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Full Time Provider Credentialing Jobs in California

AMPLA HEALTH

Credentialing Coordinator (29011)

Yuba City, CA · On-site

$31.63 - $40.77/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... * Full time, Monday to Friday * Great work/home life balance Serve as lead and primary resource for all staff, provide training and work direction to all staff, review and audit credentialing files ...

AMPLA HEALTH

Credentialing Coordinator (29011)

Yuba City, CA · On-site

$31.63 - $40.77/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... * Full time, Monday to Friday * Great work/home life balance Serve as lead and primary resource for all staff, provide training and work direction to all staff, review and audit credentialing files ...

Akido

Credentialing Specialist

Chino, CA

  • Medical

  • Dental

  • Vision

  • Life

Filling out provider enrollment applications with health plans, Medicare, Medicaid and hospitals ... This full-time role is in-person in Chino.

HiredFirst

Credentials Coordinator

Los Angeles, CA · On-site

$1.6K - $1.6K/wk

Schedule: Full-time, 1st shift (8-hour day shift) * Hours: 7:30 AM - 4:00 PM or 8:00 AM - 4:30 PM ... Maintain accurate, complete, and compliant provider credentialing files and databases * Support ...

HiredFirst

Credentials Coordinator

Los Angeles, CA · On-site

$1.5K - $1.6K/wk

Schedule: Full-time, 1st shift (8-hour day shift) * Hours: 7:30 AM - 4:00 PM or 8:00 AM - 4:30 PM ... Maintain accurate, complete, and compliant provider credentialing files and databases * Support ...

Akido

Credentialing Specialist

Chino, CA

$24 - $33/hr

Akido is the first AI-native care provider, combining cutting-edge technology with a nationwide ... This full-time role is in-person in Chino. Hourly pay range $24--$33 USD Akido Labs, Inc. is an ...

Akido

Credentialing Specialist

Chino, CA · On-site

$24 - $33/hr

  • Medical

  • Dental

  • Vision

  • Life

Akido builds AI-powered doctors Akido is the first AI-native care provider, combining cutting-edge ... This full-time role is in-person in Chino. Hourly pay range $24-$33 USD Akido Labs, Inc. is an ...

Behavior Frontiers

Credentialing Specialist

El Segundo, CA · On-site

$21 - $23/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Hours: Full Time (Monday - Friday/40hrs a week) Office Location: El Segundo, CA (In-Person ... Maintain accurate, up-to-date provider credentialing files, including but not limited to licenses ...

Behavior Frontiers

Credentialing Specialist

El Segundo, CA

$21 - $23/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Description Hours: Full Time (Monday - Friday/40hrs a week) Office Location: El Segundo, CA (In ... Maintain accurate, up-to-date provider credentialing files, including but not limited to licenses ...

Behavior Frontiers

Credentialing Specialist

El Segundo, CA · On-site

$21 - $23/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Hours: Full Time (Monday - Friday/40hrs a week) Office Location: El Segundo, CA (In-Person ... Maintain accurate, up-to-date provider credentialing files, including but not limited to licenses ...

Behavior Frontiers

Credentialing Manager

El Segundo, CA · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Hours: Full Time (Monday - Friday/40hrs a week) Office Location: El Segundo, CA Headquarters (In ... Create and maintain individual provider files including credentialing status and supporting ...

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All JobsProvider Credentialing JobsFull Time Provider Credentialing JobsFull Time Provider Credentialing Jobs in California

Full Time Provider Credentialing information

Is full time provider credentialing hard?

Full time provider credentialing can be complex and time-consuming, requiring attention to detail, organization, and knowledge of regulatory requirements. It often involves gathering extensive documentation, completing applications accurately, and coordinating with licensing boards and insurance companies. Success depends on understanding the process and maintaining thorough records throughout the credentialing cycle.

What is the career path for full time provider credentialing?

