Credentials Coord - Provider Enrollment

Job Details

Credentials Coord - Provider Enrollment at Truman Medical Center

Job Location:

UH Lakewood Medical Center, Kansas City, Missouri

Department:
Medical Staff Corporate

Position Type:
Full time

Work Schedule:

8:00AM - 4:30PM

Hours Per Week: 40

Why This Role Matters

Behind every provider who delivers exceptional patient care is a credentialing professional making sure everything is accurate, compliant, and on time. As a Credentials Coordinator - Provider Enrollment
, you play a critical role in ensuring our providers are properly credentialed and enrolled so they can focus on what matters most – caring for patients.

This role is ideal for someone who thrives on details, enjoys working independently, and values collaboration with physicians, managed care organizations, and internal partners across the system.

• Coordinate initial credentialing, reappointments, and recredentialing for Medicare, Medicaid, and Managed Care organizations
• Prepare, review, submit, and track credentialing and payer enrollment applications
  , including CAQH
• Perform all phases of delegated credentialing
  , including audits, reports, rosters, and database queries
• Maintain accurate and up-to-date provider records within credentialing software and paper files
• Track credentialing activity status and follow up with payers to ensure timely approvals
• Record provider billing numbers and communicate updates to professional billing and revenue integrity teams
• Prepare correspondence, verification requests, reappointment materials, and credentialing packets
• Serve as a professional point of contact for medical staff, department leaders, managed care representatives, and administrative partners
• Support departmental operations through administrative tasks such as scanning, filing, and mass mailings
• Promote quality improvement, patient safety, compliance, and cultural diversity through daily work

• Minimum Qualifications:
• High School Diploma or equivalent
• Certified Professional Credentialing Specialist (CPCS) or equivalent
• At least 3 years of experience in medical staff credentialing, managed care credentialing, or a related area
• Strong computer skills with exceptional attention to detail and accuracy
• Ability to manage multiple priorities and meet deadlines
• Sound independent judgment and the ability to work constructively with physicians and professionals

• Experience with medical staff credentialing or delegated credentialing in a medical center setting