Credentialing Coordinator - Medical Foundation Administration

Providence; Mission Hills (CA); On-site; USD 60,000 - 85,000; Full time

Job summary

Providence Facey Medical Foundation is seeking a Credentialing Specialist to manage credentialing, privileging, and licensing activities for physicians and providers. The role requires coordinating payer interactions, tracking data, and reporting on credentialing progress to ensure timely credentialing and compliance.

The ideal candidate has healthcare experience and at least two years in a medical credentialing environment, with strong attention to detail, communication, and problem-solving

Qualifications

• 4 years of current experience in health care setting.
• 2 years of experience in a medical credentialing environment (payer, IPA, medical group, or institutional privileging).

Responsibilities

• Processing and facilitating credentialing, privileging and licensing activities.
• Tracking and reporting pertinent data to monitor the credentialing activities of physicians/providers.
• Responding to economic and legislative issues as they relate to credentialing.

Skills

Healthcare experience

Job description

Credentialing Specialist is responsible for processing and facilitating the credentialing, privileging and licensing and select payer activities for Providence. Further, the Credentialing Specialist is also responsible for the tracking and reporting of pertinent data to monitor the credentialing activities of the physician/providers providing professional medical services for Providence . In addition, the specialist is knowledgeable and can respond to economic and legislative issues as they relate to Credentialing activities for Providence.

Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Facey Medical Foundation and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Required qualifications:

• 4 years of current experience in health care setting.
• 2 years of experience in a medical credentialing environment (payer, IPA, medical group, or institutional privileging).

Preferred qualifications:

• Medical group experience or related area.

Why Join Providence?

Ourbest-in-class benefitsare uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering ourmissionof caring for everyone, especially the most vulnerable in our communities.