A career in full time provider credentialing typically begins with an entry-level role such as credentialing specialist or coordinator, focusing on verifying provider qualifications and maintaining compliance. Progression can lead to senior credentialing roles, manager positions, or specialized compliance and accreditation roles, often requiring experience, attention to detail, and knowledge of healthcare regulations and credentialing software. Continuing education and certifications in healthcare administration or compliance can support career advancement.

What is the difference between Full Time Provider Credentialing vs Part Time Provider Credentialing?

AspectFull Time Provider CredentialingPart Time Provider Credentialing
Credentials RequiredSame certifications, licenses, and background checks as full-time providersSame credentials, but may require additional verification for limited hours
Work EnvironmentFull-time employment, consistent schedule, often in clinics or hospitalsPart-time hours, flexible scheduling, similar settings
Employer & Industry UsageUsed by healthcare organizations hiring full-time staffUsed for part-time or per diem providers in healthcare

Full Time Provider Credentialing involves verifying credentials for providers working full-time, ensuring they meet all industry standards for continuous employment. Part Time Provider Credentialing applies to providers working fewer hours, with similar credential requirements but often with additional verification for limited schedules. Both processes ensure providers are qualified and compliant with industry standards, but differ mainly in employment status and scheduling.

What are the most commonly searched types of Provider Credentialing jobs in California? The most popular types of Provider Credentialing jobs in California are:
What cities in California are hiring for Full Time Provider Credentialing jobs? Cities in California with the most Full Time Provider Credentialing job openings:
Full Time Provider Credentialing jobs near you

Credentialing Coordinator (29011)

AMPLA HEALTH

Yuba City, CA • On-site

$31.63 - $40.77/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 5 days ago

Ampla Health rating

8.9

Company rating: 8.9 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

Job description

Why work for Ampla Health? 29011
Ampla Health provides the individuals and communities we serve with high quality, comprehensive, community health care that is accessible to all and culturally and linguistically appropriate.
  • Great Benefits including Medical, Dental, and Vision
  • 4 weeks paid time off to start.
  • 9 paid holidays
  • 401k and profit sharing
  • Full time, Monday to Friday
  • Great work/home life balance

Serve as lead and primary resource for all staff, provide training and work direction to all staff, review and audit credentialing files for accuracy, monitor deadlines, identify process improvements, act as liaison between PAS Manager and staff. Individual will receive 10% increase for providing lead duties.
General Purpose
Under the supervision of the PAS Manager, the Provider Credentialing Coordinator manages the credentialing and enrollment process for providers, clinics, and pharmacies. This role ensures accurate and timely submission of applications, renewals, and documentation required for participation with insurance plans, third-party organizations, and special programs.
Key Responsibilities
  • Process and maintain credentialing for providers, clinics, and pharmacies
  • Coordinate and submit applications, renewals, and re-validations with insurance organizations and third-party entities
  • Maintain provider files including licenses, identification numbers, and credentialing documentation
  • Obtain and manage provider information such as NPI and CAQH profiles
  • Track credentialing status, deadlines, and expirations using spreadsheets and internal systems
  • Communicate with insurance companies and outside organizations to resolve credentialing issues
  • Update and maintain provider rosters and credentialing records
  • Assist the PAS Manager with credentialing projects and administrative support

Qualifications
  • High school diploma required; some college preferred
  • Minimum four (4) years of clerical or administrative experience
  • Credentialing experience with providers, clinics, or pharmacies preferred
  • Proficiency in Microsoft Excel and general office systems
  • Strong organizational skills and ability to manage deadlines

Skills & Attributes
  • Detail-oriented with strong problem-solving abilities
  • Professional communication and interpersonal skills
  • Ability to work independently and manage multiple credentialing processes

