You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

Job Summary

Our client is seeking a dedicated Credentialing Coordinator to manage the full credentialing and re-credentialing lifecycle for primary care physicians and specialists within their network. This role involves meticulous verification of provider credentials, ensuring strict compliance with regulatory standards, and maintaining accurate provider data to support seamless network participation.

Responsibilities / Job Duties

• Manage the end-to-end credentialing and re-credentialing lifecycle for participating primary care physicians (PCPs) and specialists across the network.
• Gather, review, and verify all provider application packets (CAQH profiles, medical licenses, DEA certificates, malpractice history/COIs, board certifications, and hospital affiliations).
• Conduct primary source verification (PSV) via state medical boards, NPDB (National Practitioner Data Bank), OIG/GSA exclusions, AMA profiles, and educational institutions.
• Prepare, audit, and package provider credentialing files for monthly Credentialing Committee meetings, strictly adhering to tight monthly submission deadlines.
• Track provider expiration dates (licenses, DEA, malpractice, certifications) to ensure zero lapses in compliance or network participation.
• Liaise with provider offices, clinic staff, health plans, and internal operations teams to resolve document deficiencies or discrepancies.
• Update and maintain credentialing tracking rosters, databases, and provider management software.

Minimum Education and Experience Qualification Requirements

Qualifications

• Strict attention to detail with proven ability to assemble audit-ready files and meet monthly committee deadlines.
• Professional written and verbal communication skills for frequent outreach to physicians, clinic administrators, and health plan representatives.
• Working familiarity with NCQA (National Committee for Quality Assurance), CMS, and California Department of Managed Health Care (DMHC) credentialing standards.
• Experience working with NPDB, MBC, CAQH, and various other government websites.

Experience

• Prior hands-on experience in physician credentialing, provider enrollment, or a directly related verification function within a healthcare organization.
• Experience operating within a managed care environment (IPA, MSO, health plan, hospital medical staff office, or large multi-specialty provider practice).
• Experience utilizing provider credentialing software/databases (e.g., Cactus/Symplr, Visual CAQH, IntelliSoft, MD-Staff, or proprietary IPA rosters).
• Experience handling delegated credentialing audits from major health plans.

Skills

• Proficiency in Microsoft Office (Excel, Word, Outlook) and Adobe Acrobat (file merging, PDF form manipulation, digital signing).

Schedule / Shift

Standard Business Hours (typically Monday – Friday, 8:00 AM – 5:00 PM PST).

Benefits

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
• Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
• 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
• Short Term Disability Insurance.
• Term Life Insurance Plan.

Required Employment / Compliance Language

Medix is an Equal Opportunity Employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other protected characteristics.

^*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

Medix Overview:

With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.

Any required state or Joint Commission training is compensated at the state or local minimum wage rate.

^*As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.