Payor Credentialing Coordinator at Heartland Hospice

Mooresville, North Carolina, United States -

Full Time

Start Date

Immediate

Expiry Date

20 Jan, 26

Salary

0.0

Posted On

22 Oct, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Healthcare Credentialing, Payer Enrollment, Microsoft Excel, Organizational Skills, Communication Skills, Attention To Detail, Problem-Solving, Analytical Abilities, Customer Service, Data Management, Confidentiality, Licenses Verification, Certifications Management, Malpractice Insurance, Compliance, CAQH, NPPES

Industry

Hospitals and Health Care

Description

Overview Expand Access. Build Partnerships. Transform Care. We are seeking a Payor Credentialing Coordinator to join our team. In this role, you will manage all aspects of payer enrollment and credentialing for healthcare providers, ensuring seamless participation in Medicare, Medicaid, and commercial insurance networks. Key Responsibilities Manage the entire payer credentialing process: prepare and submit applications, track approvals, and maintain accurate provider records Enroll new providers with Medicare, Medicaid, and commercial insurance companies to expand network access Maintain re-credentialing schedules to avoid lapses in provider participation Manage CAQH profiles and update NPPES registrations Collect, verify, and maintain critical provider credentials, including licenses, certifications, and malpractice insurance Ensure compliance with state, federal, and payer-specific credentialing requirements Serve as liaison between providers, insurance payers, and internal teams such as billing and HR Respond to payer inquiries and resolve credentialing delays or issues promptly Lead or participate in status meetings to prioritize credentialing projects and meet deadlines About You Skills and Qualifications Strong knowledge of healthcare credentialing processes and payer enrollment Proficient in Microsoft Excel and other data management systems Excellent organizational skills with the ability to prioritize multiple tasks and meet deadlines Exceptional verbal and written communication skills High attention to detail and accuracy in data entry and document management Ability to handle confidential information with discretion Strong problem-solving and analytical abilities Customer service oriented with a professional approach to interactions Education and Experience High school diploma required; associate or bachelor’s degree in healthcare administration, business, or related field preferred 1–3 years of experience in healthcare credentialing, billing, or healthcare administration Familiarity with CAQH and NPPES systems preferred Must be fluent in English (written and spoken) Certifications Certified Provider Credentialing Specialist (CPCS) through NAMSS preferred We Offer Benefits for All Associates (Full-Time, Part-Time & Per Diem): Competitive Pay 401(k) with Company Match Career Advancement Opportunities National & Local Recognition Programs Teammate Assistance Fund Additional Full-Time Benefits: Medical, Dental, Vision Insurance Mileage Reimbursement or Fleet Vehicle Program Generous Paid Time Off + 7 Paid Holidays Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care) Education Support & Tuition Assistance (ASN to BSN, BSN to MSN) Free Continuing Education Units (CEUs) Company-paid Life & Long-Term Disability Insurance Voluntary Benefits (Pet, Critical Illness, Accident, LTC) Apply today and help us ensure every healthcare provider is ready to deliver exceptional care. Legalese This is a safety-sensitive position Employee must meet minimum requirements to be eligible for benefits Where applicable, employee must meet state specific requirements We are proud to be an EEO employer We maintain a drug-free workplace Location Gentiva Our Company At Gentiva, it is our privilege to offer compassionate care in the comfort of wherever our patients call home. We are a national leader in hospice care, palliative care, home health care, and advanced illness management, with nearly 600 locations and thousands of dedicated clinicians across 38 states. Our place is by the side of those who need us – from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis. Our nationwide reach is powered by a family of trusted brands that include: Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon Palliative care: Empatia Palliative Care, Emerald Coast Palliative Care Home health care: Heartland Home Health Advanced illness management: Illumia Health With corporate headquarters in Atlanta, Georgia, and providers delivering care across the U.S., we are proud to offer rewarding careers in a collaborative environment where inspiring achievements are recognized – and kindness is celebrated.

Responsibilities

Manage all aspects of payer enrollment and credentialing for healthcare providers. Ensure compliance with credentialing requirements and serve as a liaison between providers and insurance payers.