Credentialing Coordinator

Advanced Medical Management • Long Beach, CA

2d • $23 - $27 • Onsite

About The Position

Credentialing is the backbone of trust in healthcare — it's how patients know their providers are qualified, compliant, and safe to see. As our Credentialing Coordinator, you'll be the person making sure every practitioner in our network meets the rigorous standards set by AMM, NCQA, CMS, and our contracted health plans, from state licensure to graduate training to ongoing certification. This is a detail-driven, high-trust role at the heart of our operations. If you're the kind of person who takes pride in getting things exactly right, thrives on structure, and enjoys solving problems independently, this role offers real ownership and impact from day one.

Requirements

• 2+ years of administrative healthcare experience preferred
• Comfortable with Microsoft Word, Outlook, Excel, and Adobe Pro
• Excellent communication skills — written and verbal
• Sharp organizational skills and strong time management
• High attention to detail, with a low tolerance for errors
• A self-starter who's just as effective working independently as part of a team
• Comfortable multi-tasking in a fast-paced environment
• A natural problem-solver
• Available Monday–Friday, 8:00 AM – 5:00 PM

Nice To Haves

• Credentialing audit experience a plus

Responsibilities

• Enter and manage provider information in EZCap and our proprietary Provider Network Program application
• Process primary source verifications (outgoing and incoming)
• Conduct OIG, SAM, Medicare Opt-Out, and Preclusion List sanction checks
• Run NPDB, AMA, and other required verifications
• Confirm every application meets standard credentialing requirements
• Prepare provider files for Credentialing Committee review
• Process committee outcomes — meeting minutes, system updates, and notification letters to providers and internal teams
• Identify providers due for re-credentialing and manage the renewal process end-to-end
• Process primary source verifications and required sanction/verification checks
• Coordinate peer review and prepare files for committee review
• Process committee outcomes and provider notifications
• Monitor and confirm provider status
• Keep EZCap and the Provider Network Program application current — demographic updates, terminations, and new provider activations
• Build and maintain accurate credentialing provider rosters
• Support other credentialing needs as they come up

Benefits

• Health Coverage You Can Count On: Full employer-paid HMO and the option for a flexible PPO plan.
• Wellness Made Affordable: Discounted vision and dental premiums to help keep you healthy from head to toe.
• Smart Spending: FSAs to manage healthcare and dependent care costs, plus a 401(k) to secure your future.
• Work-Life Balance: Generous PTO, 40 hours of sick pay, and 13 paid holidays to enjoy life outside of work.
• Career Development: Tuition reimbursement to support your education and growth.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed