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Gentiva

Payor Credentialing Coordinator

Gentiva, Mooresville, North Carolina, United States, 28115

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Overview Expand Access. Build Partnerships. Transform Care.

We are seeking a Payor Credentialing Coordinator to join our team. In this role, you will manage all aspects of payer enrollment and credentialing for healthcare providers, ensuring seamless participation in Medicare, Medicaid, and commercial insurance networks.

Key Responsibilities

Manage the entire payer credentialing process: prepare and submit applications, track approvals, and maintain accurate provider records

Enroll new providers with Medicare, Medicaid, and commercial insurance companies to expand network access

Maintain re-credentialing schedules to avoid lapses in provider participation

Manage CAQH profiles and update NPPES registrations

Collect, verify, and maintain critical provider credentials, including licenses, certifications, and malpractice insurance

Ensure compliance with state, federal, and payer-specific credentialing requirements

Serve as liaison between providers, insurance payers, and internal teams such as billing and HR

Respond to payer inquiries and resolve credentialing delays or issues promptly

Lead or participate in status meetings to prioritize credentialing projects and meet deadlines

About You Skills and Qualifications

Strong knowledge of healthcare credentialing processes and payer enrollment

Proficient in Microsoft Excel and other data management systems

Excellent organizational skills with the ability to prioritize multiple tasks and meet deadlines

Exceptional verbal and written communication skills

High attention to detail and accuracy in data entry and document management

Ability to handle confidential information with discretion

Strong problem-solving and analytical abilities

Customer service oriented with a professional approach to interactions

Education and Experience

High school diploma required; associate or bachelor’s degree in healthcare administration, business, or related field preferred

1–3 years of experience in healthcare credentialing, billing, or healthcare administration

Familiarity with CAQH and NPPES systems preferred

Must be fluent in English (written and spoken)

Certifications

Certified Provider Credentialing Specialist (CPCS) through NAMSS preferred

We Offer Benefits for All Associates (Full-Time, Part-Time & Per Diem):

Competitive Pay

401(k) with Company Match

Career Advancement Opportunities

National & Local Recognition Programs

Teammate Assistance Fund

Additional Full-Time Benefits:

Medical, Dental, Vision Insurance

Mileage Reimbursement or Fleet Vehicle Program

Generous Paid Time Off + 7 Paid Holidays

Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care)

Education Support & Tuition Assistance (ASN to BSN, BSN to MSN)

Free Continuing Education Units (CEUs)

Company-paid Life & Long-Term Disability Insurance

Voluntary Benefits (Pet, Critical Illness, Accident, LTC)

Apply today and help us ensure every healthcare provider is ready to deliver exceptional care.

Legalese

This is a safety-sensitive position

Employee must meet minimum requirements to be eligible for benefits

Where applicable, employee must meet state specific requirements

We are proud to be an EEO employer

We maintain a drug-free workplace

Location

Gentiva Our Company

At Gentiva, it is our privilege to offer compassionate care in the comfort of wherever our patients call home. We are a national leader in hospice care, palliative care, home health care, and advanced illness management, with nearly 600 locations and thousands of dedicated clinicians across 38 states.

Our place is by the side of those who need us – from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis.

Our nationwide reach is powered by a family of trusted brands that include:

Hospice care:

Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon

Palliative care:

Empatia Palliative Care, Emerald Coast Palliative Care

Home health care:

Heartland Home Health

Advanced illness management:

Illumia Health

With corporate headquarters in Atlanta, Georgia, and providers delivering care across the U.S., we are proud to offer rewarding careers in a collaborative environment where inspiring achievements are recognized – and kindness is celebrated.