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US Unlimited PTO

  • Collect, verify, and maintain provider credentials such as education, licensure, and malpractice insurance.
  • Enroll providers with Medicare, Medicaid, and commercial insurance payers.
  • Maintain provider profiles in CAQH and track credential expiration dates for timely renewals.

Data Entry CAQH Medical Terminology Organizational Skills

20 jobs similar to Credentialing and Enrollment Coordinator

Jobs ranked by similarity.

US

  • Submit and track provider enrollments across Medicare/Medicaid and commercial payers to secure effective dates.
  • Maintain CAQH attestations and accurate provider data across payer portals and internal credentialing systems.
  • Assist with onboarding new providers and respond to payer requests to resolve application issues.

Metro Vein Centers is a rapidly growing healthcare practice specializing in state-of-the-art vein treatments. With over 70 clinics across 8 states and a Net Promoter Score of 93, they are committed to compassionate, patient-first care.

US

  • Contribute directly to improving Provider experience through timely credentialing and enrollment.
  • Collaborate with cross-functional teams to support new payer launches and share operational insights.
  • Help educate credentialing associates as new processes and payers are introduced.

Rula is a remote-first company that makes mental health care more accessible by streamlining provider onboarding. The team values diversity, equity, and inclusion, fostering a culture of belonging.

US

  • Submit and track provider enrollments with Medicare, Medicaid, and major commercial payers.
  • Maintain and update credentialing databases and payer status logs.
  • Collaborate with credentialing team and payer representatives to resolve blockers and shorten approval timelines.

Big Leap is a fast-growing, multi-state medical & behavioral clinician group focused on interventional mental health treatments like Spravato & TMS. The company is expanding its remote operations team to support growth.

US

  • Manage end-to-end provider credentialing and payer enrollment processes across multiple states.
  • Ensure compliance with government and commercial payer requirements to minimize claim denials.
  • Serve as a subject matter expert, supporting team training and process improvements.

The company operates a nationwide virtual healthcare network, focusing on transforming cardiovascular care delivery. The team is mission-driven and values innovation, collaboration, and continuous improvement.

$75,000–$90,000/yr
US

  • Manage provider credentialing and enrollment processes to ensure compliance with NCQA, URAC, Joint Commission, CMS, and state regulations.
  • Oversee a team of specialists, monitor KPIs like "Days to Enroll," and resolve complex application rejections to protect cash flow.
  • Collaborate with Compliance, Billing, Legal, and Clinical teams to troubleshoot credentialing-related claim denials and maintain database accuracy.

Sleep Doctor is a trusted sleep health company helping millions get better rest through clinical expertise and consumer-first experiences. They foster a collaborative, growth-oriented culture where every team member contributes to bold solutions.

US

  • Manage the end-to-end credentialing process for assigned therapists, ensuring compliance with all requirements.
  • Review credentialing documents, complete primary source verifications, and maintain accurate records in multiple systems.
  • Partner with cross-functional teams to resolve issues and support timely onboarding.

Luna is revolutionizing the delivery of physical therapy by providing in-home care. The company is a start-up with a supportive leadership culture that offers opportunities for growth.

  • Coordinate credentialing, payer enrollment, and recredentialing for clinicians.
  • Maintain provider data across CAQH, NPPES, PECOS, and payer portals.
  • Track contracts, follow up with payers, and escalate delays to ensure billing readiness.

Legion Health is a full-stack, AI-native psychiatry network delivering mental health care at scale. It's a fast-paced startup focused on using AI to automate care operations, with a culture of adaptability and process improvement.

Arizona Florida Georgia North Carolina Tennessee Texas Virginia Unlimited PTO

  • Manage end-to-end payer enrollment for providers across commercial, Medicare, and Medicaid health plans.
  • Support provider licensing operations including new applications, renewals, and compliance activities.
  • Collaborate with internal teams and external partners to ensure timely credentialing and minimize patient care delays.

Oshi Health is a virtual digestive health practice transforming GI care by combining compassionate, multidisciplinary care with innovative technology. The company is a remote-first, mission-driven startup focused on revolutionizing how chronic digestive conditions are diagnosed and managed, with a culture emphasizing respect and inclusion.

US

  • Oversee the processing of initial payer applications to ensure compliance with accreditation standards and regulations.
  • Maintain and manage payer credentialing databases with accuracy and audit readiness.
  • Supervise payer credentialing staff by coordinating workloads, providing training, and monitoring performance.

Theoria Medical is a comprehensive medical group and technology company dedicated to serving patients across the care continuum with an emphasis on post-acute care and primary care. They serve facilities across the United States, offering multispecialty physician services, telemedicine, and remote patient monitoring.

US

  • Coordinate clinician onboarding by maintaining accurate ATS records and distributing required credentialing documentation.
  • Verify licenses, certifications, education, and background checks to ensure compliance with state, federal, and Joint Commission standards.
  • Track expiring credentials, communicate renewal requirements, and proactively manage compliance deadlines to maintain clinician eligibility.

