Credentialing Coordinator: Enrollments & Privileges

East Valley Community Health Center Inc.; Covina (CA); On-site; USD 37,000 - 43,000; Full time

Benefits offered by this job

Medical, dental, vision benefits

Defined contribution retirement plan

Paid time off and holidays

Job summary

East Valley Community Health Center Inc. is seeking a Credentialing Coordinator to manage credentialing, re-credentialing, privileging, and enrollment for providers and licensed staff in line with policy.

The role requires careful review of applications, verification of licensure and certifications, and timely communication with applicants and payors. Strong attention to detail and project management skills are essential.

Qualifications

• Experience coordinating credentialing, privileging, and enrollment processes.
• 2+ years in hospital or community health center credentialing.
• Knowledge of PAVE, PECOS, CAQH enrollment procedures.
• Strong written and verbal communication and customer service skills.
• Detail-oriented with ability to multi-task and meet deadlines.

Responsibilities

• Review applications and documents for completeness and eligibility.
• Identify discrepancies and follow up promptly.
• Verify licensure and certifications; perform manual verifications.
• Ensure credentialing processes are completed within required timeframes.
• Maintain confidential provider information and EVCHC files.

Skills

Credentialing knowledge

Communication skills

Attention to detail

Customer service

Multi-tasking

Problem solving

Project management

Education

High school diploma or GED

Tools

Microsoft Office

Job description

East Valley Community Health Center Inc. is seeking a Credentialing Coordinator to manage credentialing, re-credentialing, privileging, and enrollment for providers and licensed staff in line with policy.

The role requires careful review of applications, verification of licensure and certifications, and timely communication with applicants and payors. Strong attention to detail and project management skills are essential.