Medical Credentialing Admin 2+ Yrs

AppleOne Employment Services; Bakersfield (CA); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Major medical

Dental coverage

Vision coverage

401k plan

Sick pay as required

Job summary

AppleOne Employment Services seeks a Credentialing Coordinator to support provider credentialing, enrollment, and regulatory compliance in a growing healthcare organization.

The role involves ensuring active credentials, timely enrollments, and ongoing regulatory adherence across multiple payers and programs. Candidates with healthcare administration and credentialing experience are encouraged to apply.

Qualifications

• Experience in healthcare credentialing or provider enrollment is required.
• Ability to maintain accurate credentialing files and meet deadlines.
• Excellent written and verbal communication skills.

Responsibilities

• Coordinate initial and ongoing provider credentialing and re-credentialing activities.
• Process provider enrollment applications with healthcare payers and government programs.
• Maintain accurate credentialing files and provider records.
• Verify licenses, certifications, malpractice coverage, and other required documentation.
• Monitor credential expiration dates and proactively request renewals.
• Track application status and follow up with agencies, organizations, and providers.
• Support regulatory compliance requirements and ongoing monitoring activities.
• Assist with provider privileging and enrollment processes.
• Prepare reports, correspondence, spreadsheets, and credentialing documentation.
• Research and resolve credentialing-related inquiries.
• Coordinate meetings, maintain records, and assist with department administrative support.
• Ensure compliance with HIPAA, organizational policies, and applicable healthcare regulations.
• Contribute to quality improvement and compliance initiatives.
• Maintain current knowledge of healthcare credentialing standards and industry requirements.

Skills

Healthcare credentialing

Provider enrollment

Organization

Communication

Detail orientation

Independent work

Education

AA/AS degree

CPCS certification

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Electronic databases

Document management systems

Job description

Job Summary

Join a growing healthcare organization seeking a detail-oriented Credentialing Coordinator to support provider credentialing, enrollment, and compliance activities. This role is ideal for candidates with experience in healthcare administration, provider enrollment, medical credentialing, or healthcare office operations. You'll play a key role in ensuring healthcare providers maintain active credentials, enrollments, and regulatory compliance.

Requirements

• Minimum 2 years of experience in: Healthcare credentialing, Provider enrollment, Medical staff services, Healthcare billing, Advanced administrative support within a healthcare environment.
• Strong organizational skills with the ability to manage multiple deadlines and priorities.
• Excellent written and verbal communication skills.
• High attention to detail and accuracy.
• Ability to work independently while supporting a collaborative team environment.

Preferred Qualifications

• Associate degree (AA/AS) or higher.
• Certified Provider Credentialing Specialist (CPCS) certification preferred.
• Experience working with physician credentialing, privileging, or provider enrollment.
• Knowledge of healthcare regulatory requirements and accreditation standards.

Technical Skills

• Microsoft Word.
• Microsoft Excel.
• Microsoft Outlook.
• Electronic databases and document management systems.
• General office equipment including scanners, copiers, and multi-function devices.
• Data entry and spreadsheet management.

Responsibilities

• Coordinate initial and ongoing provider credentialing and re-credentialing activities.
• Process provider enrollment applications with healthcare payers and government programs.
• Maintain accurate credentialing files and provider records.
• Verify licenses, certifications, malpractice coverage, and other required documentation.
• Monitor credential expiration dates and proactively request renewals.
• Track application status and follow up with agencies, organizations, and providers.
• Support regulatory compliance requirements and ongoing monitoring activities.
• Assist with provider privileging and enrollment processes.
• Prepare reports, correspondence, spreadsheets, and credentialing documentation.
• Research and resolve credentialing-related inquiries.
• Coordinate meetings, maintain records, and assist with department administrative support.
• Ensure compliance with HIPAA, organizational policies, and applicable healthcare regulations.
• Contribute to quality improvement and compliance initiatives.
• Maintain current knowledge of healthcare credentialing standards and industry requirements.

Benefits & Policies

• For temporary assignments lasting 13 weeks or longer, AppleOne is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.

Equal Opportunity Employer / Disabled / Protected Veterans

The Know Your Rights poster is available here: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf

The pay transparency policy is available here: https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf

AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program: https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf

We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.

We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

Location: Bakersfield, CA.