Credentialing Coordinator, Credentialing

Job Description

Join Cedars-Sinai!

Cedars-Sinai is #1 in California and has been named to the Honor Roll for the tenth consecutive year in U.S. News & World Report's "Best Hospitals 2025-26" rankings.

Cedars-Sinai was awarded the Advisory Board Company's Workplace of the Year which is an award that recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. We also have a great benefits package and competitive compensation which explains why U.S. News & World Report has named us one of America's Best Hospitals!

Why work here?

Beyond outstanding employee benefits including health and dental insurance, vacation, and a 403(b) we take pride in hiring the best employees. Our accomplished staff reflects the culturally and ethnically diverse community we serve. They are proof of our dedication to creating a dynamic, inclusive environment that fuels innovation.

A Little More About What You Will Be Doing

With the interest of optimizing payor network participation, the Health Plan Network Coordinator is responsible for the process of ensuring physicians are properly registered with contracted, non-contracted commercial and other payors as needed.

Primary Duties and Responsibilities

• Gather needed documents from MNS Credentialing Department or physician clientele.
• Acts as MNS distribution point to report individual provider data to contracted health plans.
• Coordinate and prepare provider applications with contracted payors, as needed.
• Maintain panel status and other payor correspondence records for each physician.
• Assist physicians, secretaries, and other assigned staff with application procedures, as needed.
• Submit applications to payors and track their progress in registering physicians
• Use spreadsheet to track and publish (intranet) provider's status with forms completion and payor registration
• Periodically audit payor reports and provider listings to ensure accurate and complete participation of MNS-represented physician networks.
• Assist with the proper maintenance of Credentialing database and other internal tracking mechanisms (e.g. Task Roster, PPO Status Grid, etc.)
• Special projects as assigned.

Qualifications

Job qualifications Education

• High School Diploma/GED required
• Assoc. Degree/College Diploma preferred

Work Experience

• 2 years billing or provider network management experience preferably in a managed care environment preferred

About Us

Cedars-Sinai is a leader in providing high-quality healthcare encompassing primary care, specialized medicine and research. Since 1902, Cedars-Sinai has evolved to meet the needs of one of the most diverse regions in the nation, setting standards in quality and innovative patient care, research, teaching and community service. Today, Cedars-Sinai is known for its national leadership in transforming healthcare for the benefit of patients. Cedars-Sinai impacts the future of healthcare by developing new approaches to treatment and educating tomorrow's health professionals. Additionally, Cedars-Sinai demonstrates a commitment to the community through programs that improve the health of its most vulnerable residents.

About the Team

With a growing number of primary urgent and specialty care locations across Southern California, Cedars-Sinai's medical network serves people near where they live. Delivering coordinated, compassionate healthcare you can join our network of clinicians and physicians to improve the healthcare people throughout Los Angeles and beyond.

Job Info

• Job Identification 14465
• Legal Employer Cedars-Sinai Medical Center
• Department CSMC 8714010 MNS Contracting
• Job Category Compliance / Quality
• Job Function Credentialing & Licensure
• Locations 4140 W 190th St, Torrance, CA, 90504, US
• Overtime Status NONEXEMPT
• Primary Shift 1 Day
• Shift Duration 8 hour
• Minimum Salary 25.88
• Maximum Salary 40.11
• UKG Pay Rule D301