CAQH Credentialing Coordinator

Insight Global is supporting a large medical group in Marlton, NJ to hire a CAQH Credentialing Coordinator. A typical day for a CAQH Credentialing Coordinator begins by logging in and opening the master tracking sheet. The coordinator reviews expirable items such as licenses, DEA, and CE records, then moves on to processing monthly CAQH attestations to ensure all are completed within required timelines. Each coordinator manages a panel of roughly 300–350 providers, handling updates for existing clinicians and processing new provider onboarding using DocuSign for required documentation. Throughout the day, the coordinator communicates with medical affairs and payer credentialing teams to address specific expirable items and ensure all credentialing data remains accurate and up to date.

This role is responsible for coordinating compliance and accuracy of clinician information in the CAQH and PECOS databases for VMG clinicians, ensuring timely recredentialing and billing capability. Key responsibilities include updating and attesting provider data, maintaining practice location information for ADA compliance, managing Medicare/Medicaid rosters, and facilitating quarterly payer audits. The coordinator will also process monthly CAQH attestations, onboard new providers, and handle basic data manipulation in Excel. The ideal candidate will work independently, demonstrate strong work ethic, and have prior successful remote work experience. Excellent communication and organizational skills are required, along with at least 3 years of credentialing or billing experience and strong knowledge of CAQH, NPI, and PECOS. All work is electronic and all necessary equipment will be provided. The team currently consists of 3 coordinators, 1 specialist, 1 supervisor, and the AVP of Physician Compliance. This is a hybrid role, 1 day per week onsite in Marlton NJ. Working schedule is flexible for optimal work life balance.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.

Must Haves:
• 3-5 years of experience in provider/ physician credentialing
• 3-5 years’ experience utilizing CAQH, NPI, & PECOS websites
• Ability to communicate efficiently with providers and work under pressure for clientele
• Proven dependability working in a remote setting, possess attention to detail, and strong customer service skills
• Basic excel skills
• High school Graduate or associate’s degree

Plusses:
• DocuSign Experience
• Knowledge and familiarity with NPPEZ

Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.