Credentialing Coordinator II

Jobylon AB; Sacramento (CA); On-site; USD 52,000 - 78,000; Full time

Job summary

Jobylon AB is seeking a Credentialing Coordinator II to support credentialing and provider enrollment operations. You will prepare and maintain credentialing files, validate provider data, monitor expirables, and assist with enrollment applications.

Responsibilities include primary source verification, ensuring completeness, and managing documentation while maintaining confidentiality and timely follow-ups in a fast-paced environment.

Qualifications

• 1+ years of recent relevant experience in healthcare credentialing or provider enrollment.
• High school diploma or GED required.
• Experience with preparing, maintaining, and auditing healthcare credentialing files and provider documentation.
• Experience with provider data validation, primary source verification, and monitoring provider expirables.
• Experience with payer and provider enrollment workflows, documentation collection, and follow-up.
• Proficiency in Microsoft Word, Excel, and credentialing or provider data systems.
• Ability to manage shared departmental inboxes and ensure timely, accurate follow-up.
• Ability to organize, prioritize, and manage multiple workflows with minimal supervision in a fast-paced environment.
• Strong attention to detail, problem-solving skills, and ability to maintain confidential credentialing information.

Responsibilities

• Prepare, maintain, and audit credentialing files and provider documentation.
• Perform primary source verification and monitor expirables.
• Assist with payer/provider enrollment applications and documentation collection.
• Maintain organized, confidential credentialing records with timely follow-up.

Skills

Credentialing operations

Provider enrollment

Primary source verification

Documentation auditing

Payer enrollment workflows

Team inbox management

Multitasking

Attention to detail

Education

High school diploma or GED

Tools

Microsoft Word

Microsoft Excel

Credentialing systems

Provider data systems

Job description

Responsibilities :

• The Credentialing Coordinator II supports credentialing and provider enrollment operations by preparing and maintaining credentialing files, validating provider data, monitoring expirables, collecting required documentation, and assisting with payer and provider enrollment applications.
• Responsibilities include performing primary source verification, reviewing information for completeness and accuracy, following up on outstanding documentation, maintaining confidential credentialing records, and managing shared departmental inboxes.
• The role also supports payer maintenance, reporting, enrollment cleanup projects, and data-quality initiatives while identifying and resolving documentation or workflow issues.
• This position requires strong organization, attention to detail, and the ability to manage multiple priorities while maintaining accurate records, timely turnaround times, and compliance with established credentialing processes

Required Skills:

• 1+ years of recent relevant experience in healthcare credentialing, provider enrollment, or related healthcare operations.
• High school diploma or GED required.
• Experience with preparing, maintaining, and auditing healthcare credentialing files and provider documentation.
• Experience with provider data validation, primary source verification, and monitoring provider expirables.
• Experience with payer and provider enrollment application workflows, documentation collection, and follow-up.
• Proficiency in Microsoft Word, Excel, and credentialing or provider data systems.
• Ability to manage shared departmental inboxes and ensure timely, accurate follow-up.
• Ability to organize, prioritize, and manage multiple workflows with minimal supervision in a fast-paced environment.
• Strong attention to detail, problem-solving skills, and ability to maintain confidential credentialing information.

Preferred Skills:

• Experience supporting healthcare credentialing verification or provider enrollment operations.
• Experience with healthcare data management, reporting, or credentialing system maintenance.
• Experience supporting enrollment cleanup projects, payer maintenance, or data-quality initiatives.
• Experience with Railroad Medicare enrollment processes.
• Experience with California Children's Services enrollment processes

Required Skills:

• 1+ years of recent relevant experience in healthcare credentialing, provider enrollment, or related healthcare operations.
• High school diploma or GED required.
• Experience with preparing, maintaining, and auditing healthcare credentialing files and provider documentation.
• Experience with provider data validation, primary source verification, and monitoring provider expirables.
• Experience with payer and provider enrollment application workflows, documentation collection, and follow-up.
• Proficiency in Microsoft Word, Excel, and credentialing or provider data systems.
• Ability to manage shared departmental inboxes and ensure timely, accurate follow-up.
• Ability to organize, prioritize, and manage multiple workflows with minimal supervision in a fast-paced environment.
• Strong attention to detail, problem-solving skills, and ability to maintain confidential credentialing information.