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Credentialing Coordinator Jobs in Boca Raton, FL

CCP Cares

Credentialing Coordinator

Sunrise, FL · On-site

The Credentialing Coordinator is responsible for the timely and compliant re-credentialing (renewal) of physicians and allied providers according to state and federal requirements, NCQA accreditation ...

Chen Medical

Credentialing Manager

Miami Gardens, FL · On-site

These things allow us to provide world-class primary care and coordinated care to the most ... The Credentialing Manager is responsible for managing a team of credentialing professionals and is ...

Chen Medical

Credentialing Manager

Miami Gardens, FL · On-site

These things allow us to provide world-class primary care and coordinated care to the most ... The Credentialing Manager is responsible for managing a team of credentialing professionals and is ...

Insight Global

Credentialing Specialist

Davie, FL · Remote

$20 - $25/hr

Credentialing Specialist (Hospital, ASC & Payer Enrollment) Location * Fully Remote Duration * Full Time * Through the end of 2026 * Potential contract-to-hire opportunity in 2027 (not guaranteed ...

Sage Dental

Credentialing Specialist

Boca Raton, FL · On-site +1

The Delegated Credentialing Specialist is responsible for organizing, maintaining, and verifying all aspects of the delegated credentialing process for General and Specialty Dentists. In all ...

Armada Ltd

Credentialing Specialists

Plantation, FL

Credentialing Specialists will provide credentialing service and support to operate IRS credentialing sites utilizing the GSA scheduling tool to manage credentialing appointments, run reports through ...

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How much do credentialing coordinator jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for credentialing coordinator in Boca Raton, FL is $22.16, according to ZipRecruiter salary data. Most workers in this role earn between $18.41 and $25.72 per hour, depending on experience, location, and employer.

What is a credentialing coordinator?

A credentialing coordinator ensures that all employees at a medical center, hospital, or other healthcare facility have the proper certification, license, or credential to practice. In this career, you make sure that, for example, a physician is board-certified and legally able to practice medicine at the facility. You act as a conduit between a healthcare provider and medical staff and administrators to verify legal compliance and to maintain accurate records of all staff. Your duties and responsibilities also include answering questions from staff, providers, and customers about the credentialing process and what credentials staff members possess.

What are the key skills and qualifications needed to thrive as a credentialing coordinator, and why are they important?

To thrive as a Credentialing Coordinator, you need strong organizational skills, attention to detail, and knowledge of credentialing standards, often supported by a relevant associate's or bachelor's degree. Proficiency with credentialing management software, databases, and understanding of regulations such as NCQA or Joint Commission standards is typically required. Excellent communication, problem-solving abilities, and the capacity to multitask help you effectively coordinate with providers and regulatory bodies. These skills ensure accurate credentialing processes, regulatory compliance, and smooth onboarding of healthcare professionals.

What are some common challenges faced by credentialing coordinators, and how can they be managed effectively?

Credentialing Coordinators often encounter challenges such as managing tight deadlines, ensuring accuracy with large volumes of provider data, and navigating complex regulatory requirements. Staying organized by using credentialing software and maintaining detailed checklists can help manage these tasks efficiently. Clear communication with healthcare providers and other departments is also essential to address missing information or resolve discrepancies promptly. Proactively keeping up with changing regulations and payer requirements can further minimize delays and promote a smooth credentialing process.

What is the difference between Credentialing Coordinator vs Credentialing Specialist?

AspectCredentialing CoordinatorCredentialing Specialist
CertificationsTypically requires certifications like Certified Provider Credentialing Specialist (CPCS)Often holds similar certifications, such as CPCS or Certified Medical Staff Coordinator (CMSC)
Work EnvironmentWorks in healthcare facilities, insurance companies, or credentialing firmsSimilar settings, focusing on provider credentialing and verification
Job ResponsibilitiesManages provider credentialing, maintains databases, ensures compliancePerforms credential verification, updates provider records, processes applications

Both roles involve credential verification and compliance within healthcare organizations. The main difference lies in job scope and specific responsibilities, with Credentialing Coordinators often overseeing broader credentialing processes and team coordination, while Credentialing Specialists focus more on verification and data entry tasks.

How much does a credentialing coordinator make?

