[Hiring] Credentialing Coordinator @Palmetto Infusion Careers

Role Description

The Credentialing Coordinator is responsible for processing, coordinating, and maintaining provider credentialing and recredentialing documents in compliance with regulatory agencies, payer requirements, and accreditation standards. This role ensures timely and accurate provider enrollment to support uninterrupted patient care and reimbursement.

Schedule: Monday – Friday; 8:00 AM – 5:00 PM, Occasional deadlines may require extended hours

Location: Remote in Virginia, North Carolina, South Carolina, Georgia, Florida, Alabama, or Tennessee

Remote Position, which may require some occasional travel to Palmetto Infusion office locations.

Qualifications

• High School Diploma or Equivalent
• Prior experience in provider credentialing, payer enrollments, or medical staff onboarding/administration
• Experience and knowledge of credentialing standards and regulatory requirements (CMS, Medicaid, state boards, major healthcare payers)
• Proficient at partner programs (i.e.: MS Outlook, Word, Excel)
• Ability to cope with ambiguous, changing environment while under pressure in a calm manner
• Must be able to work as a team member and develop productive and cooperative working relationships with all members of the Palmetto Infusion team
• Prolonged periods of sitting and computer use

Requirements

• Initiate and manage initial and recredentialing applications for providers with government and commercial payers
• Collect, verify, and maintain all required credentialing documentation, including licenses, DEA, board certifications, NPI, and work history
• Track credentialing and enrollment statuses to ensure timely completion and prevent lapses in provider coverage
• Maintain accurate, complete, and organized provider credentialing files and databases
• Communicate regularly with providers, internal departments, and payer representatives regarding application status and outstanding or missing documentation
• Monitor expiration dates for licenses, certifications, and payer contracts; initiate and process renewals as needed
• Ensure compliance with organizational policies, payer guidelines, and accreditation standards
• Support the Reimbursement/Revenue Cycle (RCM) team with credentialing-related issues requiring research and support
• Generate and analyze reports related to credentialing status, timelines, and compliance metrics
• Maintain and update CAQH profiles (including document uploads and attestations) and payer directory databases; perform other duties as assigned to support credentialing and enrollment operations

Benefits

• Competitive Compensation
• Comprehensive Medical Insurance
• Dental and Vision Insurance
• Company Life Insurance
• Voluntary Life and Disability Insurance
• Additional Voluntary Supplemental Plans
• Flexible Spending Account (Medical and Dependent Care)
• Health Savings Account
• 401K Retirement Plan
• Employee Assistance Program (EAP)
• Employee Discounts
• Ramsey SmartDollar Program
• Referral Program
• Tuition Assistance
• Paid Time Off
• 8 Paid Company Holidays