Credentialing Specialist

Job Description

Job Description

A healthcare company is looking for Credentialing Specialist to join a healthcare organization in El Segundo, California. This Credentialing Specialist is ideal for someone who can quickly step into a busy environment and provide hands-on support to a credentialing team managing a significant workload. The Credentialing Specialist is fully onsite and offers the chance to contribute immediately while helping maintain accurate, timely provider credentialing operations.

Key Responsibilities:

• Manage credentialing and recredentialing activities for physicians and other healthcare providers, ensuring files are complete, accurate, and submitted on schedule.

• Review applications, supporting documents, and licensure records to verify compliance with organizational, payer, and regulatory standards.

• Follow up with providers, payers, and internal teams to obtain missing information and resolve outstanding credentialing issues efficiently.

• Maintain organized credentialing records and update tracking systems to reflect application status, expirations, and renewals.

• Prioritize a high-volume backlog of provider files and move cases forward with strong attention to deadlines and detail.

• Coordinate with department stakeholders to support daily credentialing operations and help improve workflow consistency as needs are identified.

Benefits: Health, Dental, Vision, 401k, and Sick Time Off.

Qualifications:

• Previous hands-on experience in healthcare credentialing, including provider and physician credentialing activities.

• Strong knowledge of credentialing workflows, documentation standards, and recredentialing processes.

• Ability to work independently in a fast-paced environment and contribute productively with minimal ramp-up time.

• Experience reviewing provider applications for completeness, accuracy, and compliance requirements.

• Excellent organizational skills with the ability to manage multiple files and deadlines simultaneously.

• Strong written and verbal communication skills for interacting with providers, payers, and internal teams.