Credentialing Specialist

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Regular Full Time Clerical MSO - Single Oak Corporate, Temecula, CA, US

Salary Range: $25.00 To $30.00 Hourly

The Credentialing Specialist is responsible for supporting the end-to-end credentialing and recredentialing process for providers across multiple TINs and brands. This role ensures accurate, timely payer enrollment and maintenance of provider records while serving as a key administrative partner to the Senior Credentialing Specialist. The position plays a critical role in minimizing revenue delays and maintaining compliance with payer and regulatory requirements.

• Manage initial credentialing and recredentialing for providers with commercial and government payers
• Prepare and submit credentialing applications, ensuring completeness and accuracy
• Track application status and proactively follow up with payers to ensure timely processing
• Maintain provider records in credentialing systems and databases
• Monitor and manage expirables (licenses, certifications, malpractice insurance, etc.)
• Assist with payer roster submissions and directory updates
• Support enrollment for new providers, new locations, and additional TINs
• Serve as a liaison between internal departments (RCM, operations, compliance) and external payers
• Provide administrative support to the Senior Credentialing Specialist, including documentation management and reporting
• Identify and elevate issues that may impact provider enrollment or revenue cycle performance
• Contribute to process improvements and standardization efforts

• 2+ years of credentialing or payer enrollment experience in a healthcare setting
• Knowledge of commercial and government payer credentialing requirements
• Experience working with multiple TINs and provider groups preferred
• Familiarity with credentialing systems (e.g., CAQH, PECOS, or similar platforms)
• Strong organizational skills and attention to detail
• Ability to manage multiple priorities and meet deadlines
• Effective communication and follow-up skills

• Detail-oriented and process-driven
• Strong problem-solving skills
• Ability to work independently and collaboratively
• Proactive and accountable
• Adaptable in a fast-paced, growing environment

This is a hybrid role based in Riverside, CA. Onsite presence is required on a regular basis, with flexibility to work remotely based on business needs.

Mon - Fri (hours based on business needs)