Provider Credentialing Coordinator

Clinical OperationsClinical OperationsFull TimeRemote

Location

United States

Posted

1 day ago

Salary

$47K - $57K / year

Healthcare CredentialingProvider EnrollmentHealthcare ComplianceAdministrative CoordinationExcelGoogle SheetsShare PointDocumentation ManagementData TrackingStakeholder Communication

Job Description

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

The Provider Credentialing Coordinator supports Indigenous Pact’s clinics and contracted telehealth partners by maintaining accurate, current, and audit-ready credentialing and qualification records across all disciplines and states. This full-time coordinator maintains workforce rosters, tracks expirations and off-cycle status changes, completes verification and exclusion checks as assigned, and escalates risks that could impact patient safety, compliance, or billing authorization. The role also supports the Clinical Compliance & Quality team with operational projects, including data gathering and documentation that strengthen reporting and readiness efforts. Responsibilities may expand over time as programs grow and systems mature.

Essential Job Functions

  • Credentialing and Ongoing Monitoring:
    • Maintain accurate, audit-ready credentialing and qualification records across disciplines and states for clinic-based staff and contracted telehealth clinicians.
    • Track expirations and off-cycle status changes, follow up on missing items, and communicate updates to clinics, HR, and Clinical Compliance.
    • Escalate same-day risks such as lapses, restrictions, scope mismatches, or exclusion concerns that could affect patient safety, compliance, or billing authorization.
  • Workforce Roster Management:
    • Maintain a single source of truth for workforce rosters and reconcile differences across clinics, HR records, credentialing files, and scheduling systems.
    • Ensure updates are reflected in tracking tools and file systems using consistent naming, version control, and documentation.
  • Audit and Readiness Support:
    • Keep credentialing and qualification files organized and easy to retrieve for internal reviews, site readiness efforts, and external audits or surveys.
    • Support corrective actions related to documentation gaps, tracking failures, or process breakdowns.
  • Quality and Operational Project Support:
    • Gather information from clinics, document problem statements, and help translate issues into clear SMART goals and simple tracking plans.
    • Support basic reporting needs by maintaining trackers, definitions, and documentation that can feed dashboards and leadership updates, in collaboration with IT/data resources.
  • Administrative Support:
    • Support meeting logistics and documentation, including agendas, minutes, action logs, and follow-up tracking, as assigned.

Qualifications

  • Proven ability to manage high-volume tracking work with accuracy, follow-through, and strong attention to detail.
  • Working knowledge of healthcare credentialing and verification basics, including maintaining documentation that is complete, consistent, and audit-ready.
  • Ability to track expirations, deadlines, and off-cycle changes, and to communicate status updates clearly to multiple stakeholders.
  • Comfort using common verification tools and public databases to confirm active licensure and required screening checks, and to document results consistently.
  • Strong organization and file management skills, including naming conventions, version control, and secure handling of sensitive information.
  • Strong written communication skills for professional emails, status updates, and documentation.
  • Sound judgment and escalation skills: knows when something is a same-day risk and routes it to the right leader quickly.
  • Proficiency with everyday tools used for tracking and documentation (Excel or Google Sheets, SharePoint or similar file systems, and Teams/Outlook).
  • Strong administrative coordination skills, including meeting notes, action tracking, and follow-up.
  • Ability to gather information from clinics and summarize issues clearly for leadership and documentation.
  • Comfort working with simple trackers and basic reporting tools (spreadsheets, lists, dashboards) and keeping data clean and consistent.
  • Familiarity with data or dashboard concepts is a plus; this role supports requirements and data quality, not advanced analytics or report building.
  • Experience supporting multi-site teams and/or contracted telehealth clinicians.

Requirements

  • High School Diploma or equivalent required.
  • Associate's Degree preferred (healthcare administration, business, HR, public health or related field); Bachelor's Degree is a plus but not required.
  • 2+ years of experience in one or more of the following: provider credentialing, medical staff services, provider onboarding, healthcare compliance support, provider enrollment support, or regulatory-focused healthcare HR.
  • Demonstrated experience managing time-sensitive expirations and maintaining accurate, audit-ready documentation (for example: licenses, certifications, registrations, insurance, role-based credentials).
  • Experience coordinating with multiple stakeholders (clinics, HR, medical leadership, operations) and managing follow-up to closure.
  • Strong working ability with spreadsheets and shared tracking tools (Excel/Google Sheets, SharePoint lists or similar).

Benefits

  • A competitive total rewards package, including 401(k), Medical, Dental, and Vision insurance.
  • Open, transparent lines of communication with leadership.
  • Committed to giving back to improve our communities and environmental impact.
  • A development-focused environment where you have autonomy to drive your career path.

Job Requirements

  • Proven ability to manage high-volume tracking work with accuracy, follow-through, and strong attention to detail.
  • Working knowledge of healthcare credentialing and verification basics, including maintaining documentation that is complete, consistent, and audit-ready.
  • Ability to track expirations, deadlines, and off-cycle changes, and to communicate status updates clearly to multiple stakeholders.
  • Comfort using common verification tools and public databases to confirm active licensure and required screening checks, and to document results consistently.
  • Strong organization and file management skills, including naming conventions, version control, and secure handling of sensitive information.
  • Strong written communication skills for professional emails, status updates, and documentation.
  • Sound judgment and escalation skills: knows when something is a same-day risk and routes it to the right leader quickly.
  • Proficiency with everyday tools used for tracking and documentation (Excel or Google Sheets, SharePoint or similar file systems, and Teams/Outlook).
  • Strong administrative coordination skills, including meeting notes, action tracking, and follow-up.
  • Ability to gather information from clinics and summarize issues clearly for leadership and documentation.
  • Comfort working with simple trackers and basic reporting tools (spreadsheets, lists, dashboards) and keeping data clean and consistent.
  • Familiarity with data or dashboard concepts is a plus; this role supports requirements and data quality, not advanced analytics or report building.
  • Experience supporting multi-site teams and/or contracted telehealth clinicians.
  • High School Diploma or equivalent required.
  • Associate's Degree preferred (healthcare administration, business, HR, public health or related field); Bachelor's Degree is a plus but not required.
  • 2+ years of experience in one or more of the following: provider credentialing, medical staff services, provider onboarding, healthcare compliance support, provider enrollment support, or regulatory-focused healthcare HR.
  • Demonstrated experience managing time-sensitive expirations and maintaining accurate, audit-ready documentation (for example: licenses, certifications, registrations, insurance, role-based credentials).
  • Experience coordinating with multiple stakeholders (clinics, HR, medical leadership, operations) and managing follow-up to closure.
  • Strong working ability with spreadsheets and shared tracking tools (Excel/Google Sheets, SharePoint lists or similar).

Benefits

  • A competitive total rewards package, including 401(k), Medical, Dental, and Vision insurance.
  • Open, transparent lines of communication with leadership.
  • Committed to giving back to improve our communities and environmental impact.
  • A development-focused environment where you have autonomy to drive your career path.

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