H-1B Visa Credentialing Coordinator Jobs
Credentialing Coordinator roles sit at the intersection of healthcare administration and compliance, making them strong candidates for H-1B visa sponsorship as specialty occupations requiring at least a bachelor's degree. Many hospitals, health systems, and managed care organizations actively file LCAs for this title under SOC code 11-9111.
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Get Access To All JobsINTRODUCTION
The Manager of Provider Credentialing & Enrollment is responsible for the operational leadership, oversight, and optimization of Deaconess Health System's provider credentialing verification, provider enrollment, and facility enrollment functions. This position leads teams responsible for primary source verification, provider data integrity, payer enrollment, revalidation, and ongoing monitoring activities that support provider readiness, regulatory compliance, and reimbursement.
The Manager ensures providers and facilities are credentialed, enrolled, and maintained in accordance with applicable regulatory, accreditation, and payer requirements. The position works closely with Medical Staff Services, Revenue Cycle, Managed Care, Physician Recruitment, Practice Operations, Compliance, and Health System leadership to support seamless provider onboarding and uninterrupted reimbursement.
Provider Credentialing Operations
- Lead provider credentialing activities for physicians, APPs, and other practitioners.
- Ensure timely and accurate primary source verification.
- Oversee licensure, board certification, sanctions, exclusions, malpractice, and ongoing monitoring.
- Maintain audit-ready credentialing records.
- Monitor KPI reporting for turnaround times and quality metrics.
Provider and Facility Enrollment
- Lead Medicare, Medicaid, managed care, and governmental payer enrollment activities.
- Oversee initial enrollments, revalidations, provider updates, ownership changes, and terminations.
- Ensure providers and facilities are enrolled timely to prevent reimbursement delays.
- Monitor payer enrollment performance and aging metrics.
Provider Data Management and Integrity
- Maintain provider demographic, credentialing, and enrollment data across enterprise systems.
- Support provider data governance initiatives.
- Collaborate with Revenue Cycle, HR, Information Systems, and Medical Staff Services.
Compliance, Governance, and Audit Support
- Ensure compliance with CMS, ACHC, NCQA, state regulations, and payer requirements.
- Support internal and external audits and accreditation reviews.
- Oversee exclusion screening and sanction monitoring processes.
- Create, update and enforce credentialing enrollment policies.
Leadership and Team Development
- Lead and develop credentialing and enrollment staff.
- Establish and maintain productivity, quality, and service expectations.
- Drive process improvement, automation, and standardization initiatives.
QUALIFICATIONS
- Bachelor's degree required; Master's degree preferred.
- Five years of credentialing, enrollment, medical staff services, provider operations, or revenue cycle experience.
- Three years of leadership experience preferred.
- CPCS, CPMSM, or CPES certification preferred; if not currently certified, must obtain one of these credentials within three years of hire.
INTRODUCTION
The Manager of Provider Credentialing & Enrollment is responsible for the operational leadership, oversight, and optimization of Deaconess Health System's provider credentialing verification, provider enrollment, and facility enrollment functions. This position leads teams responsible for primary source verification, provider data integrity, payer enrollment, revalidation, and ongoing monitoring activities that support provider readiness, regulatory compliance, and reimbursement.
The Manager ensures providers and facilities are credentialed, enrolled, and maintained in accordance with applicable regulatory, accreditation, and payer requirements. The position works closely with Medical Staff Services, Revenue Cycle, Managed Care, Physician Recruitment, Practice Operations, Compliance, and Health System leadership to support seamless provider onboarding and uninterrupted reimbursement.
Provider Credentialing Operations
- Lead provider credentialing activities for physicians, APPs, and other practitioners.
- Ensure timely and accurate primary source verification.
- Oversee licensure, board certification, sanctions, exclusions, malpractice, and ongoing monitoring.
- Maintain audit-ready credentialing records.
- Monitor KPI reporting for turnaround times and quality metrics.
Provider and Facility Enrollment
- Lead Medicare, Medicaid, managed care, and governmental payer enrollment activities.
- Oversee initial enrollments, revalidations, provider updates, ownership changes, and terminations.
- Ensure providers and facilities are enrolled timely to prevent reimbursement delays.
- Monitor payer enrollment performance and aging metrics.
Provider Data Management and Integrity
- Maintain provider demographic, credentialing, and enrollment data across enterprise systems.
- Support provider data governance initiatives.
- Collaborate with Revenue Cycle, HR, Information Systems, and Medical Staff Services.
