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Credentialing Data Entry Jobs in California (NOW HIRING)

Kyo

Credentialing Specialist

Irvine, CA · On-site

$27.88 - $31.25/hr

Managing credentialing, recredentialing, and licensure process for clinical staff with health ... Ability to perform data entry, operate standard office equipment e.g. copiers, fax * Willingness ...

LIBERTY DENTAL

Strong data entry, organizational, and time-management skills. * Excellent verbal and written ... Health plan credentialing * Dental office credentialing * Processing credentialing and ...

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Credentialing Data Entry information

What is credentialing data entry?

Credentialing data entry involves inputting, updating, and maintaining healthcare providers' credentials and related information in databases or credentialing software. This role ensures that all necessary documents, licenses, certifications, and background checks are accurately recorded for regulatory compliance and healthcare quality assurance. Credentialing data entry specialists play a crucial part in helping organizations verify that practitioners meet necessary standards before they can provide care.

What are the key skills and qualifications needed to thrive as a credentialing data entry specialist?

To thrive as a Credentialing Data Entry specialist, you need attention to detail, accuracy, and familiarity with credentialing processes, often supported by a high school diploma or equivalent. Experience with credentialing software, databases, and Microsoft Office Suite is typically required. Strong organizational skills, time management, and effective communication help ensure precise data handling and collaboration with team members. These abilities are crucial for maintaining compliance, minimizing errors, and supporting smooth credentialing operations in healthcare organizations.

What are some common challenges faced in a credentialing data entry role, and how can they be managed?

Credentialing Data Entry professionals often encounter challenges such as handling large volumes of sensitive data, meeting tight deadlines, and ensuring accuracy in compliance with regulatory standards. To manage these challenges, it’s important to develop strong organizational skills, attention to detail, and familiarity with credentialing software. Clear communication with credentialing specialists, healthcare providers, and other team members is also vital to quickly resolve discrepancies and maintain the integrity of provider records.

What is the difference between Credentialing Data Entry vs Medical Records Clerk?

AspectCredentialing Data EntryMedical Records Clerk
Primary FocusEntering and verifying provider credentialing informationManaging and organizing patient medical records
Required SkillsAttention to detail, familiarity with credentialing processes, data entryRecord management, confidentiality, data entry
Work EnvironmentHealthcare offices, insurance companies, credentialing agenciesHospitals, clinics, healthcare facilities
Common CertificationsNone typically required, but healthcare or credentialing knowledge helpfulNone typically required, but familiarity with medical records systems beneficial

Credentialing Data Entry primarily involves inputting and verifying provider credentialing information, ensuring compliance with industry standards. Medical Records Clerks focus on organizing and maintaining patient records. While both roles require strong data entry skills, Credentialing Data Entry emphasizes provider information, whereas Medical Records Clerks handle patient data. Understanding these differences helps in choosing the right career path or job search focus.

How do you get into credentialing data entry?

To enter credentialing data, candidates typically need strong attention to detail, proficiency with data entry software or spreadsheets, and knowledge of healthcare or licensing processes. Gaining relevant experience or certifications in healthcare administration or data management can improve job prospects, and some roles may require a high school diploma or equivalent.

What are popular job titles related to Credentialing Data Entry jobs in California?

For Credentialing Data Entry jobs in California, the most frequently searched job titles are:

What job categories do people searching Credentialing Data Entry jobs in California look for?

The top searched job categories for Credentialing Data Entry jobs in California are:

What cities in California are hiring for Credentialing Data Entry jobs?

Cities in California with the most Credentialing Data Entry job openings:

Credentialing Data Entry jobs near you
Infographic showing various Credentialing Data Entry job openings in California as of August 2026, with employment types broken down into 96% Full Time, and 4% Part Time. Highlights an 84% In-person, 8% Hybrid, and 8% Remote job distribution.

Credentialing and Provider Enrollment Coordinator

Balance Health

Concord, CA • On-site

Full-time

Re-posted 14 hours ago

Job description

Description:

Balance Health empowers people to live full lives by improving and maintaining mobility. We bring together leading podiatrists, orthopedic surgeons, and physical therapists, providing them with the tools and resources to deliver exceptional patient care. Our mission has made us the largest lower-extremity focused physician-owned practice in the nation.


As a Credentialing & Provider Enrollment Coordinator, you will play a critical role in ensuring providers are credentialed and enrolled accurately and on time. This position supports seamless operations and patient access by managing credentialing and payer enrollment processes, resolving issues, and collaborating across departments.

Requirements:

Key Responsibilities

  • Administer the provider credentialing process for practice providers and the provider enrollment process for insurance payers.
  • Ensure timely communication with practices and implementation teams to gather credentialing and enrollment information.
  • Process initial and re-credentialing applications and conduct primary source verification (CAQH, NPPES, etc.).
  • Credential, link, and revalidate providers and groups with commercial and government payers.
  • Maintain working knowledge of payer credentialing policies, forms, and compliance requirements.
  • Troubleshoot and resolve enrollment issues, including claim denials and unbilled problems.
  • Maintain accurate provider participation (PAR) lists and distribute updates to stakeholders.
  • Enter provider demographics and credentialing data into credentialing software.
  • Complete and track clearinghouse applications for EDI and ERA, and process EFT authorizations for payments.
  • Collaborate with internal teams to develop and refine enrollment policies and procedures.
  • Drive continuous improvement and contribute to special projects as needed.

What We’re Looking For

· Strong understanding of provider enrollment structure and processes.

· Excellent organizational skills and attention to detail.

· Outstanding written and verbal communication abilities.

· Creative, persistent problem solver with a client-service mindset.

· Ability to prioritize and multitask in a fast-paced environment.

· Proficiency in Microsoft Excel and credentialing software; strong data entry and typing skills.

· Commitment to confidentiality and accuracy.

Qualifications

Education:

· Associate or Bachelor’s degree in Healthcare Administration or related field preferred.

Certification:

· CPCS (Certified Provider Credentialing Specialist) preferred.

Experience:

· Minimum 3+ years of experience in healthcare payer enrollment and provider credentialing within a multi-specialty medical group.

· Experience working with government agencies such as CMS and AHCA strongly preferred.