Credentialing Coordinator

Advanced Medical Management, Inc.; Long Beach (CA); On-site; USD 50,000 - 65,000; Full time

Benefits offered by this job

Health coverage (HMO)

Flexible PPO option

FSAs

401(k) retirement plan

PTO

Sick pay (40 hours)

13 paid holidays

Tuition reimbursement

Job summary

Advanced Medical Management, Inc. (AMM) in Long Beach, CA is seeking a Credentialing Coordinator to ensure every practitioner meets standards set by AMM, NCQA, CMS, and health plans. You’ll handle initial credentialing, re-credentialing, and ongoing provider maintenance with accuracy and compliance.

The role emphasizes ownership, structure, and problem-solving in a high-trust environment, with regular weekday hours and a focus on precise, timely verifications and committee processes.

Qualifications

• 2+ years of administrative healthcare experience preferred.
• Proficiency with Microsoft Word, Outlook, Excel, and Adobe Pro.
• Excellent written and verbal communication skills.
• Strong organizational skills and time management.
• High attention to detail with a low tolerance for errors.
• A self-starter who can work independently or as part of a team.
• Comfortable multi-tasking in a fast-paced environment.
• A natural problem-solver.
• Available Monday–Friday, 8:00 AM – 5:00 PM.

Responsibilities

• Enter and manage provider information in EZCap and our Provider Network Program application.
• Process primary source verifications (outgoing and incoming).
• Conduct OIG, SAM, Medicare Opt-Out, and Preclusion List sanction checks.
• Run NPDB, AMA, and other required verifications.
• Confirm every application meets credentialing requirements.
• Prepare provider files for Credentialing Committee review.
• Process committee outcomes — meeting minutes, system updates, and notification letters to providers and internal teams.
• Identify providers due for re-credentialing and manage renewal end-to-end.
• Process primary source verifications and required sanction/verification checks.
• Coordinate peer review and prepare files for committee review.
• Process committee outcomes and provider notifications.
• Monitor and confirm provider status.
• Keep EZCap and the Provider Network Program current — demographics, terminations, and activations.
• Build and maintain credentialing provider rosters.
• Support other credentialing needs as they come up.

Skills

Healthcare administration

Communication skills

Organizational skills

Independent work

Multi-tasking

Problem-solving

Time management

Tools

Microsoft Word

Outlook

Excel

Adobe Pro

Job description

Advanced Medical Management, Inc. (AMM) is a full-service healthcare management and business consulting company based in Long Beach, CA. For over 30 years, we've supported physician organizations, government agencies, and health plans across California — managing provider networks, claims, and administrative operations for approximately 2,000 physicians and 75,000 patients through Independent Physician Associations (IPAs).

About the Role

Credentialing is the backbone of trust in healthcare — it's how patients know their providers are qualified, compliant, and safe to see. As our Credentialing Coordinator, you'll be the person making sure every practitioner in our network meets the rigorous standards set by AMM, NCQA, CMS, and our contracted health plans, from state licensure to graduate training to ongoing certification.

This is a detail-driven, high-trust role at the heart of our operations. If you're the kind of person who takes pride in getting things exactly right, thrives on structure, and enjoys solving problems independently, this role offers real ownership and impact from day one.

What You'll Do

Initial Credentialing

• Enter and manage provider information in EZCap and our proprietary Provider Network Program application
• Process primary source verifications (outgoing and incoming)
• Conduct OIG, SAM, Medicare Opt-Out, and Preclusion List sanction checks
• Run NPDB, AMA, and other required verifications
• Confirm every application meets standard credentialing requirements
• Prepare provider files for Credentialing Committee review
• Process committee outcomes — meeting minutes, system updates, and notification letters to providers and internal teams

Re-Credentialing (Every 3 Years)

• Identify providers due for re-credentialing and manage the renewal process end-to-end
• Process primary source verifications and required sanction/verification checksCoordinate peer review and prepare files for committee review
• Process committee outcomes and provider notifications
• Monitor and confirm provider status

Ongoing Provider Maintenance

• Keep EZCap and the Provider Network Program application current — demographic updates, terminations, and new provider activations
• Build and maintain accurate credentialing provider rosters
• Support other credentialing needs as they come up

What You Bring

• 2+ years of administrative healthcare experience preferred
• Comfortable with Microsoft Word, Outlook, Excel, and Adobe Pro
• Excellent communication skills — written and verbal
• Sharp organizational skills and strong time management
• High attention to detail, with a low tolerance for errors
• A self-starter who's just as effective working independently as part of a team
• Comfortable multi-tasking in a fast-paced environment
• A natural problem-solver
• Available Monday–Friday, 8:00 AM – 5:00 PM

AMM BENEFITS

When you join AMM, you’re not just getting a job—you’re getting a benefits package that puts YOU first:

• Health Coverage You Can Count On: Full employer-paid HMO and the option for a flexible PPO plan.
• Wellness Made Affordable: Discounted vision and dental premiums to help keep you healthy from head to toe.
• Smart Spending: FSAs to manage healthcare and dependent care costs, plus a 401(k) to secure your future.
• Work-Life Balance: Generous PTO, 40 hours of sick pay, and 13 paid holidays to enjoy life outside of work.
• Career Development: Tuition reimbursement to support your education and growth.