Credentialing & Licensing Specialist (Payor Enrollment)

Ultimate Staffing; Livingston (CA); On-site; USD 33,000 - 36,000; Full time

Job summary

Ultimate Staffing Services in California is seeking a Credentialing Specialist to manage the full credentialing lifecycle, payor enrollment, and facility licensing while ensuring regulatory compliance and a smooth provider onboarding experience. The role emphasizes attention to detail, strong organizational and communication skills, and the ability to coordinate across multiple teams.

Candidates should be comfortable handling complex documentation and maintaining accurate credentialing data in

Qualifications

• Experience in a related credentialing role is preferred.
• Strong organizational and communication skills.
• Attention to detail and ability to manage multiple tasks efficiently.

Responsibilities

• Oversee full credentialing lifecycle for providers and staff, including primary source verification and recredentialing.
• Coordinate privileging processes and ensure reviews and approvals by the Board of Directors.
• Maintain accurate provider files, credentialing databases, and software systems.
• Track licenses, DEA, malpractice insurance, board certifications, NPDB, and other documents for ongoing compliance.
• Coordinate annual peer review results and ensure integration into recredentialing and reprivileging.
• Prepare reports for committees and board regarding credentialing status.

Skills

Organizational skills

Communication skills

Attention to detail

Job description

Ultimate Staffing Services in California is seeking a Credentialing Specialist to manage the full credentialing lifecycle, payor enrollment, and facility licensing while ensuring regulatory compliance and a smooth provider onboarding experience. The role emphasizes attention to detail, strong organizational and communication skills, and the ability to coordinate across multiple teams.

Candidates should be comfortable handling complex documentation and maintaining accurate credentialing data in