Credentialing Coordinator

TEKsystems; California (MO); On-site; USD 44,000 - 52,000; Full time

Benefits offered by this job

Medical, dental & vision

401(k) Retirement Plan

Life Insurance

Disability

Job summary

TEKsystems is seeking a detail-oriented Credentialing Coordinator for a high-volume healthcare credentialing department in a hospital setting. The role supports initial and recredentialing efforts, maintains records, and ensures regulatory compliance on a fully onsite basis in Mission Hills, CA.

The ideal candidate has recent credentialing experience, is proficient with MD-Staff software, and can manage a high-volume workload with accuracy, professionalism, and collaboration within the team.

Qualifications

• 1–3 years of credentialing experience in healthcare.
• Experience with MD-Staff credentialing software.
• Ability to handle 80+ credentialing applications per month.
• Strong organizational, communication, and documentation skills.
• Proficiency with Microsoft Office.
• Ability to work effectively in a collaborative team environment.

Responsibilities

• Process initial credentialing and recredentialing applications.
• Perform primary source verification of licenses, board certifications, education, and affiliations.
• Maintain physician, practitioner, facility, and credentialing verification files.
• Manage credentialing databases, reports, correspondence, and provider directory updates.
• Support credentialing committees with meeting preparation and minutes.
• Monitor licensing actions and conduct follow-up research.
• Assist with ongoing monitoring programs and expiring document tracking.
• Coordinate health plan notifications for newly credentialed providers.
• Perform credentialing file audits to ensure compliance with standards.
• Assist with annual health plan audits and accreditation reviews.
• Reconcile internal and external provider rosters.
• Prepare reports for credentialing committees and leadership.
• Collaborate on quality, compliance, and risk management concerns.

Skills

Credentialing

MD-Staff

High-volume workload

Organizational skills

Communication

Documentation

Microsoft Office

Teamwork

Education

Bachelor's degree in Healthcare Admin

CPCS certification

Tools

MD-Staff software

Job description

Job Description

Credentialing Coordinator

Location: Mission Hills, CA

Schedule: Monday-Friday, 8:00 AM to 4:30 PM

Work Setting: Fully Onsite

Duration: 6-Month Contract

Pay Rate: $32.00-$38.00 per hour

Position Overview

We are seeking a detail-oriented Credentialing Coordinator to support a high-volume healthcare credentialing department within a hospital environment. This position is responsible for coordinating initial and recredentialing activities for providers, maintaining credentialing records, ensuring compliance with regulatory requirements, and supporting credentialing committees and audits.

The ideal candidate will have recent credentialing experience, familiarity with MD-Staff software, and the ability to manage a high volume of applications while maintaining accuracy and professionalism.

Key Responsibilities

• Process initial credentialing and recredentialing applications in accordance with established policies and procedures.
• Perform primary source verification of licenses, board certifications, education, malpractice insurance, hospital affiliations, malpractice history, peer references, and regulatory sanctions.
• Maintain physician, practitioner, facility, and credentialing verification organization files.
• Manage credentialing databases, reports, correspondence, online applications, and provider directory updates.
• Support credentialing committee activities, including meeting preparation, reporting, minutes, and follow-up documentation.
• Monitor licensing and regulatory agencies for adverse actions and conduct required follow-up research.
• Assist with ongoing monitoring programs and expiring document tracking.
• Coordinate health plan notifications for newly credentialed providers.
• Perform credentialing file audits to ensure compliance with organizational and regulatory standards.
• Assist with annual health plan audits and accreditation reviews.
• Reconcile internal and external provider rosters.
• Prepare reports and documentation for credentialing committees, quality committees, leadership, and health plans.
• Participate in provider office evaluations and corrective action follow-up activities when required.
• Collaborate with leadership regarding quality, compliance, and risk management concerns.

Required Qualifications

• 1-3 years of recent credentialing experience.
• Experience working in a healthcare, hospital, medical group, or managed care environment.
• Experience using MD-Staff credentialing software.
• Ability to manage a high-volume workload, including 80+ credentialing applications per month.
• Strong organizational, communication, and documentation skills.
• Proficiency with Microsoft Office applications.
• Ability to work effectively in a collaborative team environment.

Preferred Qualifications

• CPCS (Certified Provider Credentialing Specialist) certification.
• Bachelor's degree in Healthcare Administration, Business Administration, or a related field.
• Experience with provider, facility, and ancillary credentialing.
• Knowledge of NCQA, DMHC, Medicare, and health plan credentialing requirements.
• Experience supporting credentialing audits and regulatory compliance initiatives.

What You'll Bring

• Strong attention to detail and accuracy.
• Excellent interpersonal and communication skills.
• Ability to prioritize competing deadlines in a fast-paced environment.
• Professionalism when interacting with providers, leadership, and external organizations.
• A proactive and collaborative approach to problem-solving.

Why Join Us?

• Opportunity to support a respected healthcare organization.
• Comprehensive exposure to hospital credentialing operations.
• Stable Monday-Friday schedule with no expected weekends or overtime.
• Collaborative team environment with strong leadership support.

Job Type & Location

This is a Contract position based out of Mission Hills, CA 91345.

Pay and Benefits

The pay range for this position is $32.00 - $38.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disabil