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Credentialing Coordinator Jobs in Two Rivers, WI

Wisconsin

SEPP Internship Coordinator

Green Bay, WI

$0.80/hr

SEPP Internship Coordinator Job Category: Academic Staff Employment Type: Regular Job Profile ... credential Is an approved (or is making progress toward) CMPC mentor through the Association for ...

Miller Pipeline

Project Coordinator

Kaukauna, WI

We are hiring a part-time Project Coordinator to provide support to our field staff! This position is temporary, running from the end of September 2026 to July 2027. The ideal candidate will have a ...

Miller Pipeline

Project Coordinator

Kaukauna, WI · On-site

We are hiring a part-time Project Coordinator to provide support to our field staff! This position is temporary, running from the end of September 2026 to July 2027. The ideal candidate will have a ...

Diocese of Green Bay

Diaconate Office Coordinator

Green Bay, WI · On-site

$17.50 - $23.25/hr

Diaconate Office Coordinator Diocese of Green Bay / Curia Full-Time, Benefit Eligible PRIMARY RESPONSIBILITIES: This position assists the Diaconate Director in the planning and execution of retreats ...

kiinc

Project & Service Coordinator

Green Bay, WI · On-site

$23/hr

Job Overview KI has an opening for a Project & Service Coordinator in our Pallas Sales Operations department at our corporate headquarters in Green Bay, WI. Pallas is KI's textile division that ...

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Credentialing Coordinator information

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$42

How much do credentialing coordinator jobs pay per hour?

As of Sep 14, 2026, the average hourly pay for credentialing coordinator in Two Rivers, WI is $31.61, according to ZipRecruiter salary data. Most workers in this role earn between $26.25 and $36.63 per hour, depending on experience, location, and employer.

What is a credentialing coordinator?

A credentialing coordinator ensures that all employees at a medical center, hospital, or other healthcare facility have the proper certification, license, or credential to practice. In this career, you make sure that, for example, a physician is board-certified and legally able to practice medicine at the facility. You act as a conduit between a healthcare provider and medical staff and administrators to verify legal compliance and to maintain accurate records of all staff. Your duties and responsibilities also include answering questions from staff, providers, and customers about the credentialing process and what credentials staff members possess.

What are the key skills and qualifications needed to thrive as a credentialing coordinator, and why are they important?

To thrive as a Credentialing Coordinator, you need strong organizational skills, attention to detail, and knowledge of credentialing standards, often supported by a relevant associate's or bachelor's degree. Proficiency with credentialing management software, databases, and understanding of regulations such as NCQA or Joint Commission standards is typically required. Excellent communication, problem-solving abilities, and the capacity to multitask help you effectively coordinate with providers and regulatory bodies. These skills ensure accurate credentialing processes, regulatory compliance, and smooth onboarding of healthcare professionals.

What are some common challenges faced by credentialing coordinators, and how can they be managed effectively?

Credentialing Coordinators often encounter challenges such as managing tight deadlines, ensuring accuracy with large volumes of provider data, and navigating complex regulatory requirements. Staying organized by using credentialing software and maintaining detailed checklists can help manage these tasks efficiently. Clear communication with healthcare providers and other departments is also essential to address missing information or resolve discrepancies promptly. Proactively keeping up with changing regulations and payer requirements can further minimize delays and promote a smooth credentialing process.

What is the difference between Credentialing Coordinator vs Credentialing Specialist?

AspectCredentialing CoordinatorCredentialing Specialist
CertificationsTypically requires certifications like Certified Provider Credentialing Specialist (CPCS)Often holds similar certifications, such as CPCS or Certified Medical Staff Coordinator (CMSC)
Work EnvironmentWorks in healthcare facilities, insurance companies, or credentialing firmsSimilar settings, focusing on provider credentialing and verification
Job ResponsibilitiesManages provider credentialing, maintains databases, ensures compliancePerforms credential verification, updates provider records, processes applications

Both roles involve credential verification and compliance within healthcare organizations. The main difference lies in job scope and specific responsibilities, with Credentialing Coordinators often overseeing broader credentialing processes and team coordination, while Credentialing Specialists focus more on verification and data entry tasks.

How much does a credentialing coordinator make?

The average salary for a credentialing coordinator in Florida is approximately $45,000 to $55,000 per year, depending on experience, certifications, and the employer. Salaries can vary based on the healthcare setting and the complexity of credentialing tasks involved.
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Credentialing Coordinator jobs near you

Credentialing Specialist

Manitowoc, WI • On-site

Noble Community Clinics
See more jobs at Noble Community Clinicsexternal

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 25 days ago

Job description

Credentialing Specialist

Noble Community Clinics is seeking an Credentialing Specialist to join our team. This position plays an important role in ensuring our providers and clinic locations maintain active participation with insurance payers and remain compliant with enrollment and contracting requirements.

The Credentialing Specialist manages provider and site enrollment, payer contracting, revalidation, and credentialing-related activities. This role works closely with providers, internal departments, insurance payers, and external partners to ensure enrollment information is accurate, current, and completed within required timelines.

What You'll Do

Provider Enrollment & Credentialing

  • Complete enrollment for new providers with applicable insurance payers and clearinghouses in a timely and accurate manner.
  • Utilize Credential Stream to maintain, track, submit, and initiate provider enrollment and demographic information.
  • Maintain CAQH proxy access on behalf of providers.
  • Track provider, site, and contract renewals and expiration dates to prevent enrollment lapses.
  • Coordinate payer revalidations, renewals, and enrollment updates.

Payer Contracting & Relationships

  • Establish and maintain professional relationships with insurance payer contacts.
  • Serve as an organizational contact for payer enrollment and contracting questions and issues.
  • Research payer requirements and develop guidelines for new provider and site agreements as needed.
  • Monitor payer requirements and communicate changes to appropriate internal departments.

Issue Resolution & Compliance

  • Track, research, and assist with resolving enrollment-related denials, adjustments, and payer issues.
  • Assist with enrollment-related appeals and payer escalations.
  • Identify and escalate outstanding or pending enrollment and contract issues.
  • Maintain knowledge of payer requirements and the unique regulatory and operational requirements of Federally Qualified Health Centers (FQHCs).
  • Maintain patient confidentiality and comply with HIPAA requirements.

Collaboration & Customer Service

  • Partner with internal departments to resolve enrollment and payer-related issues.
  • Provide responsive, professional customer service to providers, coworkers, payers, and other external partners.
  • Maintain a positive and professional image of Noble Community Clinics.
What We're Looking For
  • High school diploma or equivalent required.
  • Previous payer enrollment, credentialing, or payer contracting experience preferred.
  • Strong computer skills, including proficiency with Microsoft Office applications required.
  • Excellent organizational skills and attention to detail.
  • Strong analytical and problem-solving abilities.
  • Excellent time management skills and the ability to meet deadlines.
  • Strong interpersonal and communication skills.
  • CPR certification required within six months of hire.
Why Join Noble Community Clinics?

At Noble, you'll be part of a mission-driven organization focused on providing accessible, high-quality healthcare to the communities we serve. Your work will directly support our providers and help ensure patients have continued access to care.

Benefits may include:

  • 20 days of PTO (accrual starts on day one)
  • 8 paid holidays
  • 401(k) with up to 5% employer match
  • Medical, dental, and vision insurance
  • Employer paid Short- and long-term disability and life insurance

Noble Community Clinics is an Equal Opportunity Employer.