Credentialing Coordinator

Job Description Credentialing Coordinator Location: Mission Hills, CA Schedule: Monday-Friday, 8:00 AM to 4:30 PM Work Setting: Fully Onsite Duration: 6-Month Contract Pay Rate: $32.00-$38.00 per hour Position Overview We are seeking a detail-oriented Credentialing Coordinator to support a high-volume healthcare credentialing department within a hospital environment. This position is responsible for coordinating initial and recredentialing activities for providers, maintaining credentialing records, ensuring compliance with regulatory requirements, and supporting credentialing committees and audits. The ideal candidate will have recent credentialing experience, familiarity with MD-Staff software, and the ability to manage a high volume of applications while maintaining accuracy and professionalism. Key Responsibilities Process initial credentialing and recredentialing applications in accordance with established policies and procedures. Perform primary source verification of licenses, board certifications, education, malpractice insurance, hospital affiliations, malpractice history, peer references, and regulatory sanctions. Maintain physician, practitioner, facility, and credentialing verification organization files. Manage credentialing databases, reports, correspondence, online applications, and provider directory updates. Support credentialing committee activities, including meeting preparation, reporting, minutes, and follow-up documentation. Monitor licensing and regulatory agencies for adverse actions and conduct required follow-up research. Assist with ongoing monitoring programs and expiring document tracking. Coordinate health plan notifications for newly credentialed providers. Perform credentialing file audits to ensure compliance with organizational and regulatory standards. Assist with annual health plan audits and accreditation reviews. Reconcile internal and external provider rosters. Prepare reports and documentation for credentialing committees, quality committees, leadership, and health plans. Participate in provider office evaluations and corrective action follow-up activities when required. Collaborate with leadership regarding quality, compliance, and risk management concerns. Required Qualifications 1-3 years of recent credentialing experience. Experience working in a healthcare, hospital, medical group, or managed care environment. Experience using MD-Staff credentialing software. Ability to manage a high-volume workload, including 80+ credentialing applications per month. Strong organizational, communication, and documentation skills. Proficiency with Microsoft Office applications. Ability to work effectively in a collaborative team environment. Preferred Qualifications CPCS (Certified Provider Credentialing Specialist) certification. Bachelor's degree in Healthcare Administration, Business Administration, or a related field. Experience with provider, facility, and ancillary credentialing. Knowledge of NCQA, DMHC, Medicare, and health plan credentialing requirements. Experience supporting credentialing audits and regulatory compliance initiatives. What You'll Bring Strong attention to detail and accuracy. Excellent interpersonal and communication skills. Ability to prioritize competing deadlines in a fast-paced environment. Professionalism when interacting with providers, leadership, and external organizations. A proactive and collaborative approach to problem-solving. Why Join Us? Opportunity to support a respected healthcare organization. Comprehensive exposure to hospital credentialing operations. Stable Monday-Friday schedule with no expected weekends or overtime. Collaborative team environment with strong leadership support. Job Type & Location This is a Contract position based out of Mission Hills, CA 91345. Pay and Benefits The pay range for this position is $32.00 - $38.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short and long-term disabil #J-18808-Ljbffr TEKsystems