Top 13 Credentialing coordinator Jobs in Anaheim Ca

Practitioner Mgmt Coord (US)
CareMore Health Management Services, LLC —Cerritos, CA
- $24.20 - $43.56 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Organizational skills
Quick Apply
3d
Credentialing Coordinator - Central Division Medical Staff Admin - Remote
Providence —Irvine, CA
- $20.43 - $42.73 an hour
- Full-time
- Remote
- Mid-level
- Fair chance
- Associate's degree
- Paid parental leave
- Paid holidays
3d
Credentialing Coordinator - UCS Credentialing - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
Keck Medical Center of USC —Los Angeles, CA
- $30.16 - $47.01 an hour
- 8 hour shift
- Background check
- Hospital
- Mid-level
Credentialing Coordinator - UCS Credentialing - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
USC —Los Angeles, CA
- $30.16 - $47.01 an hour
- 8 hour shift
- Mid-level
- Office
- High school diploma or GED
Medical Staff Coordinator - Medical Staff Administration - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
Keck Medical Center of USC —Los Angeles, CA
- $34.32 - $56.19 an hour
- 8 hour shift
- Acute care
- Background check
- Medical office experience
Medical Staff Coordinator - Medical Staff Administration - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
USC —Los Angeles, CA
- $34.32 - $56.19 an hour
- 8 hour shift
- Acute care
- Medical office experience
- Mid-level
Medical Staff Coordinator II
Huntington Beach Hospital —Huntington Beach, CA
- $36.73 an hour
- Day shift
- Microsoft Excel
- Hospital
- Writing skills
1d
Medical Staff Coordinator
Adventist Health —Los Angeles, CA
- $30.91 - $39.73 an hour
- 8 hour shift
- Hospital
- Mid-level
- High school diploma or GED
7d
Lead Medical Staff Coordinator Full Time Day Shift
East Los Angeles Doctors Hospital —Los Angeles, CA
- $32.26 - $47.42 an hour
- Full-time
- Hospital
- HIPAA
- Mid-level
Quick Apply
7d
Managed Care Coordinator
Via Care Community Health Center —Los Angeles, CA
- $25 - $31 an hour
- Microsoft Excel
- Microsoft Outlook
- Mid-level
Quick Apply

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Credentialing Coordinator - Central Division Medical Staff Admin - Remote
Providence —Irvine, CA
Associate's Degree in a healthcare-associated field. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer…
$20.43 - $42.73 an hour
3d

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Credentialing Coordinator, Lead
Orthopedic One —Westerville, OH
Performs other administrative tasks at the request of management as related to credentialing and board certification documentation.
Credentialing Coordinator
Orthopedic One —Westerville, OH
Performs other administrative tasks at the request of management as related to credentialing and board certification documentation.

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Practitioner Mgmt Coord (US)

CareMore Health Management Services, LLC
Cerritos, CA

Quick Apply

Job Details

Full-time
$24.20 - $43.56 an hour
3 days ago

Qualifications

Spreadsheets
High school diploma or GED

Full Job Description

Job Description Summary

‎

The Credentialing & Enrollment Specialist is responsible for coordinating and maintaining provider credentialing and enrollment activities to ensure compliance with organizational, regulatory, and health plan requirements. This role manages initial credentialing and recredentialing inventories, supports provider enrollment processes, conducts outreach for missing documentation, communicates credentialing decisions, and serves as a liaison between providers, network partners, and internal stakeholders. The position requires strong organizational skills, attention to detail, proficiency in Microsoft Excel, and excellent written and verbal communication skills.

‎

How will you make an impact & Requirements

‎

Manage and maintain assigned initial credentialing and recredentialing inventories to ensure timely completion and compliance with established turnaround times.
Review credentialing and enrollment applications for completeness and accuracy.
Conduct outreach to providers, provider groups, and internal stakeholders to obtain missing or required documentation.
Track and monitor credentialing and enrollment status through various systems and reports.
Communicate credentialing approvals, denials, and status updates to providers and internal business partners.
Support provider enrollment activities with government and commercial payers.
Maintain accurate provider records, files, and databases.
Monitor shared departmental email inboxes and respond to inquiries in a timely and professional manner.
Collaborate with network partners, health plans, provider offices, delegated entities, and internal departments to resolve credentialing and enrollment issues.
Prepare and maintain Excel spreadsheets, tracking logs, and reports for operational and audit purposes.
Ensure compliance with NCQA, CMS, state regulatory, and organizational credentialing requirements.
Assist with credentialing audits, data validation, and special projects as assigned.
Escalate complex issues and aging inventory items as appropriate.

Required Education and Experience

High school diploma or equivalent required; Associate's or Bachelor's degree preferred.
Minimum of 2 years of healthcare credentialing and/or provider enrollment experience.
Experience working with health plans, provider groups, or managed care organizations preferred.
Knowledge of provider credentialing, recredentialing, and enrollment processes.

Knowledge, Skills, and Abilities

Strong proficiency in Microsoft Excel, including sorting, filtering, reporting, and data management.
Excellent verbal and written communication skills.
Strong attention to detail and organizational skills.
Ability to manage multiple priorities and meet deadlines in a fast-paced environment.
Experience maintaining shared mailboxes and managing high-volume communications.
Ability to work independently and collaboratively with cross-functional teams.
Customer service oriented with strong problem-solving skills.
Knowledge of credentialing regulations, accreditation standards, and provider data management preferred.

Preferred Experience

Experience with NCQA credentialing standards.
Experience with provider enrollment systems, CAQH, PECOS, NPPES, Availity, and state Medicaid enrollment portals.
Experience supporting delegated credentialing or managed care network operations.

‎

Compensation Range:

$24.20

$43.56

The anticipated base salary range represents the Company's good-faith estimate of the compensation it reasonably expects to pay for this position at the time of posting. Actual compensation will be determined based on factors including experience, skills, qualifications, geographic location, internal equity, and business needs.

Quick Apply

Refine Your Search

credentialing coordinator jobs in anaheim ca

Practitioner Mgmt Coord (US)

Credentialing Coordinator - Central Division Medical Staff Admin - Remote

Credentialing Coordinator - UCS Credentialing - Full Time 8 Hour Days (Non-Exempt) (Non-Union)

Credentialing Coordinator - UCS Credentialing - Full Time 8 Hour Days (Non-Exempt) (Non-Union)

Medical Staff Coordinator - Medical Staff Administration - Full Time 8 Hour Days (Non-Exempt) (Non-Union)

Medical Staff Coordinator - Medical Staff Administration - Full Time 8 Hour Days (Non-Exempt) (Non-Union)

Medical Staff Coordinator II

Medical Staff Coordinator

Lead Medical Staff Coordinator Full Time Day Shift

Managed Care Coordinator

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