Credentialing and Enrollment Coordinator

Position:
Credentialing and Enrollment Coordinator

Company:
Foodsmart

Compensation:
$60,000 - $70,000 a year

Location:
Remote, USA

Employment type:
Full-Time

Work Arrangement:
Remote

Short Summary:
The Credentialing and Enrollment Coordinator supports the healthcare provider compliance process by verifying provider qualifications and managing the enrollment of groups and providers with government and commercial insurance payers. This role ensures providers are properly credentialed and enrolled in a timely, accurate, and compliant manner.

Responsibilities:
- Collect, verify, and maintain provider credentials, including education, licensure, board certification, DEA registration, malpractice insurance, and work history
- Conduct primary source verification (PSV) of licenses, certifications, and education through official sources
- Support compliance efforts with regulatory and accrediting institutions
- Maintain and update provider profiles in CAQH
- Track credential expiration dates and proactively initiate renewals
- Prepare providers for credentialing committee review
- Conduct/review background checks and maintain compliance with NCQA, CMS, or state-specific credentialing standards
- Enroll providers with Medicare, Medicaid, and commercial insurance payers
- Process provider terminations, updates, and re-validations with payers
- Provide customer service support and help respond to inquiries

Requirement:
- Minimum of 1 year of experience in Medicare and/or Medicaid enrollment
- Familiarity with CAQH, PECOS, NPPES, and state-specific enrollment portals
- Working knowledge of medical terminology and healthcare/CMS regulations
- Proficiency in data entry and management software
- Strong organizational and time management skills
- Excellent written and verbal communication skills

Benefits:
- Remote-First Company
- Unlimited PTO
- Flexible & remote location
- Healthcare Coverage (Medical, Dental, Vision)
- 401k & bonus
- Registered Dietitian Sessions