CREDENTIALING COORDINATOR

Credentialing Coordinator – Comprehensive Community Health Centers Inc. Position Summary: The Credentialing Coordinator manages the day‑to‑day credentialing and privileging processes for physicians and licensed professionals, ensuring compliance with HRSA and payer standards. The role involves maintaining the credentialing database platform and coordinating provider enrollment with medical groups, health plans, and payers. Key Responsibilities Coordinates and administers the Credentialing and Privileging process for all CCHC providers and non‑physician licensed professionals. Maintains the credentialing database platform and ensures data integrity. Coordinates compliance for legal and regulatory documentation for all professionals. Monitors accuracy of policies and procedures, ensuring compliance with accrediting organization requirements. Creates CAQH profiles for providers. Ensures that all providers are contracted with different payers, including HMO's, Medi‑Cal, and Medicare. Coordinates with payers to meet all Credentialing requirements. Submits Credentialing forms and applications to IPA’s, Medical Groups, and Plans as needed. Follows up on submitted applications with IPA’s, Medical Groups, and Plans. Serves as a credentials and privileging contact for internal and external inquiries. Assists in developing innovative tools, features, and workflows to improve the Credentialing and Privileging processes. Works closely with HR to obtain all necessary documents for Credentialing and Privileging. Performs miscellaneous, job‑related duties as assigned. Education and Experience Bachelor’s degree in a health‑related field preferred. Credentialing knowledge and familiarity with industry standards required. Knowledge of Community Health Centers (CHC) and HRSA clinical staffing requirements preferred. Knowledge, Skills & Abilities Ability to find solutions when barriers are identified. Strong documentation skills. Ability to multi‑task and prioritize when needed. Ability to independently seek out resources and work collaboratively. Ability to read, understand and follow oral and written instructions. Experience and work ethics that support working within a high‑functioning, team‑oriented environment. Willingness and ability to work under supervision. Ability to develop and maintain good working relationships with staff. Proficiency with computers and ability to learn new software programs. Excellent interpersonal skills, clarity, diplomacy, and effective communication at all staff levels. Ability to work in a regulatory climate with oversight from state and federal entities and payer contracts. Effective verbal and written communication skills. Respect for others and acceptance of diverse social and cultural traits. Proficient knowledge of Microsoft Outlook. Willingness to travel for professional meetings, conferences, trainings, and clinic sites. Flexibility, enthusiasm, and cooperation in multidisciplinary teams. Performs other related duties as assigned. Compensation and Benefits Pay Rate: $25–$27 per hour. Medical, Dental and Vision – 100% paid by Employer Life Insurance and Accidental Dismemberment – 100% paid by Employer Paid Holidays Paid Time Off Wellness Day Off 401(k) and 401(k) matching Flexible Spending Account Fringe benefits Supplemental Insurance #J-18808-Ljbffr Y-Axis