Credentialing Coordinator

Job not on LinkedIn

🔥 1 hour ago

🏄 California – Remote

🏄 California – Remote

💵 $24 - $28 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

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MedPOINT Management

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1988

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

MedPOINT Management is a California-based healthcare management services organization that supports independent practice associations (IPAs), provider networks, hospitals and contracted health plans with clinical quality, care management, administrative operations and technology solutions. For more than 32 years MPM has provided services including provider network operations, case management, utilization management, claims operations, credentialing, HEDIS/STARs quality measurement and analytics (via Cozeva), call center and financial management, and digital provider portals and resource libraries. The company emphasizes data security and compliance (SOC 2 and HITRUST e1 certifications for its EZ-CAP and Provider Web Portals) and focuses on enabling value-based care, quality improvement, and operational support for providers and payers.

📋 Description

• Manage the end-to-end credentialing and re-credentialing process for healthcare providers • Verify provider licenses, certifications, education, and work history through primary source verification • Maintain accurate and up-to-date provider records in credentialing databases and systems • Coordinate with medical staff, provider relations, and health plan partners to ensure timely credentialing approvals • Monitor expiring credentials, licenses, and certifications to ensure ongoing compliance • Prepare and submit credentialing applications to health plans, hospitals, and managed care organizations • Respond to credentialing inquiries and resolve discrepancies in provider documentation

🎯 Requirements

• Prior experience in medical credentialing, provider enrollment, or a related healthcare administrative role • Familiarity with NCQA, URAC, or JCAHO credentialing standards preferred • Proficiency with credentialing software and Microsoft Office Suite • Strong attention to detail with excellent organizational and time management skills • Ability to handle confidential provider information with discretion and professionalism • Strong written and verbal communication skills for cross-departmental coordination • Must be located in the Pacific Timezone

🏖️ Benefits

• 401(k) • 401(k) matching • Company parties • Dental insurance • Employee discounts • Health insurance • Opportunity for advancement • Paid time off • Parental leave • Savings bank • Signing bonus • Training & development • Vision insurance