Contracting and Credentialing Coordinator
About The Auctus Group LLC
Who we are: We’re big on people and culture at the Auctus Group. Our most important role as a company is to provide an amazing working environment for our team. We’ve been work-from-home-warriors since before it was cool. We support (like encourage and fund) continuing education. We match charitable donations. Our whole goal is: work to live not live to work . Oh and we’re weirdos too…we do remote happy hours and have a book club and goofy stuff like that.
Who we’re looking for: Smart, talented, tech-savvy, experienced, go-getter types. You’ll do well if:
- you like a fast-paced environment,
- you thrive with change and development,
- you like giving feedback,
- you’re a team player,
- you love learning/sleuthing,
- you’re big on accountability.
About the Role
The Contracts & Credentialing Coordinator is responsible for supporting provider enrollment, credentialing, contracting, and payer-related activities to ensure providers are accurately enrolled, credentialed, and maintained with commercial and government payers. This position works closely with providers, insurance carriers, healthcare facilities, and internal teams to ensure timely completion of all credentialing and contracting processes.
Responsibilities
- Process and submit provider credentialing and contracting applications with commercial and government payers.
- Conduct all required follow-up activities until payer approval or completion is obtained.
- File provider practice change notifications and ensure completion with applicable payers.
- Update and maintain provider and facility NPI records.
- Enroll providers in Medicare, Medicaid, and commercial insurance networks.
- Maintain provider records within CAQH and ensure timely attestations and updates.
- Track provider licenses, board certifications, DEA registrations, and expiration dates.
- Complete provider and facility recredentialing requests and follow-up activities.
- Process requests from payers regarding credentialing updates, new contracts, and provider information.
- Research and resolve enrollment discrepancies involving providers and facilities.
- Complete and maintain ERA, EFT, EDI, and clearinghouse enrollments.
- Manage provider access and maintenance within Availity, Optum, Medicare portals, and other credentialing platforms.
- Submit accreditation applications and manage follow-up through approval.
- Complete licensing applications and renewals across multiple states when required.
- Create and maintain Group NPI (GNPI) and Individual NPI (INPI) records through NPPES.
- Submit and track hospital privilege and initial appointment applications.
- Submit and track DEA applications and renewals.
- Maintain accurate documentation and status tracking for all credentialing and contracting activities.
- Serve as a liaison between providers, payers, healthcare facilities, and internal departments.
- Support special projects related to provider enrollment, credentialing validation, and network participation.
Qualifications
- 1–3 years of experience in Contracting, Credentialing, Provider Enrollment, or related healthcare administration functions.
- Working knowledge of provider credentialing and payer enrollment processes.
- Strong verbal and written communication skills.
- Excellent organizational and time management abilities.
- Strong attention to detail and accuracy.
- Ability to identify, track, and resolve issues independently.
- Ability to work in a fast-paced, deadline-driven environment.
- Ability to work effectively in a fully remote environment.
- Proficiency with Microsoft Office Suite (Word, Excel, Outlook, Teams).
- Experience working with healthcare providers, payers, and credentialing organizations.
Skills and Abilities
- Strong organizational and prioritization skills.
- Ability to work independently with minimal supervision.
- Ability to manage multiple projects and deadlines simultaneously.
- Strong proble