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Credentials Coord-Provider Enrollment-Team Lead

101 Truman Medical Center

Job LocationUH Lakewood Medical Center

Kansas City, Missouri

DepartmentMedical Staff Corporate

Position TypeFull time

Work Schedule8:00AM - 4:30PM

Hours Per Week40

Job Description

Why This Role Matters

Behind every provider who delivers exceptional patient care is a credentialing professional making sure everything is accurate, compliant, and on time. As a Credentials Coordinator – Provider Enrollment, you play a critical role in ensuring our providers are properly credentialed and enrolled so they can focus on what matters most—caring for patients.

This role is ideal for someone who thrives on details, enjoys working independently, and values collaboration with physicians, managed care organizations, and internal partners across the system.

What You’ll Do

You’ll manage the full lifecycle of provider credentialing and enrollment, including:

Coordinate initial credentialing, reappointments, and recredentialing for Medicare, Medicaid, and Managed Care organizations

Prepare, review, submit, and track credentialing and payer enrollment applications, including CAQH

Perform all phases of delegated credentialing, including audits, reports, rosters, and database queries

Maintain accurate and up-to-date provider records within credentialing software and paper files

Track credentialing activity status and follow up with payers to ensure timely approvals

Record provider billing numbers and communicate updates to professional billing and revenue integrity teams

Prepare correspondence, verification requests, reappointment materials, and credentialing packets

Serve as a professional point of contact for medical staff, department leaders, managed care representatives, and administrative partners

Support departmental operations through administrative tasks such as scanning, filing, and mass mailings

Promote quality improvement, patient safety, compliance, and cultural diversity through daily work

What You’ll Bring

Minimum Qualifications:

High School Diploma or equivalent

Certified Professional Credentialing Specialist (CPCS) or equivalent

At least 3 years of experience in medical staff credentialing, managed care credentialing, or a related area

Strong computer skills with exceptional attention to detail and accuracy

Ability to manage multiple priorities and meet deadlines

Sound independent judgment and the ability to work constructively with physicians and professionals

Preferred Qualifications:

Experience with medical staff credentialing or delegated credentialing in a medical center setting