Credentialing Coordinator

Vaco has partnered with a growing healthcare organization to fill an open Credentialing Specialist opportunity. The Credentialing Specialist is responsible for supporting provider and payer credentialing activities by gathering, verifying, submitting, and maintaining required documentation to ensure compliance with regulatory, payer, and organizational standards. This role plays a critical part in maintaining audit-ready credentialing files and ensuring providers are properly enrolled and re-credentialed in a timely manner. If you have strong attention to detail and experience in physician practice credentialing, we encourage you to apply.
Responsibilities

• Gather, review, and verify credentialing documents, including medical licenses, board certifications, DEA registrations, malpractice insurance, and education/training records
• Prepare and submit completed credentialing packets for review and approval by the manager or credentialing committee
• Complete provider enrollment and revalidation forms for Medicare, Medicaid, and commercial payers under manager guidance
• Track credentialing and re-credentialing dates and proactively send reminders to ensure timely renewals
• Enter, update, and maintain accurate provider data in credentialing software and internal systems
• Maintain digital and physical credentialing files in accordance with company policy, compliance standards, and state and professional board requirements
• Update payer portals and ensure provider information remains accurate and current
• Follow up with payers on application status, resolve basic issues, and escalate complex matters to management as needed
• Communicate directly with providers to request documentation or clarify information
• Liaise with medical staff offices, licensing boards, and insurance companies as required
• Assist with preparing documentation for audits, surveys, and compliance reviews
• Ensure all credentialing files are always audit-ready
  

Qualifications

• Minimum of 3 years of credentialing experience in a physician practice environment, including both provider and payer credentialing
• Strong knowledge of credentialing and enrollment processes for Medicare, Medicaid, and commercial payers
• Exceptional attention to detail and ability to manage multiple deadlines accurately
• Strong organizational and documentation skills
• Ability to communicate effectively with providers, internal teams, and external organizations
• Proficiency with credentialing software and Microsoft Office applications
  

Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual's skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs. With that said, as required by local law in geographies that require salary range disclosure, Vaco/Highspring notes the salary range for the role is noted in this job posting. The individual may also be eligible for discretionary bonuses, and can participate in medical, dental, and vision benefits as well as the company's 401(k) retirement plan.
Desired Skills and Experience

Minimum of 3 years of credentialing experience in a physician practice environment, including both provider and payer credentialing
Strong knowledge of credentialing and enrollment processes for Medicare, Medicaid, and commercial payers
Exceptional attention to detail and ability to manage multiple deadlines accurately
Strong organizational and documentation skills
Ability to communicate effectively with providers, internal teams, and external organizations
Proficiency with credentialing software and Microsoft Office applications