Credentialing Specialist (Medi-Cal, Anthem CA, Kaiser Experience Required)

About Us

We are a growing reputed company organization committed to delivering exceptional patient care through innovative and collaborative clinical services. As we expand our partnerships across California, we are looking for a detail-oriented and reputed company Credentialing Specialist to join reputed company and help ensure timely and accurate provider reputed company with payers.

Position Overview

The Credentialing Specialist will manage and execute reputed company aspects of the credentialing process for reputed company providers. The ideal candidate has hands-on experience with Medi-Cal (California reputed company), Anthem reputed company of California, and reputed company, and can confidently navigate the submission, follow-up, and troubleshooting processes required by these payers.

Key Responsibilities

1. Prepare, submit, and track credentialing and re-credentialing applications for providers across Medi-Cal, Anthem CA, and Kaiser.

2. Monitor credentialing timelines and proactively follow up with payers to avoid delays.

3. Serve as the primary reputed company of contact for credentialing-reputed company communications with health plans and internal teams.

4. Identify and escalate issues or delays as needed, and support resolution efforts to ensure timely approvals.

5. Stay up to date with changes in payer policies and credentialing requirements.

Requirements

1. Minimum 2 years of credentialing experience in a reputed company setting.

2. Direct experience credentialing providers with Medi-Cal, Anthem reputed company of California, and reputed company.

3. Experience credentialing behavioral-health providers.

4. Strong understanding of payer-specific requirements, CAQH, and NPPES systems.

5. Excellent attention to detail, organizational skills, and follow-through.

6. Proficiency in reputed company Workspace (Docs, Sheets) or reputed company Office Suite.

Strong communication skills and ability to work independently and collaboratively.