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Healthcare Credentialing Jobs in California (NOW HIRING)

A healthcare company is looking for Credentialing Specialist to join a healthcare organization in El Segundo, California. This Credentialing Specialist is ideal for someone who can quickly step into ...

The Opportunity Are you driven to build the systems that keep healthcare running seamlessly? As a Credentialing Specialist, you'll be part of our credentialing/provider enrollment team to ensure ...

Credentialing Specialist

Chino, CA · On-site

$24 - $33/hr

The Opportunity Are you driven to build the systems that keep healthcare running seamlessly? As a Credentialing Specialist, you'll be part of our credentialing/provider enrollment team to ensure ...

The Credentialing Coordinator is responsible for coordinating, monitoring, and maintaining the credentialing and recredentialing processes of health care providers and practitioners to ensure they ...

The Opportunity Are you driven to build the systems that keep healthcare running seamlessly? As a ... Credentialing/enrollment activities on this team include: * Filling out provider enrollment ...

Experience working with insurance networks, healthcare credentialing, or ABA providers preferred ... Excellent organizational skills with a strong ability to multi-task and navigate multiple systems ...

Experience working with insurance networks, healthcare credentialing, or ABA providers preferred ... Excellent organizational skills with a strong ability to multi-task and navigate multiple systems ...

Experience working with insurance networks, healthcare credentialing, or ABA providers preferred ... Excellent organizational skills with a strong ability to multi-task and navigate multiple systems ...

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Healthcare Credentialing information

See California salary details

$13

$24

$38

How much do healthcare credentialing jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for healthcare credentialing in California is $24.04, according to ZipRecruiter salary data. Most workers in this role earn between $18.99 and $27.26 per hour, depending on experience, location, and employer.

What is healthcare credentialing?

Healthcare credentialing is the process of verifying the qualifications, experience, and professional background of healthcare providers, such as doctors, nurses, and other practitioners. This process ensures that healthcare professionals meet specific standards required by hospitals, insurance companies, and regulatory agencies. Credentialing typically involves validating education, training, licensure, certifications, and work history. It is essential for maintaining patient safety, regulatory compliance, and the quality of care within healthcare organizations.

What are the key skills and qualifications needed to thrive in healthcare credentialing?

To thrive in Healthcare Credentialing, you need meticulous attention to detail, a solid understanding of healthcare regulations, and experience with credentialing processes, often supported by a degree in healthcare administration or a related field. Familiarity with credentialing management software (such as CAQH or Verity), compliance databases, and knowledge of Joint Commission standards are typically required. Strong organizational skills, clear communication, and the ability to handle confidential information make candidates stand out. Mastery of these skills ensures accurate provider verification, regulatory compliance, and timely onboarding, all of which are vital for patient safety and institutional integrity.

What are some of the main challenges healthcare credentialing specialists face in maintaining up-to-date provider records?

Healthcare credentialing specialists often encounter challenges such as frequent changes in provider information, varying requirements from different insurance companies, and tight deadlines for credentialing renewals. Staying organized and maintaining accurate, up-to-date records is crucial, as incomplete or outdated information can delay provider onboarding or disrupt patient care. Effective communication with both providers and regulatory bodies is key to overcoming these hurdles, and many teams rely on specialized credentialing software to streamline the process and ensure compliance.

What is the difference between Healthcare Credentialing vs Medical Billing Specialist?

AspectHealthcare CredentialingMedical Billing Specialist
Primary FocusVerifying provider credentials and licensingProcessing insurance claims and payments
Required CertificationsCredentialing certifications, healthcare complianceBilling and coding certifications (e.g., CPC)
Work EnvironmentHospitals, clinics, insurance companiesMedical offices, billing companies
Industry UsageHealthcare administration, provider onboardingRevenue cycle management, billing departments

Healthcare Credentialing and Medical Billing Specialists both operate within healthcare administration but focus on different aspects. Credentialing ensures providers meet licensing standards, while billing specialists handle insurance claims. Understanding these differences helps clarify career paths and job roles in healthcare administration.

How to get into healthcare credentialing?

