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Remote Credentialing Verification Organization Jobs in California

LIBERTY DENTAL

Coordinate with Credentialing Verification Organizations (CVOs) and CAQH as directed. * Maintain ... This is a fully remote position, but candidates must reside in Oklahoma or Florida Healthcare or ...

Skilled Wound Care

Credentialing Coordinator

Los Angeles, CA · Remote

$21 - $25/hr

... organization of all facets of the provider credentialing process. We will work with you to grow and ... This is a REMOTE role but MUST live in one of the following states: CA, CO,FL,GA,KS, MD,MO, NJ, NY ...

Skilled Wound Care

Credentialing Coordinator

Los Angeles, CA · Remote

$21 - $25/hr

... organization of all facets of the provider credentialing process. We will work with you to grow and ... This is a REMOTE role but MUST live in one of the following states: CA, CO,FL,GA,KS, MD,MO, NJ, NY ...

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Remote Credentialing Verification Organization information

What is the difference between Remote Credentialing Verification Organization vs Credentialing Specialist?

AspectRemote Credentialing Verification OrganizationCredentialing Specialist
Primary RoleProvides credentialing verification services for healthcare providers remotelyPerforms credentialing tasks directly for healthcare facilities or providers
Work EnvironmentTypically operates remotely, often for multiple clientsUsually works in healthcare facilities or administrative offices
Required CredentialsKnowledge of credentialing standards, healthcare regulationsCertifications like Certified Provider Credentialing Specialist (CPCS) often preferred

The main difference is that a Remote Credentialing Verification Organization offers credentialing services remotely for multiple clients, while a Credentialing Specialist performs credentialing tasks directly within healthcare organizations. Both roles require knowledge of healthcare standards, but their work settings and scope differ.

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The most popular types of Credentialing Verification Organization jobs in California are:

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Remote Credentialing Verification Organization jobs near you

Credentialing Coordinator

LIBERTY DENTAL

On-site, Remote

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 9 days ago

Job description

Join Liberty Dental Plan as a Credentialing Coordinator and play a vital role in building and maintaining a high-quality provider network.
If you have experience in credentialing and enjoy working in a fast-paced, detail-oriented environment, this is an opportunity to make a meaningful impact while collaborating with providers, dental offices, and internal teams to ensure compliance and excellence in provider credentialing.
About the Role
The Credentialing Coordinator supports the Credentialing Department by processing provider credentialing and recredentialing applications in accordance with National Committee for Quality Assurance (NCQA) guidelines and Liberty Dental Plan policies and procedures. 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 strong attention to detail, excellent organizational skills, and the ability to manage multiple priorities while maintaining production and quality standards.
What You'll Do
  • Review, collect, and process initial credentialing and recredentialing applications.
  • Ensure applications are complete, accurate, and compliant with NCQA, URAC, state, federal, and company requirements.
  • Serve as a primary point of contact for providers, vendors, and internal departments regarding credentialing inquiries.
  • Communicate effectively with providers via phone, email, and fax regarding credentialing questions and documentation needs.
  • Coordinate with Credentialing Verification Organizations (CVOs) and CAQH as directed.
  • Maintain accurate provider information and credentialing records within credentialing databases.
  • Monitor credentialing reports, provider status updates, and expiration dates.
  • Meet established production, quality, and turnaround time expectations.
  • Research and resolve credentialing-related issues while ensuring a high level of customer service.
  • Perform additional duties as assigned.
What You'll Bring
  • High School Diploma or GED.
  • Minimum of 2 years of professional experience in a dental, healthcare, managed care, customer service, or related environment.
  • Strong data entry, organizational, and time-management skills.
  • Excellent verbal and written communication skills.
  • Intermediate proficiency with Microsoft Office, including Word, Excel, and Outlook.
  • Ability to manage multiple priorities and meet deadlines in a production-focused environment.
  • Ability to research issues, identify solutions, and follow through to resolution.
  • Ability to work collaboratively as part of a team.

Credentialing experience is strongly preferred, including:
  • Health plan credentialing
  • Dental office credentialing
  • Processing credentialing and recredentialing applications

Additional preferences include:
  • Experience with NCQA, URAC, state, and federal credentialing regulations and guidelines.
  • Previous network management experience in a dental environment.
Why Join Liberty Dental Plan?
At Liberty Dental Plan, you'll be part of a team committed to supporting quality healthcare through accurate and compliant provider credentialing processes. You'll work with dedicated professionals, build valuable industry expertise, and contribute to an organization focused on service, collaboration, and operational excellence.
Work Environment
  • Office-based, sedentary work environment.
  • Frequent computer use, data entry, and close attention to detail.
  • Regular interaction with providers, vendors, and internal stakeholders.
Ready to Apply?
If you are detail-oriented, thrive in a fast-paced environment, and have credentialing experience within a health plan or dental setting, we encourage you to apply and join the Liberty Dental Plan team.
Liberty Dental Plan is an Equal Opportunity Employer and is committed to fostering an inclusive workplace where all employees can succeed.
Location
Our employees are distributed in office locations in multiple markets across the United States. We are unable to hire or allow employees to work outside of the United States.
Please note:
This is a fully remote position, but candidates must reside in Oklahoma or Florida
Healthcare or dental industry experience is required
What Liberty Offers
Happy, healthy employees enhance our ability to assist our members and contribute more actively to their communities. That's why Liberty offers competitive and attractive benefit packages for our employees. We strive to care for employees in ways that promote wellness and productivity.
We offer a first-class benefits package that includes:
  • Comprehensive medical coverage through Anthem, with affordable premiums and multiple plan options - including an HDHP with HSA eligibility.
  • 100% employer-paid dental insurance and low-cost vision coverage for employees and dependents.
  • 401(k) retirement plan with immediate vesting, employer match, Roth option, and access to professional financial advice.
  • Short-term disability and a variety of voluntary benefits, including accident, critical illness, and hospital indemnity insurance.
  • Generous paid time off, including vacation and sick leave with rollover options, plus 10 paid company holidays and a wellness day.
  • Additional benefits including company-paid life insurance, tuition reimbursement, an employee perks program, and flexible work options for eligible positions.

Compensation
In the spirit of pay transparency, the base salary range for this position is $21.00 - $25.00 per hour, not including fringe benefits or potential bonuses. At Liberty, your final base salary will be determined by factors such as geographic location, skills, education, and experience. We are committed to pay equity and also consider the internal equity of our current team members when making final compensation decisions.
Please note that the range listed represents the full base salary range for this role. Typically, offers are not made at the top of the range to allow for future salary growth.
Liberty Dental Plan commits to maintaining a work environment that acknowledges all individuals within the workplace and will continue to engage in practices that are inclusive of all backgrounds, experiences, and perspectives. We strive to have every person within the organization have a sense of belonging while encouraging individuals to unleash their full potential. Liberty will leverage diverse perspectives in building high performance teams and organizational culture.
Liberty Dental Plan will continue to strengthen and develop external partnerships by providing equitable health care access and improving population health in the communities we serve.
We comply with all applicable laws and regulations on non-discrimination in employment, recruitment, promotions, and transfers, as well as work authorization and employment eligibility verification requirements.
Sponsorship and Relocation Specifications
Liberty Dental Plan is an Equal Opportunity Employer / VETS / Disabled.
No relocation assistance or sponsorship available at this time.
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