands and arms.
Additional Notes:
This job description in no way states or implies that these are the only duties to be performed by the employee(s) incumbent in the position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties as requested by any person authorized to give instructions or assignments.
Overview:
The Credentialing Coordinator plays a key role in the credentialing and onboarding processes for Tribeca Pediatrics providers, ensuring compliance with regulatory standards and organizational policies. This role involves collecting, verifying, and maintaining provider credentials, facilitating the payor application process, and collaborating with various departments to support the organization's operational needs. The Credentialing Coordinator is also responsible for managing insurance contracts and communicating with payor and provider teams.
Roles and Responsibilities:
- Serve as the primary point of contact for providers regarding credentialing inquiries and processes.
- Create provider profiles and input provider information into credentialing databases and EMR systems.
- Collect and verify the credentials of pediatric providers, including education, training, licensure, and certifications.
- Track the expiration of licenses and certifications for all providers and ensure timely renewals.
- Maintain provider CAQH profiles, AMA profiles, and NPDB continuous queries.
- Send provider pre-hire items (e.g., reference requests, intake applications, background checks) and track completion. Report findings to the manager.
- Process applications for initial appointments and reappointments of hospital privileges as needed.
- Submit and track credentialing and re-credentialing applications to insurance companies and regulatory bodies.
- Maintain accurate and up-to-date credentialing records in the credentialing databases, ensuring compliance with legal and accreditation standards.
- Stay updated with credentialing policies and procedures specific to pediatric care.
- Work closely with credentialing management, human resources, provider staff, and compliance departments to streamline the credentialing process.
- Respond to internal and external audits related to credentialing and compliance.
- Apply for delegated credentialing with insurance payors.
- Manage the credentialing inbox.
- Coordinate the additions, updates, and terminations of providers from insurance contracts within the payors’ specified timeframes.
Qualifications:
- 3+ years of experience in healthcare credentialing or related administrative roles.
- Familiarity with regulatory requirements and accreditation standards (e.g., NCQA, CMS, NY/NJ State Credentialing Requirements).
- Exceptional organizational skills and attention to detail.
- Excellent communication and interpersonal skills.
- Ability to work independently in a remote setting and manage multiple tasks efficiently.
- Reliable internet access.
- Strong Excel skills preferred.
- Must be comfortable with ever-changing priorities in a fast-paced environment.
Environmental/Working Conditions:
This is a fully remote position, requiring reliable internet access and a quiet workspace. Meetings will be conducted via video conferencing.
Physical Demands:
Requires sitting and standing associated with a normal office environment. Manual dexterity is needed for using a computer keyboard. While performing the duties of this position, the employee is regularly required to talk or hear. The employee needs to be able to see and is frequently required to use hands or fingers to handle or feel objects. The employee is occasionally required to stand, walk, sit, and reach with hands and arms.
Additional Notes:
This job description in no way states or implies that these are the only duties to be performed by the employee(s) incumbent in the position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties as requested by any person authorized to give instructions or assignments.
Credentialing Coordinator Jobs by Experience Level
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Who's Hiring
Top Industries Hiring
- Healthcare & Medical Services
What Employers Look For
The qualifications that appear most often in credentialing coordinator jobs.
- Experience with CAQH ProView and PECOS enrollment portals
- Knowledge of provider credentialing and payer enrollment processes
- Familiarity with Joint Commission and NCQA credentialing standards
- Proficiency with credentialing software such as Symplr or Cactus
- Associate or bachelor's degree in healthcare administration or a related field
- Certified Provider Credentialing Specialist (CPCS) certification preferred
Tips for Your Credentialing Coordinator Job Search
Tailor your resume to CAQH and PECOS
Most credentialing coordinator postings screen for hands-on experience with CAQH ProView and PECOS. Call both systems out by name in your skills section and describe specific tasks you completed in each, not just that you used them.
List every payer you have worked with
Hiring managers scan resumes for payer names. If you have enrolled providers with Medicare, Medicaid, or commercial plans, name each one. A generic phrase like managed care experience tells them far less than a specific payer list does.
Apply early to roles that fit
Migrate Mate lists credentialing coordinator openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Filter openings by provider type
Credentialing workflows differ between physician groups, behavioral health practices, and dental networks. When searching job listings, filter by the provider type you know best so your experience maps cleanly to what the employer actually needs.
Prepare concrete turnaround time examples
Interviewers almost always ask how you manage high volumes and tight deadlines. Before your interview, pull two or three examples where you hit a specific re-credentialing deadline or reduced a provider enrollment backlog, and have the details ready to walk through.
Negotiate start date around active enrollment queues
If you are mid-process on a batch of provider enrollments when you receive an offer, flag it during negotiation. A brief delayed start date or a clean handoff plan signals professionalism and protects both you and your current employer.
Credentialing Coordinator Jobs: Frequently Asked Questions
Which companies are hiring the most credentialing coordinators?
The most active employers for credentialing coordinators right now are University of Rochester, Thomas Jefferson University & Jefferson Health, and Parexel, and the most openings are in Texas, Florida, and New York, based on current listings on Migrate Mate as of August 2026. Large hospital systems, managed care organizations, and multi-specialty physician groups consistently post the highest volumes of credentialing coordinator roles.
How many credentialing coordinator jobs are remote?
About 62% of credentialing coordinator openings are fully remote or hybrid as of August 2026, making it one of the more flexible administrative healthcare roles. Payer enrollment and provider data management tasks are most commonly offered remotely, while roles tied to hospital privileging committees or on-site provider relations tend to require in-person work.
How do you become a credentialing coordinator?
Start by building foundational knowledge in healthcare administration through a degree or certificate program that covers medical terminology, billing, and compliance. Then seek entry-level roles in medical staff offices or provider enrollment departments to gain hands-on experience with CAQH, PECOS, and payer portals. Earning the Certified Provider Credentialing Specialist designation through the National Association Medical Staff Services strengthens your candidacy for mid-level and senior roles.
Can I get a credentialing coordinator job with little experience?
Yes, many employers hire candidates with limited direct credentialing experience if you can demonstrate transferable skills from medical billing, healthcare administration, or insurance verification roles. Familiarity with payer portals, attention to detail in managing documentation, and basic knowledge of compliance standards all help. Completing a credentialing-focused certificate course and volunteering to support a medical staff office are practical ways to build your resume before applying.
What does the credentialing coordinator interview process look like?
Most hiring processes for credentialing coordinators include an initial phone screen with HR, followed by a video or in-person interview with the credentialing manager or medical staff director. Expect scenario-based questions about managing re-credentialing deadlines, handling incomplete provider applications, and resolving payer denials. Some employers add a short skills assessment covering credentialing terminology or a walk-through of a sample enrollment workflow before extending an offer.
Where can I find and apply to credentialing coordinator jobs?
You can find and apply to credentialing coordinator jobs on Migrate Mate, which lists current openings from across the United States. Search for roles that match your experience level, provider specialty, or preferred work setting, and apply directly to each listing that fits your background.
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