At Pediatric Home Service, we help medically complex kids live their best lives, at home, with their families. As a national leader in pediatric home care, we offer a full range of services including infusion, clinical nutrition, respiratory therapy, PPEC, private duty nursing, and DME. Whether you're caring for patients or supporting behind the scenes, every role at PHS makes a difference. Join a mission-driven team that’s committed to putting children and families first.
Position Detail:
We're looking for an organized and detail-oriented Credentialing Coordinator to join our team! In this role, you'll help manage the credentialing and recredentialing process for our providers, ensuring information is accurate, complete, and compliant with applicable requirements.
You'll work closely with providers and internal teams to collect and verify documentation, manage Medicare and Medicaid enrollment applications, track credential expirations, and help keep the credentialing process moving forward. This is a great opportunity for someone who enjoys staying organized, solving problems, and working across multiple priorities in a fast-paced healthcare environment.
Coordinate provider credentialing and recredentialing processes in accordance with regulatory requirements and organizational standards.
Collect, review, and verify provider documentation, including licenses, certifications, education, work history, malpractice insurance, and references.
Track license, certification, and credential expiration dates and help ensure timely renewals.
Complete and submit Medicare and Medicaid enrollment applications accurately and timely.
Serve as a primary point of contact for providers regarding credentialing status, required documentation, and outstanding items.
Maintain accurate provider information within credentialing software, files, and tracking systems.
Communicate with state agencies, licensing boards, CMS, and other external organizations to obtain or verify provider information.
Support credentialing-related audits, inquiries, and requests for information.
Partner with Human Resources, Compliance, and Clinical Operations to support a smooth provider onboarding and credentialing experience.
Identify and help resolve credentialing issues in a timely and professional manner.
Prepare and maintain reports related to credentialing status, turnaround times, and other key metrics.
Maintain confidentiality of provider information in accordance with HIPAA and organizational requirements.
Qualifications:
High school diploma or equivalent required; associate or bachelor’s degree in Healthcare Administration, Business, or a related field preferred.
1–3 years of experience in healthcare credentialing, facility credentialing, payer enrollment, compliance, or healthcare administration preferred.
Experience with facility-level credentialing and enrollment strongly preferred.
Experience completing and maintaining Medicare and Medicaid enrollment applications and working with commercial payers preferred.
Experience supporting credentialing or enrollment for healthcare facilities, locations, branches, or organizations, rather than solely individual provider credentialing, preferred.
Familiarity with healthcare regulatory requirements, HIPAA, accreditation standards, and payer requirements.
Experience working with CMS, state Medicaid programs, insurance payers, licensing agencies, or other regulatory entities preferred.
Ability to track multiple applications, renewals, licenses, certifications, deadlines, and outstanding documentation simultaneously.
Strong attention to detail with the ability to identify missing or inconsistent information and follow items through to resolution.
Strong written and verbal communication skills with the ability to work effectively with payers, regulatory agencies, internal leaders, and operational teams.
Strong organizational and time-management skills with the ability to independently manage competing priorities in a remote, fast-paced environment.
Proficiency with Microsoft Office and experience with credentialing, enrollment, or healthcare management systems.
Demonstrated accountability, responsiveness, and consistent follow-through.
Preferred:
Facility credentialing and payer enrollment experience.
Experience credentialing or enrolling multiple healthcare locations, facilities, or branches across multiple states.
Experience with Medicare, Medicaid, and commercial payer enrollment.
Experience supporting credentialing audits, renewals, and regulatory requests.
Experience within home healthcare, DME, pediatric healthcare, or another multi-location healthcare organization.
BENEFITS
Generous Paid Time Off (PTO) for full-time employees to support a healthy work-life balance
401(k) Matching to help secure your future
Tuition Reimbursement to support your educational and professional growth
Professional Development & Learning Opportunities
Health and Dental Insurance
Short & Long Term Disability and Life Insurance
Interested candidates should apply online at www.phscareers.com
We look forward to learning more about you & the skills you can bring to Pediatric Home Service!
Pediatric Home Service is an equal opportunity employer; we are committed to affirmative action and equal employment opportunities for all regardless of protected veteran status, race, color, creed, religion, national origin, sex, sexual orientation or identity, disability, age, marital status, familial status, membership or activity in a local human rights commission, or status with regard to public assistance.
Job details are sourced from the employer's original posting.
Open job postingAbout the company
Pediatric Home Service provides comprehensive home healthcare services for children with complex medical needs.