Credentialing Associate

Credentialing Associate – Coastal Health

Location:

Orange Park, FL

Join our growing team as a Credentialing Associate to ensure timely and accurate provider enrollment and credentialing while supporting physicians and internal stakeholders throughout the process.

We offer a competitive compensation and benefits package, along with a supportive environment that encourages professional development and long-term career growth.

• Competitive wages
• Health, dental, and vision insurance
• Life insurance
• Short- and long-term disability
• 401(k) retirement plan
• Up to 3 weeks paid time off (PTO)
• 7 paid holidays
• Opportunities for career advancement within a growing organization

• Manage submission, tracking, and completion of provider enrollment applications.
• Perform consistent follow-up to ensure provider numbers are established accurately and within required timelines.
• Maintain thorough knowledge of payer-specific enrollment requirements, including prerequisite forms, supporting documentation (DEA, licenses, CVs, etc.) and applicable regulations.
• Maintain accurate documentation and reporting related to provider enrollment.
• Retain records of completed enrollment applications in accordance with company and regulatory standards.
• Collaborate closely with providers to expedite completion of applications, including obtaining signatures and required documentation.
• Maintain up-to-date provider enrollment information within the credentialing database.
• Ensure credentialing files are current and complete, including monitoring expiration dates for licenses, board certifications, professional liability insurance, DEA registrations and other required credentials.
• Process re-credentialing applications for providers with facilities and/or payers.
• Perform additional credentialing-related duties as assigned by the Credentialing Manager.

• Proficiency in Microsoft Office (Word, Excel, Outlook).
• Strong verbal and written communication skills, with the ability to interact professionally with physicians and payers.
• Exceptional organizational skills with strong attention to detail.
• Ability to manage multiple priorities and meet time-sensitive deadlines.
• Ability to work independently with minimal supervision.

• Minimum of 2 years of experience in medical credentialing (required).
• Minimum of 2 years of provider enrollment experience (required).
• Payer enrollment experience (required).
• Experience in a multi-specialty healthcare setting (preferred).

High school diploma or equivalent (required).