Provider Credentialing & Onboarding Specialist

Pmamed; Sacramento (CA); On-site; USD 42,000 - 62,000; Full time

Job summary

Pulmonary Medicine Associates (PMA) in the greater Sacramento area is seeking a Full-time Credentialing Specialist. The role supports credentialing and re-credentialing for 80+ providers across hospitals and two outpatient clinics.

The ideal candidate is highly organized with strong communication, customer service, and data-entry skills. CPCS/CPMSM is a plus; familiarity with PAVE, PECOS, and CAQH is preferred.

Qualifications

• High school diploma or GED; associates degree or 2+ years medical office experience preferred.
• CPCS/CPMSM certification a plus.
• Experience with PAVE, PECOS, CAQH required.
• Must be highly organized with excellent data handling and confidentiality.

Responsibilities

• Processes credentialing and re-credentialing applications for PMA providers.
• Coordinates with providers to gather licensing, CVs, peer references, and privileges.
• Performs data entry and submits applications for insurance, hospitals, and malpractice insurers.
• Keeps regular communication with applicants, providers, and staff to ensure timely credentialing.
• Liaises with hospitals and insurers to interpret rules and policies affecting credentialing.

Skills

Highly organized

Excellent communication

Customer service

Detail oriented

Confidentiality

Independent multitasking

MS Office & typing 45 WPM

Education

Associates degree or 2+ years medical experience

Tools

PAVE

PECOS

CAQH

Job description

Pulmonary Medicine Associates (PMA) in the greater Sacramento area is seeking a Full-time Credentialing Specialist. The role supports credentialing and re-credentialing for 80+ providers across hospitals and two outpatient clinics.

The ideal candidate is highly organized with strong communication, customer service, and data-entry skills. CPCS/CPMSM is a plus; familiarity with PAVE, PECOS, and CAQH is preferred.