Hire a Credentialing Coordinator.
Provider files, enrolments and renewals, kept current.
Also called: Provider Enrollment Specialist, Payer Enrollment Specialist
From AUD $4.50 an hourAUD $4.50-22.50/hr
- Healthcare
- Recruitment
- Works your hours
- Philippines hub, 2 to 3 hours behind Sydney
- Month to month
- Collects and checks provider documentsProvider file build
- Prepares and submits MedicarePayer enrolment
- Runs primary source verification within NCQAVerification and privileging
- Maintains an expiry tracker for licences, DEA, board certificationTracking and complianceDoing
- DocuSign
Pick the level. See the price.
AUD $4.50an hour
Level 1 of 4, also called junior.Collects and checks provider documents against a checklist and keeps CAQH re-attestations current.
- Complete provider document packets
- Up-to-date expiry tracker
- CAQH attestation log
AUD $9an hour
Level 2 of 4, also called mid-level.Owns enrolment for a group end-to-end.
- Submitted enrolment applications with confirmation numbers
- Payer ID and effective date grid
- Weekly application status report
AUD $14an hour
Level 3 of 4, also called senior.Owns credentialing compliance: committee-ready files, recredentialing cycles.
- Committee-ready credentialing and privileging files
- 36-month recredentialing calendar
- Delegated credentialing audit results
AUD $22.50an hour
Level 4 of 4, also called lead or specialist.Designs and runs the credentialing programme.
- Credentialing policy and procedure manual
- Programme dashboard
- Delegation audit packages
Per hour, all-in: recruiting, testing and management. Prices exclude GST.
What you hand to your Credentialing Coordinator
Tasks
Provider file build
- Collects and checks provider documents
- Completes and maintains CAQH ProView profiles, re-attest every 120 days
- Keeps NPPES NPI records accurate
Payer enrolment
- Prepares and submits Medicare
- Follows up with every payer at least weekly
- Processes revalidations, demographic and location changes
Verification and privileging
- Runs primary source verification within NCQA
- Assembles hospital privileging and reappointment packets
- Verifies AHPRA registration and any conditions
Tracking and compliance
- Maintains an expiry tracker for licences, DEA, board certification
- Runs recredentialing cycles and monthly sanction and exclusion monitoring
- Reports weekly on every open application, expiring item and blocker
- Builds compliant clinician credential files ready to send to the facility
Week one
- CAQH ProView organisation access
- Current provider roster, payer participation grid
- Joined the client's Slack or Teams with billing, HR and the medical staff office
- Audits every active provider's expiry dates and CAQH status
Tools
Work tools
- CAQH ProView
- NPPES
- PECOS
- Availity
- NPDB
- OIG LEIE
- SAM.gov
- State licensing board lookups
- Certification Matters
- symplr Provider
- MD-Staff
- HealthStream CredentialStream
- Medallion
- Verifiable
- Bullhorn
- AHPRA public register
- Services Australia HPOS / PRODA
DocuSign
Tested live in the tools on your job description.
AI tools
Tested in the AI features of the tools you use, including catching the AI's mistakes.
Works inside your Microsoft 365 or Google Workspace, under your admin settings.
- Microsoft 365Copilot
- Google WorkspaceGemini
AI
AI can speed up letters, coding and scheduling, but only inside the systems your practice has approved. Your Credentialing Coordinator keeps patient information safe and checks every detail.
Letters and patient messages
Referral letters, recalls and reminders drafted from your templates, in approved systems only.
Coding support
AI suggests codes. Your Credentialing Coordinator checks each one against the clinical documentation.
Scheduling and recalls
AI helps fill gaps and draft recall messages within your booking rules.
Filing AI scribe notes
Where your clinicians use an approved AI scribe, your Credentialing Coordinator tidies and files the clinician-approved notes.
Our rule: business-grade AI only, never free or personal accounts.
Prefer no AI on a task? Tell your Credentialing Coordinator and they won't use it.See AI & automation roles
Tested before you meet them
- Written English and provider email testAll levels30 min
- Credential file auditAll levels45 min
- Primary source verification lookup testAll levels40 min
- Enrolment application work sampleIntermediate and up50 min
- Expiry tracker buildAll levels30 min
- Stalled application escalation role-playIntermediate and up15 min
Sample shown
90%
- Skills tested: A skills test for the role, marked by a senior
- English and comms: written English tested, spoken English checked on a call
- ID, work history and references: photo ID, past roles and two referees
From booked call to day one
Step 1: Book a demo
Tell us the role, your hours and your tools.
Step 2: Meet your shortlist
Their level and hourly price, tested before you meet.
Step 3: Pick your person
Month to month. We handle the contract, the equipment and the onboarding, and make sure it all runs.
Step 4: They start work
In your tools, within 12 to 48 hours of a successful interview.
Questions answered
An Intern Credentialing Coordinator is AUD $4.50 an hour, Intermediate AUD $9, Expert AUD $14 and Specialist AUD $22.50, full time (38 hours a week). That is all-in: recruiting, testing and management, month to month. Prices exclude GST.
Provider file build, payer enrolment, verification and privileging and tracking and compliance, run to your priorities. You choose what they own first.
Six practical tests, marked by a senior, including written English and provider email test, credential file audit and primary source verification lookup test. You see the score before you meet.
Tell us and we replace them free, with a new shortlist of tested people to meet. Seats are month to month with 30 days' notice.
Meet the people who fit your work.
A 15‑minute call on Teams. You leave knowing the level you need and its hourly price.