What are the responsibilities and job description for the Credentialing Coordinator position at Center for Human Development?
The Center for Human Development (CHD) is seeking a Credentialing Coordinator to join our team! The Credentialing Coordinator is the main resource for the internal credentialing and payer enrollments processes.
Your responsibilities as a Credentialing Coordinator:
The Credentialing Coordinator will serve as the primary liaison for provider and facility credentialing, ensuring accuracy and timely updates between internal clinical staff and external entities. They will manage all aspects of the credentialing and enrollment process, including initial applications, re-credentialing, and maintenance of provider profiles with payers.
REQUIRMENTS:
High school diploma or equivalent required.
- Bachelor's degree in healthcare administration, business administration, or a related field (preferred)
- Relevant professional certification (e.g., CPCS, CPMSM) is highly desirable
- Minimum of 5 years of experience in provider credentialing and enrollment within a healthcare setting. (Preferably behavioral health & medical)
- Demonstrated experience with payer contracting and enrollment processes.
- Proven experience navigating payer websites, CAQH, PECOS, NPPES, Virtual Gateway, and other relevant platforms.
- Strong understanding of credentialing regulations and standards
SUCCESS FACTORS:
The ideal Credentialing Coordinator will have excellent communication and interpersonal skills. With strong organizational and time management skills. A proficiency in EHR systems. The ability to work independently and as part of a team. They will be detail-oriented with a high level of accuracy. Problem-solving and strong critical-thinking skills are a must. Lastly the ability to interact effectively with other departments and key contacts necessary to facilitate billing process.
Take advantage of a competitive compensation of $65,000-$85,000, range based on experience and credentials. As well as a phenomenal benefit package that includes, Dental, Health and Life insurance. Paid time off, earned vacation time and paid holidays just to name a few.
AT Center for Human Development (CHD) Care Finds a way:
The Center for Human Development (CHD) provides a broad range of high quality, community-oriented human services dedicated to promoting, enhancing, and protecting the dignity and welfare of people in need. At CHD we are celebrating differences, inclusion is not just a policy- it is a daily practice. Multicultural, multilingual, and fluent in sign language, CHD is a reflection of those we serve.
CONNECT WITH OUR TEAM TODAY!
If this sounds like the right job for you, do not wait - apply today to join our team. We look forward to hearing from you!
Education
Required- High School or better
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)
Salary : $65,000 - $85,000
