Provider Credentialing & Onboarding Specialist

Pulmonary Medicine, Infectious Disease & Critical Care Consultants Medical Group, Inc.; Sacramento (CA); On-site; USD 52,000 - 65,000; Full time

Job summary

Pulmonary Medicine Associates (PMA) in the greater Sacramento area seeks a Full-time Credentialing Specialist to process credentialing and re-credentialing for over 80 providers across multiple hospitals and two outpatient clinics. The role requires coordinating with providers to gather licensing, CVs, references, and history, plus data entry and insurance submissions.

As a PMA liaison to hospitals and insurers, you will ensure timely credentialing, maintain records, and support confidentiality

Qualifications

• High school diploma or GED; Associates degree in related field OR 2+ years of medical office experience.
• CPCS or CPMSM certification a plus.
• Experience with PAVE, PECOS CAQH required.
• Must be highly organized and have excellent phone etiquette and verbal communication skills.
• Strong customer service skills and ability to maintain confidentiality.
• Ability to work independently and juggle multiple priorities; proficient in MS Word and Excel; able to type 45 WPM.

Responsibilities

• Processes credentialing and re-credentialing applications for PMA providers.
• Coordinates with providers to gather licensing, CVs, references, privileges, and history.
• Performs data entry and submits applications for insurances, hospitals, and malpractice insurance.
• Communicates with applicants, providers, and staff to ensure timely credentialing.
• Acts as liaison to hospitals and insurers and follows institution-specific rules and policies.
• Prepares related records and reports; performs related duties as required.

Skills

Organization

Communication

Customer Service

Confidentiality

Multitasking

MS Office

Education

High school diploma or GED; associates degree or 2+ years experience

Tools

PAVE

PECOS CAQH

Job description

Pulmonary Medicine Associates (PMA) in the greater Sacramento area seeks a Full-time Credentialing Specialist to process credentialing and re-credentialing for over 80 providers across multiple hospitals and two outpatient clinics. The role requires coordinating with providers to gather licensing, CVs, references, and history, plus data entry and insurance submissions.

As a PMA liaison to hospitals and insurers, you will ensure timely credentialing, maintain records, and support confidentiality