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Credentialing Specialist Jobs in Riverside, CA (NOW HIRING)

Akido

Credentialing Specialist

Chino, CA · On-site

As a Credentialing Specialist, you'll be part of our credentialing/provider enrollment team to ensure providers are credentialed and enrolled quickly and accurately with health plans and hospitals ...

Akido

Credentialing Specialist

Chino, CA · On-site

$24 - $33/hr

As a Credentialing Specialist, you'll be part of our credentialing/provider enrollment team to ensure providers are credentialed and enrolled quickly and accurately with health plans and hospitals ...

Kyo

Credentialing Specialist

Irvine, CA

$27.88 - $31.25/hr

Managing credentialing, recredentialing, and licensure process for clinical staff with health insurance plans, certification boards and other agencies * Ensuring compliance with various state ...

Armada Ltd

Credentialing Specialists

Lake Forest, CA · On-site

Credentialing Specialists will provide credentialing service and support to operate IRS credentialing sites utilizing the GSA scheduling tool to manage credentialing appointments, run reports through ...

Armada Ltd

Credentialing Specialists

Lake Forest, CA · On-site

Credentialing Specialists will provide credentialing service and support to operate IRS credentialing sites utilizing the GSA scheduling tool to manage credentialing appointments, run reports through ...

Armada Ltd

Credentialing Specialists

Lake Forest, CA · On-site

$58K - $80K/yr

YES, nationwide to support onsite credentialing operations as mission needs require.Security Clearance Required: N/ACONTINGENT UPON AWARDING OF GOVERNMENT CONTRACT*****Credent.

Providence Service

Credentialing Coordinator

Orange, CA · On-site

Certification by the National Association of Medical Staff Services as Medical Staff Coordinator (CMSC) or Certified Provider Credentialing Specialist (CPCS) * 3 years Experience in a Medical Staff ...

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Credentialing Specialist information

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How much do credentialing specialist jobs pay per hour?

As of Aug 27, 2026, the average hourly pay for credentialing specialist in Riverside, CA is $25.41, according to ZipRecruiter salary data. Most workers in this role earn between $20.05 and $28.85 per hour, depending on experience, location, and employer.

What is a credentialing specialist?

Credentialing specialists verify the qualifications of the staff in healthcare organizations for healthcare organizations. This verification process ensures that doctors and other medical professionals provide accurate education and work histories, and confirms that they meet all local and federal licensing and regulation requirements before they are hired or contracted with a medical facility. Credentialing specialists are part of an organization's administrative staff; they review medical policies, process contracts, and facilitate audit reports to validate that certified medical professionals comply with credentialing procedures. They also update medical databases with information about a physician’s training or license and document when credentials must be renewed.

What are some typical challenges a credentialing specialist faces when coordinating with healthcare providers and insurance companies?

Credentialing Specialists often encounter challenges such as managing incomplete or inconsistent provider documentation, meeting strict deadlines, and navigating varying requirements from different insurance companies or healthcare facilities. Effective communication and organizational skills are essential, as the role requires frequent follow-up with providers and close coordination with multiple internal departments. Staying updated on regulatory changes and ensuring all files remain compliant can also be demanding but is critical for maintaining smooth healthcare operations.

What is the difference between Credentialing Specialist vs Medical Biller?

AspectCredentialing SpecialistMedical Biller
Required CredentialsCertification in healthcare credentialing, knowledge of insurance and provider databasesCertification in medical billing, coding, or related areas often preferred
Work EnvironmentHealthcare facilities, insurance companies, or credentialing agenciesMedical offices, billing companies, healthcare providers
Employer & Industry UsageUsed in healthcare to verify provider credentials for insurance and licensingUsed in healthcare to process and submit medical claims for reimbursement

The Credentialing Specialist focuses on verifying healthcare providers' credentials to ensure compliance and eligibility, while the Medical Biller handles billing and claims processing for healthcare services. Both roles are essential in healthcare administration but serve different functions within the industry.

Is credentialing a hard job?

Credentialing specialists are responsible for verifying healthcare providers' qualifications and licenses, which requires attention to detail, organization, and knowledge of regulations. The job can be challenging due to the complexity of credentialing processes and the need for accuracy, but it is generally manageable with proper training and experience.
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Credentialing Specialist jobs near you
Infographic showing various Credentialing Specialist job openings in Riverside, CA as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $52,857 per year, or $25.4 per hour.

Credentialing Specialist

One Federal Solution

Lake Forest, CA • On-site

Full-time

Re-posted 3 days ago

Job description

One Federal Solution is seeking Credentialing Specialists to support a large federal identity credentialing program. The Credentialing Specialist will perform credential enrollment, issuance, activation, inventory management, and customer support activities while ensuring compliance with established credentialing policies and security procedures. This position supports secure identity management operations at federal facilities nationwide.

Key Responsibilities
  • Support day-to-day credentialing operations at assigned federal facilities.
  • Assist with enrollment, issuance, activation, and maintenance of identification credentials.
  • Manage daily appointments using the credentialing scheduling system.
  • Issue and activate SmartID and access credentials.
  • Perform certificate rekey, PIN reset, credential updates, and other credential lifecycle activities.
  • Maintain credential inventory and accountability using credential inventory management tools.
  • Secure credentials in accordance with established security requirements.
  • Contact employees and contractors to coordinate credential issuance and activation appointments.
  • Collect expired or terminated credentials and ensure proper disposition.
  • Maintain accurate records of credential issuance, collection, and inventory activities.
  • Perform Registrar, Activator, and Card Custodian responsibilities as assigned.
  • Support shipment of credentialing materials and Light Activation Kits when required.
  • Respond to applicant questions regarding credential status and issuance.
  • Provide administrative support, documentation management, scheduling, and operational support.
  • Ensure compliance with credentialing policies, security procedures, and quality standards.
  • Perform additional identity management and credentialing duties as assigned.
Minimum Qualifications
  • High School Diploma required. Four (4) years of directly related work experience may be substituted for the education requirement.
  • Experience providing administrative or operational support in a professional environment.
  • Strong organizational, customer service, and communication skills.
  • Ability to manage multiple priorities in a fast-paced environment.
  • Ability to work independently while maintaining accuracy and attention to detail.
  • Proficiency with Microsoft Office Suite.
Preferred Qualifications
  • Experience supporting HSPD-12 or Personal Identity Verification (PIV) credentialing programs.
  • Knowledge of FIPS 201, PKI, FICAM, or federal identity management processes.
  • Experience using credentialing systems such as USAccess or similar identity management systems.
  • Experience operating credentialing equipment, including Fixed Credentialing Units, Mobile Credentialing Units, Light Activation Kits, credential printers, scanners, laptops, and related hardware.
  • Previous experience supporting federal government credentialing or security operations.
Clearance Requirements

Candidates must be eligible to obtain and maintain the required federal background investigation and credentialing requirements for this program, including:

  • U.S. Citizen or Lawful Permanent Resident.
  • Ability to satisfy federal background investigation requirements.
  • Demonstrated federal tax compliance.
  • Ability to obtain and maintain required federal credentials.
Work Location

This position supports credentialing operations at federal facilities nationwide. Assignments are available at multiple locations across the United States and Puerto Rico based on operational needs.

About One Federal Solution

One Federal Solution (OFS) is an innovative Professional Services provider with over 20 years of experience supporting Defense and Civilian agencies. As a certified Service-Disabled Veteran-Owned Small Business (SDVOSB), OFS delivers expertise in acquisition, information technology, business operations, and professional services. We are committed to providing exceptional talent and mission-focused solutions that help our government partners achieve mission success.

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