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Job Title:

Credentialing Specialist

Division/Program:

Long Beach Corporate Office

Starting Compensation:

32.69 - 40.98 USD Per Hour

Working Location:

California Remote (PST)

Working Hours/Shift:

Monday - Friday (8:00 AM - 5:00 PM)

Why Join Our Team? 

• Competitive Compensation: Offering a salary that matches your skills and experience.
• Generous Time Off: Enjoy ample vacation and holiday pay.
• Comprehensive Benefits Package:
  • Employer-paid medical, dental, and vision coverage.
  • Additional voluntary benefits to support your lifestyle.
• Professional Growth Opportunities:
  • On-the-job training with access to paid CEU opportunities.
  • Career development programs designed to help you grow.
  • Supervision for BBS hours for AMFT, ACSW, and APCC professionals (where applicable).

Employee Recognition & Rewards: A culture that celebrates and rewards your hard work and dedication

What you bring to SBHG (Qualifications):

Education & Experience:

• High school graduate or equivalent (e.g. GED, HiSET, etc.) plus two (2) years of experience working in a medical office, credentialing department, or human resources

OR

• Bachelor's degree
• Experience with MS Office (Word, Excel, PowerPoint, Outlook, etc.) required
• Experience with CAQH, NPDB, and NPPES databases a plus

License or Certification:

• Valid California Driver’s License

How you will make a difference (Job Overview):

A Credentialing Specialist plays a crucial role in the healthcare industry by ensuring that medical professionals meet the necessary qualifications and standards to provide patient care. This involves verifying credentials, licenses, certifications, and other relevant qualifications, as well as maintaining accurate and up-to-date records. They often work with databases like CAQH, NPDB, and NPPES, and are responsible for ensuring compliance with regulatory requirements. In essence, a Credentialing Specialist protects patient safety and maintains the integrity of healthcare organizations by thoroughly vetting and managing the credentials of medical providers.

Division/Program Overview:

The Credentialing Specialist manages all credentialing processes for medical staff, ensuring compliance with internal policies, community care licensing, Medi-Cal requirements, and Joint Commission standards. This role includes creating and maintaining contracts, verifying licenses and credentials, scheduling peer reviews, generating reports, and coordinating EMR training for new providers. Effective collaboration with EMR, HR, and Operations departments is essential, and some company travel may be required.

Learn more about SBHG at: https://www.starsinc.com/stars-inc/

For Additional Information:

[email protected]

Grade spread = 27.07 - 43.31

(In accordance with California law, the salary grade for this position is listed above. Starting pay within the grade is determined based on experience, internal equity, and other factors permitted by law.)