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 thats committed to putting children and families first.
Position: Credentialing Coordinator
Compliance / Facilities Licensing
Location: Remote - Open to Minnesota or Kansas
Hours: Monday-Friday, 8:00 AM - 5:00 PM
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 facilities and locations, 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 commercial, Medicare and Medicaid enrollment applications, track credential expirations, and help keep the credentialing process moving forward for our entity locations. 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 facility documentation, including licenses, certifications, inspections, and revalidation for payer, city, county and state requirements
- Complete and submit Medicare and Medicaid enrollment applications accurately and timely; Track license, certification, and credential expiration dates and help ensure timely renewals
- Serve as a primary point of contact for providers regarding credentialing status, required documentation, and outstanding items
- Maintain accurate provider and regulatory 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 Real Estate, Compliance, and Clinical Operations to support a smooth 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 bachelors degree in Healthcare Administration, Business, or a related field preferred
- One (1) year of experience in healthcare credentialing, facility credentialing, payer enrollment, compliance, or healthcare administration
- 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
Preferred:
- Facility credentialing and payer enrollment experience strongly preferred
- Experience credentialing or enrolling multiple healthcare locations, facilities, or branches across multiple states
- Experience supporting credentialing audits, renewals, and regulatory requests
- Experience within home healthcare, DME, pediatric healthcare, Pediatric Prescribed Extended Care (PPEC) 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.