International SOS Government Medical Services supports healthcare programs that improve patient care and operational readiness across the U.S. and internationally. Founded in 1984, the company operates in more than 90 countries, delivering healthcare, medical assistance, emergency response, and workforce support services worldwide.

US

  • Submit provider and organizational contract requests to commercial, Medicare, Medicaid, and managed care payers.
  • Monitor contract application status and maintain detailed tracking of all submissions and negotiations.
  • Coordinate with internal teams to facilitate successful implementation of newly executed agreements.

Expressable is a virtual speech therapy practice on a mission to transform care delivery and expand access to high-quality services. Since 2019, we have served thousands of clients and maintain a fully remote culture focused on collaboration and personal connection.

US Unlimited PTO

  • Credential providers end-to-end, managing high volumes of caseloads.
  • Pioneer best practices and new workflows for provider credentialing.
  • Collaborate cross-team to improve processes and policies.

Verifiable is a provider credentialing and network monitoring platform delivering AI, API, and software solutions to healthcare organizations. The company has grown to ~150 employees in 5 years, with a collaborative, high-ownership culture.

United States 5w PTO 12w maternity 12w paternity

  • Create and maintain credentialing and renewal information for Workit providers, ensuring accuracy in payor directories and online systems.
  • Work closely with the Credentialing Manager and billing staff to resolve denials or authorization issues related to provider credentialing.
  • Complete revalidation requests issued by payers and maintain up-to-date data for each provider in the credentialing database.

Workit Health is an industry-leading provider of on-demand, evidence-based telemedicine care for addiction, offering FDA-approved medication and online recovery groups. The company has a vibrant, democratized culture with multiple ERG groups and opportunities for internal mobility, committed to closing health disparity gaps.

US

  • Process state medical licenses for clinical professionals across multiple states.
  • Manage the full application lifecycle with medical boards, vendors, and clinicians.
  • Handle controlled substance, DEA, and malpractice insurance applications.

Curana Health is a national leader in value-based care for senior living communities, offering on-site primary care services and Medicare plans. Founded in 2021, it serves over 200,000 seniors across 1,500+ communities with more than 1,000 clinicians and was ranked #147 on the Inc. 5000.

$80,000–$90,000/yr
US Unlimited PTO

  • Own the licensing vendor relationship and budget, directing vendor performance and holding them accountable.
  • Manage payer credentialing end to end, ensuring providers are enrolled and revenue-ready.
  • Own payer roster management and develop relationships with payer representatives to resolve issues.

Brightline provides pediatric behavioral health care via virtual and in-person services, including therapy and psychiatry for kids up to age 18. Founded in 2019, the company has served tens of thousands of families and is nationally recognized for clinical excellence.

US

  • Provide administrative support to clinical staff in a healthcare office environment, primarily via video conference.
  • Handle incoming calls, patient records, correspondence with providers, and scheduling of home visits.
  • Ensure coordination of care and smooth day-to-day office operations, including insurance authorizations and supply ordering.

Vynca provides comprehensive care for individuals with complex needs to have more quality days at home. The company is a close-knit community with core values of Excellence, Compassion, Curiosity, and Integrity.

$145,000–$155,000/yr
US

  • Lead the strategy to secure national payor agreements, moving from state-by-state enrollment to national in-network contracts with major commercial payors.
  • Manage a Credentialing Specialist, setting SLAs and KPIs for credentialing turnaround time, while overseeing payor enrollment and claim denial resolution.
  • Partner with Clinical Ops and Revenue Cycle to align provider onboarding with credentialing lead times and national agreement rollouts.

Happy Health is revolutionizing sleep medicine delivery through a comprehensive telehealth platform that eliminates traditional barriers to sleep care. The company is a fast-moving, low-ego team that values ownership and problem-solving over process, operating remotely with a physical office in Austin, TX.

$44,000–$52,000/yr
US

  • Eligibility Review: Review patient records and clinical documentation to determine eligibility for Form Health.
  • Record Collection: Manage requesting, faxing, and tracking medical records from external providers while ensuring HIPAA compliance.
  • File Communication: Maintain clear communication with patients and colleagues to keep them updated throughout the eligibility process.

Form Health is a virtual obesity medicine clinic that provides multi-disciplinary evidence-based obesity treatment through telemedicine. Founded in 2019, it is a venture-backed startup with an experienced clinical and leadership team, committed to a culture of inclusion and patient-first values.

US Unlimited PTO 16w maternity 8w paternity

  • Support member onboarding and care coordination in a remote healthcare environment.
  • Maintain accurate health records and assist with clinical and administrative tasks.
  • Collaborate with care teams to improve patient outcomes and operational workflows.

The partner company is a technology-driven healthcare organization focused on improving chronic disease outcomes. It operates with a collaborative global team and offers opportunities for professional growth.

US

  • Investigate and resolve Coordination of Benefits denials by working with insurance carriers and members.
  • Conduct outreach to members to collect, verify, and update insurance information, providing clear guidance on benefits.
  • Maintain accurate member account records by documenting verified insurance details and coverage changes.

The company is a mission-driven healthcare organization focused on improving access to care. The size and culture are not specified, but the environment emphasizes teamwork, continuous improvement, and meaningful impact.