Credentialing Coordinator
Palmetto Infusion Services
Palmetto Infusion provides comprehensive ambulatory and home-based infusion services to both acute and chronically ill patients. Our centers care for people by providing patients and their families with a convenient, affordable, and safe place to receive infusion treatments. We strive for more than personal service – always delivering a warm and attentive health care experience that boosts patients’ state-of-mind, improves their health, and quality of life.
At Palmetto Infusion, we believe in creating an experience that goes beyond just a job. It's about being part of something bigger than yourself - a connected group of caretakers who work together to restore health and hope to our patients. We call it The Palmetto Experience, and we believe it's what sets us apart from other employers.
For our employees, The Palmetto Experience means we serve and support people in our purpose to restore health and hope, we build a culture of belonging and collaboration, we deliver on our promise to treat people with respect and empathy, and we strive to embrace change and search for new opportunities.
About the Role:
The Credentialing Coordinator is responsible for processing, coordinating, and maintaining provider credentialing and recredentialing documents in compliance with regulatory agencies, payer requirements and accreditation standards. This role ensures timely and accurate provider enrollment to support uninterrupted patient care and reimbursement.
Schedule: Monday – Friday; 8:00 AM – 5:00 PM, Occasional deadlines may require extended hours
Location: Remote in Virginia, North Carolina, South Carolina, Georgia, Florida, Alabama, or Tennessee
Remote Position, which may require some occasional travel to Palmetto Infusion office locations
Minimum Qualifications:
Experience/Education:
- High School Diploma or Equivalent
- Prior experience in provider credentialing, payer enrollments, or medical staff onboarding/administration. Experience and knowledge of credentialing standards and regulatory requirements (CMS, Medicaid, state boards, major healthcare payers)
- Proficient at partner programs (i.e.: MS Outlook, Word, Excel).
- Ability to cope with ambiguous, changing environment while under pressure in a calm
- Must be able to work as a team member and develop productive and cooperative working relationships with all members of the Palmetto Infusion team.
- Prolonged periods of sitting and computer use.
Essential Functions:
- Initiate and manage initial and recredentialing applications for providers with government and commercial payers
- Collect, verify, and maintain all required credentialing documentation, including licenses, DEA, board certifications, NPI, and work history
- Track credentialing and enrollment statuses to ensure timely completion and prevent lapses in provider coverage
- Maintain accurate, complete, and organized provider credentialing files and databases
- Communicate regularly with providers, internal departments, and payer representatives regarding application status and outstanding or missing documentation
- Monitor expiration dates for licenses, certifications, and payer contracts; initiate and process renewals as needed
- Ensure compliance with organizational policies, payer guidelines, and accreditation standards
- Support the Reimbursement/Revenue Cycle (RCM) team with credentialing-related issues requiring research and support
- Generate and analyze reports related to credentialing status, timelines, and compliance metrics
- Maintain and update CAQH profiles (including document uploads and attestations) and payer directory databases; perform other duties as assigned to support credentialing and enrollment operations
About the Benefits:
- Competitive Compensation
- Dental and Vision Insurance
- Company Life Insurance
- Voluntary Life and Disability Insurance
- Additional Voluntary Supplemental Plans
- Flexible Spending Account (Medical and Dependent Care)
- Health Savings Account
- 401K Retirement Plan
- Employee Assistance Program (EAP)
- Employee Discounts
- Ramsey SmartDollar Program
- Referral Program
- Tuition Assistance
- Paid Time Off
- 8 Paid Company Holidays
At Palmetto Infusion, we believe that patient advocacy is at the heart of everything we do, regardless of our roles within the organization. Each member of our team is dedicated to putting the needs and well-being of our patients first. Whether we're working directly with patients or supporting them behind the scenes, our commitment to being a compassionate advocate is paramount. We understand that every interaction, every decision, and every effort contribute to the quality of care our patients receive.
Together, we strive to ensure that every individual feels heard, supported, and empowered throughout their healthcare journey. This dedication to patient-centered care is what creates "The Palmetto Experience" — a standard of excellence that defines us and enriches the lives of those we serve.
Physical Demands:
- The physical demands described here are representative of those that must be met by an employee to successfully perform the primary functions of this job. While performing the duties of this job, the employee may be required to frequently stand, walk, sit, bend, twist, talk and hear. There may be prolonged periods of sitting, keyboarding, reading, as well as driving or riding in transport vehicles. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include reading, distance, computer, and color vision. Talking and hearing are essential to communicate with patients, vendors, and staff.
OTHER
All employees must uphold the confidentiality of protected health information and follow all HIPAA policies. This position has access to sensitive information and a breach of information may be grounds for immediate termination.
We are an equal-opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
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