Payor Credentialing Coordinator Palliative :: Atlanta, GA

Pride Health is hiring a Payor Credentialing Coordinator Palliative  to support our client's healthcare facility in Atlanta, GA 

Job Details: 
Schedule:  M-F 9a-5p, with a hybrid schedule
Location:  Atlanta, GA (Monday & Friday: Remote) AND (Tuesday–Thursday: In Office)
Job Type: Local contract
Contract Length: 13 weeks  
 
Duties: 

• Prepare and submit credentialing and re-credentialing applications for healthcare providers.
• Enroll providers with Medicare, Medicaid, and commercial insurance payers.
• Track credentialing and enrollment applications and proactively monitor approval timelines.
• Maintain accurate and up-to-date provider credentialing files and records.
• Manage and update CAQH profiles and NPPES information.
• Collect, review, and verify provider documentation, including licenses, certifications, malpractice insurance, and other required credentials.
• Ensure compliance with federal, state, and payer-specific credentialing and enrollment requirements.
• Serve as a liaison between healthcare providers, insurance payers, billing, HR, and other internal departments.
• Respond to payer inquiries and resolve credentialing issues, discrepancies, and delays.
• Monitor credentialing pipelines and prioritize activities based on deadlines and operational needs.
• Participate in credentialing status meetings and provide timely updates on application progress.
• Maintain accurate documentation and data integrity across internal tracking and credentialing systems.
• Handle confidential provider and organizational information with discretion.
• Follow organizational policies, procedures, compliance standards, and applicable laws and regulations.

Requirements: 

• 3+ years of recent, relevant experience in provider credentialing, payer enrollment, healthcare billing, or healthcare administration.
• Strong experience with credentialing and enrollment processes.
• Working knowledge of CAQH and NPPES.
• Experience working with Medicare, Medicaid, and commercial payers preferred.
• Strong data processing and data-entry skills with exceptional attention to detail.
• Ability to manage multiple priorities and meet strict deadlines.
• Strong analytical, problem-solving, and organizational skills.
• Excellent verbal and written communication skills.
• Ability to work with sensitive and confidential information.
• Strong customer service and interpersonal skills.
• Proficiency with Microsoft Excel and Microsoft Office applications.
• Experience using internal tracking, HR, billing, or credentialing systems.
• Ability to manage time-sensitive information from multiple sources.
• Must be a self-starter with the ability to ramp up quickly and work independently.

Preferred : 
Associate or Bachelor's degree in Healthcare Administration, Business, or a related field. Certified Provider Credentialing Specialist (CPCS) certification.
Experience supporting palliative care, hospice, healthcare transitions, or other clinical service environments.For workers in the United States, PrideGlobal and it's affiliates offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, pet insurance and employee discounts with preferred vendors.

Equal Employment Opportunity
PrideGlobal and it's affiliates are an equal opportunity employer. We do not discriminate on the basis of the race, religious creed, color, national origin, ancestry, physical disability, mental disability, reproductive health decision making, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, veteran or military status, or any other characteristic protected by applicable federal, state, or local law.

Fair Chance Employment
PrideGlobal and it's affiliates are a Fair Chance employer. We consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable state and local Fair Chance laws and ordinances, including, the California Fair Chance Act and all applicable local Fair Chance ordinances.

Accommodations
We are committed to providing reasonable accommodations to applicants and employees with disabilities. If you require a reasonable accommodation to participate in the application or interview process, or to perform the essential functions of this role, please contact us.

Only applicable for San Francisco Candidates: Under the San Francisco Lactation in the Workplace Ordinance, we will provide written notice of lactation accommodation rights, and this notice will automatically be given upon hiring, any inquiry of parental leave or lactation accommodation.

Only applicable for Kentucky positions: For this type of employment, state law requires a criminal record check as a condition of employment. This applies to direct care staff (Examples: RN, LPN, Nurse Aides, Therapists) referred to Kentucky nursing facilities, assisted living communities, or long-term care facilities, in accordance with KRS 216.793.