To enter healthcare credentialing, individuals typically need a high school diploma or equivalent, with some roles requiring a postsecondary certificate or associate degree in health administration or related fields. Gaining experience in healthcare settings and developing skills in attention to detail, organization, and knowledge of licensing and certification processes are important. Certification programs, such as the Certified Provider Credentialing Specialist (CPCS), can enhance job prospects and credibility in the field.

Is healthcare credentialing a hard job?

Healthcare credentialing can be challenging due to the detailed review of provider qualifications, compliance requirements, and the need for accuracy. It often requires strong organizational skills, attention to detail, and familiarity with healthcare regulations and credentialing software. The job may involve repetitive tasks and tight deadlines, but it is manageable with proper training and experience.

What cities in California are hiring for Healthcare Credentialing jobs?

Cities in California with the most Healthcare Credentialing job openings:

Infographic showing various Healthcare Credentialing job openings in California as of August 2026, with employment types broken down into 2% As Needed, 72% Full Time, 12% Part Time, and 14% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $50,001 per year, or $24 per hour.

Managed Care Credentialing Coordinator

Northeast Community Clinic

Alhambra, CA • On-site

Other

Posted 3 days ago

New


Job description

Managed Care Credentialing Coordinator

Manage, maintain and update files for all credentialing applications. Responsible for processing credentialing and recredentialing applications accurately and in a timely manner. Coordinate with medical office staff, licensing/regulatory agencies, and insurance carriers to ensure Quality Assurance compliance.

Schedule: Flexible, may require some evening and weekends

Primary Duties and Responsibilities

  • Facilitate initial credentialing, on-going monitoring and re-credentialing process of all Providers in accordance with the National Committee for Quality Assurance standards.
  • Maintain and update database for provider credentialing, including applications and all other related documents, such as California Medical license, DEA registration, NPI number, Medical School Diploma.
  • Communicates with internal departments to assess addition and removal of providers onto NECC malpractice insurance; process renewal of malpractice insurance on a yearly basis.
  • Complete California Participating Physician Application for all new providers and submit to IPA/Health Plans Credentialing Committee for approval; provide IPA/Health Plans with any additional Provider data, as requested.
  • Serve as point of contact for IPAs; responsible for advising IPAs of all Provider changes and/or updates, including: demographic changes, clinic assignments, new Providers and release of existing Providers.
  • Update IPAs of all Providers' renewed licenses (Medical licenses, DEA registration, etc).
  • Process Hospital Privileges Application for providers, as advised by Operations Director.
  • Responsible for completing all Health Plan/IPA and questionnaires.
  • Prepare and submit verification letters.
  • Provide status reports as requested.
  • Handle confidential information in an appropriate manner.
  • Attend meetings and seminars, as necessary.
  • Maintain a positive working relationship with staff.
  • Serves as the Licensing/Certifications Department back up.
  • Other duties as designated by Operations Director or Executive Director

Minimum Requirements • Microsoft Office/Word/Excel/Outlook • Excellent Communication Skills • Excellent Customer Service Skills • Bi-lingual Spanish/English (preferred) • Ability to work as a team player and work independently • Reliable transportation • Must be able to travel from facility to facility • This position requires 10 % travel outside the local area. Required Education/Experience and/or Licensure/Certifications • AA Degree or higher, experience may substitute for education • 1-2 year minimum experience in healthcare administrative support • Familiar with Managed Care Programs and Knowledge of Credentialing Process • Commitment to goals and philosophy of Northeast Community Clinic • Valid State Identification Physical Requirements and Working Conditions • OSHA Category 3 – Involves no regular exposure to blood, body fluids, or tissues, and tasks that involve exposure to blood, body fluids, or tissues are not a condition of employment. • The work is majority of the time sedentary in nature. • The employee is regularly required to communicate, frequently required to use repetitive motions, move, remain stationary, regularly push, pull and lift up to 20 pounds and occasionally push, pull and lift up to 40 pounds. • Must possess mobility to work in a standard office/clinic setting (in some cases both settings) and to use standard office/clinic equipment, including a computer, stamina to maintain attention to detail despite interruptions, read printed materials and use a computer, and communicate in person and over the telephone.