POSITION SUMMARY
The Credentialing Coordinator will be responsible for all aspects of the credentialing process for health care providers. The representative will process applications, verify information, research application details, and assure processes are in accordance with State regulations. The representative will provide consistent, accurate, documented verification of the information provided by the applicant and maintenance of the highly confidential credentialing related files, enhancing the organization’s ability to provide professional services.

REQUIREMENTS FOR ALL POSITIONS
All employees shall meet Compliance/Privacy Regulations and attend at a minimum one (1) hour of Compliance/Privacy educational training annually, as required by Independent Living Systems.
All employees shall meet Risk Management Regulations and attend at the minimum one (1) hour of Risk Management education and training within the first thirty (30) days of employment and as required by law or Independent Living Systems; and, for that non-physician in clinical direct care delivery services, annually thereafter.

POSITION QUALIFICATIONS

• High School diploma or equivalent; bachelor’s degree preferred.
• Three (3) years of credentialing experience
• Knowledge of provider credentialing criteria and processes in accordance with NCQA and JCAHO standards NPDB guidelines licensing regulations.
• Certified Provider Credentialing Specialist (CPCS) or Certified Medical Staff Coordinator (CMCS) by the National Association of Medical Staff Services (NAMSS) preferred.
• Undergraduate degree or 3 years of applicable experience in medical credentialing environment preferred.
• Maintains continuing education activities in the field regarding medical, administrative ethical, and legal requirements of credentialing.
• A thorough knowledge of all aspects of the credentialing process to include standards, policies, and procedures, as well as legal issues involved preferred.

TRAVEL

This position requires up to 10% travel. Frequently travel is inside the local area and overnight.

DRUG-FREE WORKPLACE

In compliance with the Drug-Free Workplace Act of 1988, Florida Community Care has a longstanding commitment to provide a safe, quality-oriented and productive work environment. Alcohol and drug abuse pose a threat to the health and safety of FCC employees and members and to the security of the company's equipment and facilities. For these reasons, FCC is committed to the elimination of drug and alcohol use and abuse in the workplace.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands, reach with hands and arms; talk and hear. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

Must be able to work in a stressful environment.

This position may require work in excess of 40 hours per week and will require some evening and weekend work hours. Must be willing to travel independently with occasional overnight travel.

EEO STATEMENT
Independent Living Systems, LLC, and its subsidiaries, including FCC, provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, disability, ancestry or any other characteristic protected by state, federal, or local law. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.