The average salary for a credentialing coordinator in Florida is approximately $45,000 to $55,000 per year, depending on experience, certifications, and the employer. Salaries can vary based on the healthcare setting and the complexity of credentialing tasks involved.
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Credentialing Coordinator jobs near you

Credentialing Coordinator

CCP Cares

Sunrise, FL • On-site

Other

Re-posted 14 days ago

Job description

Position Summary:
The Credentialing Coordinator is responsible for the timely and compliant re-credentialing (renewal) of physicians and allied providers according to state and federal requirements, NCQA accreditation standards, Medicare and Medicaid guidelines, and Community Care Plan (CCP) Credentialing policies and procedures.
Essential Duties and Responsibilities:
  1. Re-credentials existing providers in all applicable lines of business from inception through completion.
  2. Contacts providers and designated credentialing administrators to obtain all necessary documentation to re-credential providers in a timely fashion to ensure no gaps between cycles.
  3. Validates documents to ensure accuracy of all credentialing elements, completeness of information, and qualifications relative to accreditation credentialing standards, state and federal guidelines, and CCP criteria.
  4. Updates and maintains data provider records in credentialing database, focusing on accuracy and interpreting or adapting data to conform to defined data field uses, and in accordance with internal policies and procedures.
  5. Electronically tracks and follows-up on appropriate verifications for efficient, high-volume processing of recredentials in accordance with applicable credentialing standards, established procedural guidelines, and strict timelines.
  6. Responsible for Epic Tapestry Customer Relationship Management (CRMs) requests for terminations, updates, and other credentialing tasks.
  7. Screen providers across various systems, platforms, and databases such as the National Practitioner Database (NPDB), System for Award Management (SAM), the Office of Inspector General (OIG), the Agency for Healthcare Administration (AHCA), Social Security Death Master File (DMF), NPI registry, and the Florida Medicaid Provider Master List (PML).
  8. Conducts board certification and Florida state licenses and certifications primary source verifications.
  9. Confirms provider hospital affiliations, malpractice insurance or self-insurance status, and Tax Identification Number.
  10. Identifies, analyzes, and resolves extraordinary information, discrepancies, time gaps and other idiosyncrasies that could adversely impact ability to re-credential providers.
  11. Maintains inter-departmental relationships with Provider Operations and Provider Data Management teams to ensure efficient, timely, and accurate processing of provider applications, and network enrollments, updates, and terminations.
  12. Reports problems to Credentialing Management and makes sound decisions in accordance to credentialing policies and procedures, federal, state, local and government/agency regulations.
  13. Responds to internal and external inquiries regarding credentialing status.
  14. Participates in credentialing projects with selected provider groups and subcontracted vendors.
  15. Assists providers on the Credentialing Hotline and respond to voicemails in a timely fashion, usually within 24-48 business hours.
  16. Maintains professional growth and development through seminars, workshops, professional affiliations, and self-education, including staying current with department policies and procedures, to keep abreast of latest developments to enhance understanding of various regulations and legislation of the health care industry.
  17. Perform miscellaneous job-related duties as assigned.

This job description in no way states or implies that these are the only duties performed by the employee occupying this position. Employees will be required to perform any other job-related duties assigned by their supervisor or management.
Qualifications:
  • Associates degree, or equivalent combination of education and experience (preferred).
  • One (1) year provider credentialing or onboarding experience, or combination.
  • Must have working knowledge of managed care or healthcare environment.
  • Records and/or database management experience.
  • Microsoft Word and Excel experience.
  • One (1) year of customer service experience.
Skills and Abilities:
  • Analytical skills
  • Detail-oriented
  • Self-directed
  • Exhibit independent judgment
  • Results-oriented
  • Self-motivated
  • Communicate proficiently in English
  • Professional oral and written communication skills
  • Project management skills
  • Information research skills
  • Define problems, collect data, establish facts, and draw valid conclusions
  • Read, analyze, and interpret common scientific and technical journals, financial reports, and legal documents
  • Respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community
  • Maintain strict confidentially and handle sensitive information
  • Ability to learn new applications to function effectively in a remote work environment
  • Establish priorities with independent coordination of day-to-day aspects

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 regularly required to sit, use hands, reach with hands and arms, and talk or hear. The employee is frequently required to stand, walk, and sit. The employee may occasionally be required to stoop, kneel, crouch or crawl. The employee may occasionally lift and/or move up to 15 pounds.
Work Environment:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of the job. The environment includes work inside/outside the office, travel to other offices, as well as domestic travel. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.
We are an equal opportunity employer who recruits, employs, trains, compensates and promotes regardless of age, color, disability, ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socio-economic status, veteran status, and other characteristics that make our employees unique. We are committed to fostering, cultivating, and preserving a culture of diversity, equity, and inclusion.
Background Screening Notice:
In compliance with Florida law, candidates selected for this position must complete a Level 2 background screening through the Florida Care Provider Background Screening Clearinghouse.
The Clearinghouse is a statewide system managed by the Agency for Health Care Administration (AHCA) and is designed to help protect children, seniors, and other vulnerable populations while streamlining the screening process for employers and applicants.
Additional information is available at:
hhttps://info.flclearinghouse.com

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