Credentialing Coordinator

Community Health Centers, Inc.; Orlando (FL); On-site; USD 42,000 - 60,000; Full time

Benefits offered by this job

Healthcare coverage

Paid time off

Tuition reimbursement

Retirement plan

Paid holidays

Job summary

Community Health Centers, Inc. (CHC) is a not-for-profit healthcare organization serving Central Florida communities with primary, preventive medical, dental, and pharmaceutical services.

The Credentialing Coordinator ensures compliance with credentialing and HR policies, handling initial appointments, renewals, monitoring, and privileging for LIP, OCLP, and OCS, translating regulations into practical, compliant practices across CHC clinics in Orlando and surrounding areas.

Qualifications

• Minimum of two (2) years’ Credentialing and Privileging experience in a healthcare setting.
• Provider enrollment/credentialing software required.
• High school diploma required.

Responsibilities

• Ensure organizational compliance with Credentialing and HR policies and regulatory requirements.
• Facilitate all credentialing activities including initial appointment, reappointment, monitoring, and privileging for all Licensed Independent Practitioners (LIP), Other Clinical Licensed Practitioners (OCLP), and Other Clinical Staff (OCS).
• Translate policies and regulations into compliant credentialing practices.

Skills

Credentialing

Privileging

Regulatory compliance

Provider enrollment software

Education

High school diploma

Certified Provider Credentialing Specialist (CPCS) preferred

Tools

Provider enrollment software

Job description

Community Health Centers, Inc. (CHC) is a not-for-profit healthcare organization dedicated to providing quality, compassionate primary and preventive medical, dental, and pharmaceutical services. CHC serves Central Florida’s economically and culturally diverse communities, emphasizing access to care for all individuals.

A career at Community Health Centers offers a unique opportunity to join a team that makes a real impact in our community every day, by improving individuals' health while enhancing their quality of life.

Top Reasons to Work at Community Health Centers

• No weekends for the majority of our centers, 10 Paid Holidays and early Fridays
• A great benefits package that includes healthcare coverage, paid time off, paid holidays, retirement plan, and more.
• Competitive compensation with advancement opportunities and tuition / training reimbursement.
• Awarded “Best and Brightest Companies to Work for in the Nation” for 5 consecutive years.
• Awarded “Top 100 Workplaces for Growing Families” by Orlando Sentinel.
• Modernized and attractive health centers, that patients love.

Job Summary:

The Credentialing Coordinator is responsible for ensuring organizational compliance with Credentialing and Human Resources Policies, applicable federal, state, local and regulatory requirements. This position facilitates all aspects of credentialing, including initial appointment, reappointment, monitoring, and privileging for all Licensed Independent Practitioners (LIP), Other Clinical Licensed Practitioners (OCLP), and Other Clinical Staff (OCS).

In this role, the Credentialing Coordinator exercises significant discretion and independent judgment in interpreting and applying policies and regulations. The Credentialing Coordinator plays a critical role in supporting the general business operations of CHC in making key decisions regarding compliance and credentialing standards.

Success in this position requires comprehensive knowledge of credentialing standards and the ability to translate those standards into compliant, effective credentialing practices.

Qualifications

Education:

High school degree required.

Experience:

Minimum of two (2) years’ Credentialing and Privileging experience in a healthcare setting required.

Provider enrollment/credentialing software required.

Certifications/Licensure:

Certified Provider Credentialing Specialist preferred.