Credentialing Specialist — Day-One Benefits & Growth

Pacific Clinics; Arcadia (CA); Presencial; USD 32.000 - 39.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical, dental, vision

Day-one benefits eligibility

401K match 4%

Paid time off

Descripción de la vacante

Pacific Clinics is seeking a Credentialing Specialist to ensure all healthcare professionals are properly credentialed and compliant with state, federal, and organizational standards. You will verify qualifications, maintain accurate records, and support timely re-credentialing to sustain high care quality.

The role requires performing primary source verifications, tracking renewals, maintaining databases, and coordinating with compliance and quality teams to meet NCQA/CMS/JCAHO standards, while

Formación

• AA/AS in healthcare administration or related field plus 2+ years credentialing experience.
• Experience with NCQA, CMS and The Joint Commission requirements.
• Proficiency with credentialing databases such as CAQH, Verity or MD-Staff; MS Office.

Responsabilidades

• Performs primary source verifications of licensure, board certifications, education and work history.
• Tracks and manages re-credentialing timelines for timely renewals.
• Maintains credentialing databases with accuracy and confidentiality.
• Communicates credentialing status and needs with providers and internal departments.
• Collaborates with compliance and quality teams to meet standards (NCQA, CMS, JCAHO).
• Prepares files for credentialing committee review and records decisions.

Conocimientos

Credentialing

Regulatory knowledge

MS Office

Communication

Confidentiality

CMS compliance

NCQA

CAQH

Educación

AA/AS in healthcare administration

Herramientas

CAQH

Verity

MD-Staff

Excel

Outlook

Word

Descripción del empleo

Pacific Clinics is seeking a Credentialing Specialist to ensure all healthcare professionals are properly credentialed and compliant with state, federal, and organizational standards. You will verify qualifications, maintain accurate records, and support timely re-credentialing to sustain high care quality.

The role requires performing primary source verifications, tracking renewals, maintaining databases, and coordinating with compliance and quality teams to meet NCQA/CMS/JCAHO standards, while