Credentialing Specialist - Remote/Hybrid Compliance

Downtown Boulder Partnership; Cerritos (CA); Hybrid; USD 50,000 - 70,000; Full time

Job summary

Secure Transportation Company Inc. is seeking a Credentialing Specialist in Cerritos, CA. This role involves organizing and verifying credentialing processes, ensuring that employees meet compliance with state and regulatory guidelines.

The ideal candidate will possess strong communication and research skills, along with a minimum of one year of healthcare credentialing experience. Familiarity with Microsoft Office and a high school diploma or equivalent are required.

Qualifications

• Communicate effectively, both orally and in writing.
• Strong research skills to gather pertinent information.
• Database management skills including querying, reporting, and document generation.
• Knowledge of the credentialing process.
• Ability to organize and prioritize work while managing multiple priorities.
• Work with general supervision.
• Establish and maintain effective relationships with staff and providers.
• Knowledge of legal, IT, and risk management terminology.

Responsibilities

• Collect, track, and monitor data in the credentialing process.
• Communicate clearly with staff and partners.
• Ensure compliance with credentialing standards.
• Conduct primary source verification of application files.
• Identify discrepancies and follow up accordingly.
• Process provider credentialing and re-credentialing needs.
• Maintain provider information in credentialing databases.
• Track certifications and licensing documentation.

Skills

Effective communication

Research skills

Database management

Knowledge of credentialing process

Organizational skills

Ability to work independently

Relationship management

Legal and IT terminology

Education

High school diploma or equivalent

Bachelor's Degree

One year of experience in healthcare credentialing

Tools

Microsoft Office (Word, Excel, Outlook)

Job description

Secure Transportation Company Inc. is seeking a Credentialing Specialist in Cerritos, CA. This role involves organizing and verifying credentialing processes, ensuring that employees meet compliance with state and regulatory guidelines.

The ideal candidate will possess strong communication and research skills, along with a minimum of one year of healthcare credentialing experience. Familiarity with Microsoft Office and a high school diploma or equivalent are required.