Credentialing Coordinator

Credentialing Analyst

Southern New Hampshire Health has been a cornerstone of the region since 1893, delivering high-quality, compassionate care close to home. Anchored by Southern New Hampshire Medical Center, a 188-bed, DNV-accredited hospital in downtown Nashua with a Level III-N trauma center, Level II Special Care Nursery, and Magnet designation for nursing excellence, we offer a full spectrum of services from primary care to advanced diagnostics and specialized treatments. Our medical staff includes over 500 providers from Foundation Medical Partners, and local practices. Foundation Medical Partners, our multi-specialty group, spans 70+ practices across southern New Hampshire and northern Massachusetts, providing coordinated, patient-centered care to thousands each year.

Position Overview

The Credentialing Analyst supports the credentialing function by performing administrative and operational tasks related to provider and/or organization licensure, certifications, and payer enrollment processes. This role ensures that required documentation is accurate, up to date, and processed in accordance with established procedures, regulatory requirements, and organizational standards. The position also includes responsibility for ensuring that the re-verification process and any interim or re-credentialing activities required by government payers occur to ensure continuous, uninterrupted participation status for all individual providers and groups/locations. This position maintains up to date and thorough knowledge of non-commercial payer enrollment obligations at the State and Federal level.

What You’ll Do:

• Manage Applications: Initiate the medical staff appointment process and prepare all paper and electronic applications, addendums, and professional liability insurance.
• Enroll Providers and/or Organization: Maintain enrollment for providers and/or organization with insurance plans, follow up on effective dates, update practice change information, and assist the Revenue Cycle Department with resolving enrollment-related claim processing issues.
• Maintain Compliance: Verify provider education history, research federal/state/local licensing guidelines, and update provider data in the universal CAQH database.
• Track Expirations: Perform data entry in the credentialing system for provider and organizational licenses, DEA, and Certifications, and run proactive reports to notify managers of expiring credentials.

Who You Are:

• Educated: Possess a High School Diploma (required); some college experience is preferred.
• Experienced: Bring 2-3 years of provider insurance enrollment experience.
• Knowledgeable: Understand provider insurance enrollment and medical licensing requirements in New Hampshire and Massachusetts.
• Skilled: Proficient in MS Word, Excel, and Outlook.
• Detail-Oriented: Demonstrate exceptional attention to detail, maintain high accuracy, and possess excellent organizational skills to meet deadlines in a fast-paced environment.

Why You’ll Love Us:

Health, dental, prescription, and vision coverage for full-time & part-time employees; short-term, long-term disability, life & pet insurance; tuition reimbursement & Nursing Student Loan Paydown Program; 403(b) Retirement savings plans; continuous earned time accrual & more!