This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

Fabric is looking for a Managed Care Coordinator to join us on a contract basis and serve as a critical link between our clinical teams, healthcare payers, and finance department. In this role, you will own the end-to-end provider enrollment and credentialing process while supporting claims management and denial resolution — ensuring our providers are properly networked and that revenue flows without unnecessary delays.

This is a detail-oriented, process-driven role that sits at the heart of our revenue cycle operations. You will be the go-to person for payer relationships, provider data accuracy, and compliance documentation — playing a direct role in keeping our clinical and financial operations running smoothly.

What You'll Do

• Manage the complete provider enrollment and re-credentialing process with all relevant payers, including Medicare and Medicaid, and maintain up-to-date CAQH profiles and TIN information.
• Oversee the claims queue, analyze denied claims and underpayments, and resolve issues in a timely manner.
• Maintain meticulous accuracy of provider data — including NPIs, tax IDs, professional licenses, and addresses — across internal and payer-specific databases.
• Ensure all MCO compliance documentation and provider data meet regulatory standards set by bodies such as NCQA and URAC.
• Serve as the primary point of contact with healthcare payers on network participation status, enrollment, and reimbursement inquiries.
• Identify and report on trends in claim denials and outstanding A/R balances to support ongoing improvements in revenue cycle efficiency.

Qualifications

• 1–3 years of experience in provider credentialing, enrollment, or managed care, preferably within a hospital or insurance setting.
• Demonstrated proficiency with payer portals such as Availity, PECOS, and eMedNY, and experience with credentialing software.
• Solid understanding of medical billing, coding, and claims adjudication processes.
• Strong analytical and critical thinking skills, with the ability to resolve complex enrollment issues under time pressure.
• Excellent written and verbal communication skills.
• High school diploma or GED required; Bachelor's degree preferred.
• Preferred certifications: CPCS, CPMSM, CPB, CBCS, and/or CMRS.
• Prior experience with virtual care platforms is a plus.

Requirements

• You take pride in keeping data clean and processes airtight — small errors in this work have real downstream consequences and you understand that.
• You are comfortable navigating payer portals and credentialing systems and are not intimidated by the administrative complexity of managed care.
• You are a clear, confident communicator who can work effectively with both internal teams and external payer contacts to resolve issues quickly.
• You enjoy having ownership over a defined set of processes and finding ways to make them more efficient over time.

This Might Not Be The Right Fit If...

• You prefer variety and ambiguity over structured, process-driven work — this role requires consistency, precision, and attention to detail every day.
• You are not comfortable working across multiple payer portals and databases simultaneously or managing competing deadlines.
• You are looking for a primarily strategic or client-facing role — the core of this work is operational and detail-oriented.

Benefits

• The national pay range for this role is $22.00 – $35.00 per hour.
• Actual compensation will be determined by factors such as the candidate's geographic market, experience, skills, and qualifications.
• If your compensation requirement is greater than our posted range, please still consider applying; a determination can be made based on unique qualifications.
• Expected compensation ranges for this role may change over time.