Credentialing Coordinator

Independent Living Systems • Miami, FL

2d

About The Position

Independent Living Systems (ILS), along with its affiliated health plans Florida Community Care and Florida Complete Care, seeks a Credentialing Coordinator to support its commitment to promoting quality of life and maximizing independence for vulnerable populations. The role ensures provider partners in contracted networks meet professional and regulatory standards to deliver safe and effective care.

The coordinator manages credentialing from application through verification, re-credentialing, and ongoing monitoring, ensuring compliance with internal policies and external requirements. The role works closely with healthcare providers, administrative teams, and regulatory bodies to maintain accurate, current records. By ensuring contracted providers are properly qualified and authorized to provide health and social care services, the coordinator supports quality member care, risk management, and the organization’s reputation and operational integrity.

Requirements

• Associate’s degree or equivalent experience in healthcare administration, business, or a related field.
• One year of experience in credentialing or a related administrative role within a healthcare setting.
• Strong knowledge of healthcare credentialing standards, regulatory requirements, and accreditation processes.
• Proficiency with credentialing software and Microsoft Office Suite.
• Relevant experience may substitute for the educational requirement on a year-for-year basis.

Nice To Haves

• Bachelor’s degree in healthcare administration, business, or a related discipline.
• Certification in credentialing, such as Certified Provider Credentialing Specialist (CPCS) or equivalent.
• Experience working with electronic health records (EHR) systems and healthcare compliance software.
• Familiarity with state and federal healthcare regulations, including NCQA, URAC, and The Joint Commission standards.

Responsibilities

• Administer the end-to-end credentialing and re-credentialing process for contracted providers, including collecting, verifying, and maintaining documentation of qualifications, licenses, certifications, and work history.
• Coordinate with providers, licensing boards, and third-party verification services to ensure timely and accurate credentialing information.
• Maintain and update credentialing databases and records to ensure compliance with organizational policies and regulatory standards.
• Prepare and submit credentialing reports and documentation for internal audits and external regulatory reviews.
• Collaborate with various departments and internal teams to support credentialing-related initiatives and resolve discrepancies or issues.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree