Payer Credentialing Coordinator

Job Description

Job Description

Delta Health is looking for a detail-driven Payer Credentialing Coordinator to manage provider credentialing and enrollment across commercial payers, Medicare, Medicaid, and managed care organizations. This role is critical to ensuring our providers can participate in payer networks, maintain uninterrupted patient access, and support timely reimbursement.What You’ll Do

• Own the full credentialing, recredentialing, and enrollment process for physicians, APPs, and ancillary providers.
• Prepare, submit, track, and maintain payer applications and enrollments.
• Verify licenses, certifications, DEA registrations, education, training, malpractice coverage, and other credentials.
• Manage provider information across CAQH, payer portals, credentialing systems, and clearinghouses .
• Monitor deadlines and credential expirations to prevent enrollment or reimbursement disruptions.
• Resolve payer enrollment, demographic, billing, ERA/EFT, and reimbursement issues.
• Partner with providers, payers, Medical Staff, Revenue Cycle, Contracting, Compliance, and Operations teams.
• Maintain accurate records, reports, and tracking tools while protecting confidential information.

• High school diploma or equivalent; Associate’s or Bachelor’s degree preferred.
• 2–3 years of healthcare credentialing, provider enrollment, or medical staff services experience preferred.
• Working knowledge of Medicare, Medicaid, commercial payer enrollment, and CAQH .
• Experience with credentialing software and payer portals.
• Strong organization, attention to detail, analytical thinking, and problem-solving skills.
• Excellent written and verbal communication skills.
• Proficiency with Microsoft Office, especially Excel, Word, and Outlook.
• Ability to manage multiple priorities and deadlines in a fast-paced environment.

• CPCS certification
• Experience in a hospital, healthcare system, or multi-specialty clinic
• Familiarity with provider contracting and revenue cycle operations

Why Join Delta Health?

Comprehensive Benefits Package

• Medical, RX, Dental & Vision – Low premiums with 100% coverage on services provided within the Delta Health system, and no deductibles or co-pays. Includes access to massage therapy, acupuncture, and chiropractic care .
• Life & Disability Insurance – Employer-paid coverage for your peace of mind.
• Time Off – Over 4 weeks of paid vacation annually (including sick and personal leave) for full-time staff.
• Retirement – 403(b) plan with up to a 2% employer match .

Work-Life Balance in a Stunning Location

Located on the Western Slope of the Rocky Mountains, Delta offers an unmatched combination of small-town charm, affordability, and natural beauty. Enjoy year-round outdoor activities such as hiking, skiing, mountain biking, fishing, and exploring the Grand Mesa and surrounding public lands. Whether you're raising a family or looking for work-life balance, Delta provides a safe, friendly community with a slower pace and a high quality of life. Delta is surrounded by the Grand Mesa, Uncompahgre Plateau, and nearby wineries, offering a unique blend of adventure and relaxation.

Delta Health is a county-wide healthcare system with more than 100 years of dedication to serving our community. Our 49-bed hospital and outpatient locations across Delta County are committed providing remarkable care in a healing environment . We operate with the core belief: Excellence. Every Patient. Every Time .