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Provider Credentialing Jobs in California (NOW HIRING)

Pacer Group

Credentialing Coordinator

Los Angeles, CA · On-site

This role ensures all provider credentials meet organizational and regulatory standards while maintaining accurate and up-to-date records. Key Responsibilities * Manage and process provider ...

LIBERTY DENTAL

This role works closely with providers, external credentialing partners, and internal departments to ensure timely, accurate, and compliant credentialing activities. Success in this role requires ...

HiredFirst

Credentials Coordinator

Los Angeles, CA · On-site

$1.4K - $1.6K/wk

Coordinate provider credentialing, reappointments, and privileging processes * Perform primary source verification and maintain accurate credential files * Support provider onboarding, orientation ...

HiredFirst

Credentials Coordinator

Los Angeles, CA · On-site

$1.4K - $1.6K/wk

Coordinate provider credentialing, reappointments, and privileging processes * Perform primary source verification and maintain accurate credential files * Support provider onboarding, orientation ...

Robert Half

Credentialing Specialist

El Segundo, CA · On-site

$22 - $28/hr

This Credentialing Specialist is ideal for someone who can quickly step into a busy environment and provide hands-on support to a credentialing team managing a significant workload. The Credentialing ...

Akido

Credentialing Specialist

Chino, CA · On-site

Credentialing/enrollment activities on this team include ... Filling out provider enrollment applications with health plans, Medicare, Medicaid and hospitals.

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All JobsProvider Credentialing JobsProvider Credentialing Jobs in California

Provider Credentialing information

See California salary details

$13

$24

$38

How much do provider credentialing jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for provider 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 provider credentialing?

Provider credentialing is the process by which healthcare organizations verify and assess the qualifications, experience, and professional background of medical providers, such as doctors, nurses, and specialists. This includes checking education, training, licenses, certifications, work history, and any malpractice or disciplinary actions. Credentialing ensures that providers meet the standards required to deliver care and are eligible for participation in health insurance networks. It is a critical step for patient safety and regulatory compliance. The process must be repeated periodically to maintain up-to-date records and ensure ongoing eligibility.

What are the key skills and qualifications needed to thrive in provider credentialing, and why are they important?

To thrive in Provider Credentialing, you need strong attention to detail, organizational skills, and knowledge of healthcare regulations, typically supported by a background in healthcare administration or related fields. Familiarity with credentialing software, databases, and compliance tools such as CAQH ProView and state licensure systems is essential. Exceptional communication, problem-solving, and time management skills help professionals interact with providers and manage complex documentation processes. These competencies ensure accurate provider verification, regulatory compliance, and efficient onboarding, which are critical for healthcare organizations.

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

A common challenge in Provider Credentialing is managing multiple deadlines and ensuring all documentation is accurate and up to date for various healthcare providers. The process often involves coordinating with providers, insurance companies, and regulatory bodies, which can lead to delays if communication is not clear. Staying organized, maintaining detailed records, and using credentialing management software can help streamline workflow and reduce errors. Building strong relationships with providers and team members also aids in resolving issues quickly and efficiently.

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

AspectProvider CredentialingMedical Billing Specialist
Required CredentialsLicenses, certifications, provider credentialsBilling certifications, coding knowledge
Work EnvironmentHealthcare facilities, insurance companiesMedical offices, billing companies
Employer & Industry UsageHospitals, clinics, insurance providersMedical practices, billing firms
Search & Comparison IntentUnderstanding credentialing process, requirementsBilling procedures, coding, reimbursement

Provider Credentialing focuses on verifying healthcare providers' qualifications to ensure they meet industry standards, while Medical Billing Specialists handle coding, billing, and reimbursement processes. Both roles are essential in healthcare operations but serve different functions within the industry.

How to get into provider credentialing?

To enter provider credentialing, candidates typically need a background in healthcare administration, medical billing, or related fields, along with strong organizational and communication skills. Gaining certification such as the Certified Provider Credentialing Specialist (CPCS) can enhance job prospects. Familiarity with healthcare regulations and credentialing software is also beneficial.

Is provider credentialing hard?

Provider credentialing can be a complex process that involves verifying a healthcare professional’s qualifications, licenses, and work history, often requiring attention to detail and organization. It typically involves working with multiple organizations and adhering to specific regulations, which can make the process time-consuming and challenging for some providers. Strong communication skills and familiarity with credentialing software can help streamline the process.

What does a provider credentialing specialist do?

A provider credentialing specialist is responsible for verifying healthcare providers' qualifications, licenses, and certifications to ensure they meet the standards required by insurance companies and healthcare organizations. They manage the credentialing process, maintain accurate provider records, and ensure compliance with regulatory requirements, often using specialized credentialing software. This role requires attention to detail, knowledge of healthcare regulations, and strong organizational skills.

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 are popular job titles related to Provider Credentialing jobs in California?

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

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

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

What cities in California are hiring for Provider Credentialing jobs?

Cities in California with the most Provider Credentialing job openings:

Provider Credentialing jobs near you
Infographic showing various Provider Credentialing job openings in California as of August 2026, with employment types broken down into 2% As Needed, 81% Full Time, 12% Part Time, and 5% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $50,001 per year, or $24 per hour.

Credentialing and Provider Enrollment Coordinator

Balance Health

Concord, CA • On-site

Full-time

Re-posted 26 days 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.