Compliance, Governance, and Audit Support
- Ensure compliance with CMS, ACHC, NCQA, state regulations, and payer requirements.
- Support internal and external audits and accreditation reviews.
- Oversee exclusion screening and sanction monitoring processes.
- Create, update and enforce credentialing enrollment policies.
Leadership and Team Development
- Lead and develop credentialing and enrollment staff.
- Establish and maintain productivity, quality, and service expectations.
- Drive process improvement, automation, and standardization initiatives.
QUALIFICATIONS
- Bachelor's degree required; Master's degree preferred.
- Five years of credentialing, enrollment, medical staff services, provider operations, or revenue cycle experience.
- Three years of leadership experience preferred.
- CPCS, CPMSM, or CPES certification preferred; if not currently certified, must obtain one of these credentials within three years of hire.
See all 58+ H-1B Visa Credentialing Coordinator Jobs
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship as a Credentialing Coordinator
Verify your SOC code before applying
Credentialing Coordinator positions are typically filed under SOC 11-9111 (Medical and Health Services Managers). Confirm the employer's LCA uses this code, since a misclassified SOC can trigger an RFE or prevailing-wage dispute during adjudication.
Check prevailing wages by metro area
Use the OFLC Wage Search to look up Level I through Level IV wages for SOC 11-9111 in your target city. Credentialing roles in rural health systems often pay at lower wage levels, which affects whether your offer clears the DOL threshold.
Target health systems with E-Verify enrollment
STEM OPT employers must be E-Verify enrolled, and many health networks already are. Filtering for E-Verify-enrolled hospitals and physician groups narrows your list to employers already set up for compliant H-1B onboarding.
Search H-1B sponsors on Migrate Mate
Filter by job title and employer type on Migrate Mate to find health systems and managed care organizations with active LCA filings for Credentialing Coordinator roles, so you're applying where sponsorship history already exists.
Get your credentials evaluation ready early
If your healthcare administration degree is from outside the U.S., get a credential evaluation completed before you receive an offer. USCIS requires evidence that your foreign degree is equivalent to a U.S. bachelor's, and delays here can push back the I-129 filing timeline.
Clarify cap-exempt status with academic medical centers
University hospitals and academic medical centers may qualify as cap-exempt institutions, meaning your H-1B petition bypasses the annual lottery. Ask your HR contact directly whether the employing entity holds cap-exempt status before counting on a lottery-free path.
H-1B Visa Credentialing Coordinator: Frequently Asked Questions
Does a Credentialing Coordinator role qualify as a specialty occupation for H-1B purposes?
Yes, in most cases. USCIS evaluates whether the position normally requires at least a bachelor's degree in a specific field such as healthcare administration, health information management, or a related discipline. Employers strengthen the petition by documenting that the role's complexity, such as NCQA or URAC accreditation oversight, requires specialized academic training rather than general business skills.
Which employers typically sponsor H-1B visas for Credentialing Coordinator roles?
Health systems, academic medical centers, managed care organizations, and credentialing verification organizations are the most active H-1B sponsors for this title. You can browse employers with verified LCA filing history for Credentialing Coordinator positions on Migrate Mate, which pulls directly from DOL disclosure data so you're not guessing about sponsorship willingness.
What happens to my H-1B status if my credentialing employer loses a hospital contract?
If your employer terminates your position, USCIS allows a 60-day grace period to find a new sponsor, change status, or depart the U.S. The new employer must file an H-1B transfer petition before your grace period expires. Notify the new employer's HR or immigration counsel immediately so the I-129 transfer can be filed without a gap in authorized status.
Can a Credentialing Coordinator role be classified under a different SOC code that affects the H-1B filing?
Employers sometimes file under SOC 13-1071 (Human Resources Specialists) or SOC 11-9111 (Medical and Health Services Managers) depending on how the duties are scoped. The SOC code controls the prevailing wage level, so a misclassified code can either underpay the required wage or expose the employer to DOL audit risk. Review the LCA your employer submits and confirm the SOC reflects your actual day-to-day responsibilities.
Does my CPCS or CPMSM certification help with the H-1B specialty occupation analysis?
Indirectly, yes. Certifications like CPCS (Certified Provider Credentialing Specialist) or CPMSM (Certified Professional Medical Services Management) from NAMSS demonstrate that the profession has defined competency standards, which supports the argument that the role requires specialized knowledge. They don't replace the degree requirement, but USCIS can weigh industry credentials when evaluating whether a position is a recognized specialty.