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Credentialing and Enrollments Coordinator

Remote (California, Arizona, Colorado, New Mexico, or South Carolina Preferred)

About Us

Modena Health (“MH”) and Modena Allergy & Asthma ("MAA") are leading and rapidly growing medical practices specializing in allergy, asthma, and immunology care, with clinics across Southern California and Arizona—and ambitious plans for national expansion. We are physician-led, hospitality-focused, and technology-enabled, committed to transforming allergy care while advancing clinical research and expanding access to cutting-edge medicine.

Known for our high standard of excellence, we provide compassionate, patient-centered care for both pediatric and adult patients. Our model combines hospitality-driven service with innovative technology solutions that streamline operations, improve clinical outcomes, and enhance the experience for both patients and providers.

At Modena, we aim to hire great people, treat them well, and help them find meaning and purpose in our mission. Our dedicated team values collaboration, positivity, and growth while striving to improve lives through expert diagnosis, treatment, and research. We are looking for high-energy, kind, and collaborative individuals eager to grow personally and professionally while making a meaningful impact in the lives of others.

Position Summary

The Credentialing and Enrollments Coordinator supports the credentialing and payer enrollment functions for the practice’s physicians and advanced practice providers. This position helps ensure timely completion of credentialing applications, maintains provider records, and assists with payer and provider correspondence. The coordinator also provides backup support to the billing team with patient collections and related administrative tasks as needed.

This role is ideal for someone who is detail-oriented, organized, and eager to grow within the areas of credentialing, insurance operations, and revenue cycle management. This role is non-exempt (hourly) and full-time, averaging 30–40 hours per week, Monday through Friday. The position is remote, with a preference for candidates residing in California, Arizona, Colorado, New Mexico, or South Carolina. Occasional overtime may be required to meet credentialing deadlines or business needs.

Key Responsibilities

Credentialing & Enrollments Support

  • Prepare and submit credentialing and enrollment packets under the guidance of the Credentialing and Contracting Specialist.
  • Maintain accurate and current provider files, including CAQH, NPI, licenses, malpractice certificates, and other documents. Keep all records and contracts updated on Credential Stream, the practice’s online repository of provider and practice credentialing and contracting records.
  • Track expirations and follow up with providers and payers to ensure timely renewals.
  • Monitor payer portals and respond to routine requests for information.
  • Communicate status updates and escalate delays or issues as appropriate with appropriate leadership personnel, billing managers, clinic manager, credentialing specialist and providers as needed.
  • Assist with onboarding new providers and coordinating their enrollment timelines.

Billing and Collections Support

  • Provide assistance to the billing team during staff absences or high-volume periods.
  • Follow up on claim denials related to credentialing or enrollment issues.
  • Contact patients regarding outstanding balances and document communication in the billing system.
  • Support posting payments, verifying insurance, or other routine billing office tasks as directed.

Performance Expectations

  • Maintains complete and organized provider credentialing records.
  • Demonstrates timeliness and accuracy in application submissions.
  • Provides reliable and professional support to the billing and credentialing team.
  • Adheres to HIPAA and confidentiality requirements at all times.

Qualifications & Requirements

Education: High school diploma or equivalent required; associate’s degree preferred.

Experience:

  • At least 1–2 years of experience in medical office administration, credentialing, or insurance billing.
  • Familiarity with CAQH, PECOS, NPPES, and payer enrollment processes preferred.
  • Experience with credentialing, payer enrollment, and hospital privileging, comfort with using online portals. 
  • Experience with setting up and maintaining CAQH profiles, payer portals and Credential Stream.
  • Experience with onboarding a new provider.
  • Prior experience with allergy, asthma, or specialty practices is a plus.

Skills & Abilities:

  • Strong attention to detail and organizational skills.
  • Clear written and verbal communication.
  • Ability to work both independently and collaboratively.
  • Proficiency in Microsoft Office and comfort using EHR, practice management systems, and online portals/ databases.

Compensation

The hourly range will be discussed during the interview process. The actual compensation for this role will be determined by a variety of factors, including but not limited to the candidate’s skills, education, and experience.

 

Physical Requirements

Ability to stand, walk, and move throughout the clinic, if applicable, for extended periods; occasionally lift objects up to 25 lbs., bend, stoop, or reach as needed. Frequent use of hands and fingers for patient care and equipment operation. Must have normal (or corrected) vision and hearing and be able to respond quickly in a fast-paced clinical environment, if applicable.

What We Offer

  • Competitive salary and benefits package, including medical, dental & vision insurance, 401(k) retirement plan with employer matching, and professional development opportunities
    • In addition, we offer paid time Off (PTO), sick time, floating holiday and holiday pay 
  • Opportunity to shape the future of a thriving allergy and asthma practice in beautiful San Diego (and across our expanding network)
  • A supportive, mission-focused culture where your contributions directly impact patient outcomes and team growth

If this role excites you, please submit your resume and a cover letter outlining your relevant experience and why you’re passionate about joining our team. We look forward to hearing from enthusiastic candidates ready to drive our success!

California Consumer Privacy Act (CCPA) Notice
Modena Health (“MH”) and Modena Allergy & Asthma ("MAA") complies with the California Consumer Privacy Act (“CCPA”). Personal information provided in the job application process will be collected, used, and retained in accordance with applicable privacy laws. Candidates may request additional information regarding the categories of personal information collected and the purposes for which it is used during the hiring process.

 

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