Credentialing and Provider Enrollment Coordinator

Balance Health is looking for a Credentialing & Provider Enrollment Coordinator to ensure providers are credentialed and enrolled accurately and on time, supporting seamless operations and patient access.

Requirements

• Administer the provider credentialing process for practice providers and the provider enrollment process for insurance payers.
• Ensure timely communication with practices and implementation teams to gather credentialing and enrollment information.
• Process initial and re-credentialing applications and conduct primary source verification (CAQH, NPPES, etc.).
• Maintain working knowledge of payer credentialing policies, forms, and compliance requirements.
• Troubleshoot and resolve enrollment issues, including claim denials and unbilled problems.
• Maintain accurate provider participation (PAR) lists and distribute updates to stakeholders.
• Enter provider demographics and credentialing data into credentialing software.
• Complete and track clearinghouse applications for EDI and ERA, and process EFT authorizations for payments.
• Collaborate with internal teams to develop and refine enrollment policies and procedures.
• Drive continuous improvement and contribute to special projects as needed.

Benefits

• Generous Paid Time Off
• 401k Matching