Credentialing Coordinator

Credentialing Coordinator Position Summary The Credentialing Lead is responsible for overseeing and executing complex provider credentialing activities across multiple states and payer networks. This role serves as the subject matter expert for escalated credentialing issues, ensures regulatory and accreditation compliance, manages provider credential expirations, and drives operational excellence within the credentialing function. The Credentialing Lead owns the credentialing work queue, prioritizes high-risk and time-sensitive cases, and partners closely with providers, payers, licensing boards, and internal stakeholders to ensure timely enrollment and ongoing compliance. Key Responsibilities Credentialing Operations Manage and maintain ownership of the credentialing and recredentialing work queue, ensuring timely processing and resolution of cases. Handle complex credentialing scenarios, including multi-state licensure, payer enrollment challenges, provider relocations, and high-pri...

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