GENERAL PURPOSE:
Under the supervision of the PAS Manager, the Provider Credentialing Coordinator processes all applications forms, agreements and correspondence associated with all preferred provider organizations, independent provider organizations, special programs, other third party provider and group organizations, pharmacy credentialing for all entities with whom Ampla Health has established or would have contractual relationships with.
MAIN RESPONSIBILITIES & DUTIES:
  1. Processes and maintains up to date individual providers, clinics and pharmacy credentialing.
  1. Coordinates and secures the necessary information and completes forms to satisfy the individual provider criteria, clinic and pharmacy credentialing requirements for both initial application as well as annual renewals and re-credentialing/re-validations of clinics and pharmacies.
  2. Coordinates contracts, and coverage changes which have been approved by the Chief Financial Officer
  3. Maintains current essential files for providers, clinics and pharmacies ensuring that addresses, licenses, ID numbers, etc., are kept up to date, and readily available for credentialing purposes
  1. Obtaining and establishing provider's information
  1. Obtains National Provider Identifier (NPI), if necessary, via National Plan and Provider Enumeration System (NPPES) online site
  2. Establishes and/or obtain access to provider's Council for Affordable Quality Healthcare (CAQH) Universal Credentialing Data Sources file
  1. Reviews initial information and supply PAS Manager with provider file data
  2. Updates and maintains the provider roster as needed
  3. Reviews status of any credentialing in place at time of hire, going directly to previous employer, if necessary
  4. Sends and submits letter/application to organizations
  1. Sends out letters of provider credentialing transfer to active organizations
  2. Sends out letters of credentialing request for those organizations aligned with Ampla Health
  3. Completes applications when received and submit back to organization within the specified timeframe.
  4. Sends out terminations letters to all organizations to sever Ampla Health from established credentialing relationships
  1. Assists the PAS Manager in determination of the feasibility of the various proposed fees for service
  2. Attends educational workshops, webinars, review professional publications, and network to maintain the provider roster, clinic enrollment, pharmacy enrollment and re-validations as needed for the various programs Ampla participates in.
  3. Assists the PAS Manager with special projects as required

QUALITIES & CHARACTERISTICS:
  1. Maintains a professional relationship and positive attitude with co-workers, the public, patients and all Ampla Health's employee, Board of Directors, vendors and the many insurance companies and their representatives in order to complete the credentialing process timely and accurately.
  2. Maintains the highest professional ethics and is honest in dealing with people; is a model for all employees through his/her actions
  3. Strives to learn more and is receptive to learning different ways of doing things
  4. Displays enthusiasm toward the work and the mission of Ampla Health

PROFESSIONAL KNOWLEDGE, SKILLS & ABLITIES:
  1. Graduation from high school and two (2) years college or equivalent
  2. At least four (4) years performing clerical and/or bookkeeping duties
  3. Knowledge of individual provider, clinic and pharmacy credentialing preferred.
  4. Working knowledge of Microsoft Excel, creating and updating spreadsheets. Track expiration dates, maintain accurate information and meet critical deadlines for submitting information to insurance companies.
  5. Must have some business knowledge of office procedure and supervisory skills
  6. Ability to use general office equipment such as computer, typewriter, copy machine, telephone, etc.
  7. Demonstrate clear knowledge of Ampla Health's clinic structure, standards, procedures and protocols

COMMUNICATIONS SKILLS:
  1. Must be able to read and interpret complicated guidelines and processes based on what Ampla entity is being credentialed. Requirements are different for each type (provider, clinic, pharmacy).
  2. Be able to work independently and document requirements for each type of credentialing.
  3. Contact outside entities you are credentialing with and work to resolve complex issues as needed.
  4. Must have neat and legible handwriting
  5. Must be able to interact with patients courteously and calmly
  6. Ability to communicate well with the public

WORKING CONDITIONS & PHYSICAL REQUIREMENTS:
Works well with patients, co-worker, vendors, insurance company representatives in a generally comfortable environment. Employee must possess the following physical requirements:
  1. Must be able to hear and communicate with clients, insurances and staff on telephone and those who are served "in person", and speak clearly in order to communicate information to all involved.
  2. Able to move up to 50 lbs. (small equipment, supplies, etc.)
  3. Must have vision which is adequate to read memo's, computer screen, registration forms and other clinic documents
  4. May be exposed to contagious/infectious diseases
  5. Able to reach above shoulder level to work, must be able to bend, squat and sit, stand, stoop, crouch, reach, kneel, twist/turn
  6. May be exposed to contagious/infectious diseases

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