Credentialing Coordinator - Healthcare Facilities Licensing

At Pediatric Home Service, we help medically complex kids live their best lives, at home, with their families. As a national leader in pediatric home care, we offer a full range of services including infusion, clinical nutrition, respiratory therapy, PPEC, private duty nursing, and DME. Whether you're caring for patients or supporting behind the scenes, every role at PHS makes a difference.

Join a mission-driven team that’s committed to putting children and families first.

• Focus on Compliance / Facilities Licensing
• Location:
  Remote - Open to Minnesota or Kansas
• Hours:
  Monday-Friday, 8:00 AM - 5:00 PM

We're looking for an organized and detail-oriented Credentialing Coordinator to join our team! In this role, you'll help manage the credentialing and recredentialing process for our facilities and locations, ensuring information is accurate, complete, and compliant with applicable requirements.

You’ll work closely with internal teams, payers, government agencies, and regulatory organizations to support the credentialing, enrollment, and ongoing compliance of our healthcare entities and facility locations
. You’ll collect and verify facility documentation, manage commercial payer, Medicare, and Medicaid enrollment applications, monitor licenses and certifications, coordinate revalidations, and help ensure each entity and location maintains the credentials necessary to operate and participate with payers.

This is a great opportunity for someone with facility or organizational credentialing experience who enjoys staying organized, solving enrollment and regulatory issues, and managing multiple locations and priorities in a fast-paced healthcare environment.

• Coordinate facility/entity credentialing, enrollment, recredentialing, and revalidation activities in accordance with payer, federal, state, county, city, and organizational requirements
• Collect, review, and maintain facility-level documentation, including licenses, certifications, permits, inspections, accreditations, ownership information, organizational NPIs, TINs, and other documentation required for enrollment and regulatory compliance
• Complete and submit facility/entity enrollment applications for Medicare, Medicaid, and commercial payers accurately and within required time frames
• Manage enrollment and credentialing activities associated with new entities, new facility locations, location changes, ownership changes, revalidations, and other demographic updates
• Track facility licenses, certifications, permits, payer enrollments, revalidations, and other credential expiration or renewal dates to help ensure continuous compliance
• Serve as a primary point of contact for internal stakeholders regarding facility credentialing and enrollment status, required documentation, outstanding items, and effective dates
• Maintain accurate facility, entity, location, payer, and regulatory information within credentialing software, payer portals, files, and tracking systems
• Communicate with CMS, state Medicaid agencies, commercial payers, state licensing agencies, city and county agencies, and other regulatory organizations to obtain information, resolve deficiencies, and verify facility enrollment or credentialing requirements
• Follow up on pending applications and proactively identify and resolve facility enrollment, credentialing, licensing, and revalidation issues that could affect payer participation or operational readiness
• Support facility credentialing and regulatory audits, inquiries, site inspections, and requests for information, ensuring documentation is accurate, complete, and readily available.
• Partner with Real Estate, Compliance, Clinical Operations, Revenue Cycle, and other internal teams to support new facility openings, changes to existing…