Provider Relations & Credentialing Specialist

copehealthcareconsulting; Fresno (CA); On-site; USD 37,195 - 39,950; Full time

Benefits offered by this job

Wellness stipend

Paid parental leave

Comprehensive health insurance

Job summary

COPE Health Solutions is seeking a Provider Relations Coordinator in Fresno, CA to support contracting and credentialing operations. You will collaborate with Business Development Managers and internal teams to onboard providers, maintain records, and ensure compliance across the IPA network.

The role requires 2+ years in healthcare provider relations or related areas, strong organizational skills, and experience with credentialing standards.

Qualifications

• Associate or bachelor’s degree preferred (or equivalent work experience).
• 2+ years of experience in healthcare provider relations, contracting, credentialing, or MSO/IPA operations.
• Familiarity with CAQH, CMS, NCQA credentialing standards.
• Strong organizational and time-management skills with attention to detail.
• Excellent verbal and written communication skills.
• Proficiency in Microsoft Office; Salesforce/CRM experience a plus.
• Ability to manage multiple priorities and meet deadlines while supporting team goals.

Responsibilities

• Assist BDMs in preparing, tracking, and processing provider participation agreements.
• Manage contract packets and ensure all required forms and addenda are included.
• Maintain contract status logs and follow up on outstanding agreements.
• Coordinate with providers and practice managers to collect signatures and ensure timely completion.
• Review credentialing submissions for completeness (licenses, DEA, malpractice insurance, board certifications, CAQH attestation).
• Proactively outreach to providers/practice staff to obtain missing or expired documents; liaise with ProSource MSO for packet submissions.
• Track credentialing and recredentialing timelines, ensuring compliance with payer and regulatory standards.
• Enter and update provider data in CRM/roster systems and generate status reports.
• Monitor expirables (licenses, DEA, malpractice) and support audits with documentation.
• Provide scheduling support for meetings and trainings; assist with travel logistics as needed.
• Provide cross-coverage for other coordinators during peak contracting/credentialing periods.

Skills

Strong organizational skills

Time-management

Excellent verbal and written коммуника

Ability to manage multiple priorities

Independent work style

Customer service mindset

Education

Associate or bachelor’s degree preferred (or equivalent work experience)

Tools

Salesforce

CRM

Microsoft Office Suite

Job description

COPE Health Solutions is seeking a Provider Relations Coordinator in Fresno, CA to support contracting and credentialing operations. You will collaborate with Business Development Managers and internal teams to onboard providers, maintain records, and ensure compliance across the IPA network.

The role requires 2+ years in healthcare provider relations or related areas, strong organizational skills, and experience with credentialing standards.