Talent.com
Credentialing Specialist
Credentialing SpecialistChaparral Medical Group • Pomona, CA, US
No longer accepting applications
Credentialing Specialist

Credentialing Specialist

Chaparral Medical Group • Pomona, CA, US
30+ days ago
Job type
  • Full-time
Job description

Job Description

Job Description

Company Overview
Over the past 40 years, Chaparral Medical Group (CMG) has established itself as a leading primary and multi-specialty care provider for California's Inland Empire. In 2022, CMG joined forces with Akido Labs, a tech-enabled healthcare company, to transform the healthcare experience from the ground up. This partnership joins CMG's medical services with Akido's innovative technology to relieve the frustrations felt by everyone involved in care delivery, from medical providers and their staff, to the patients and their families. Ultimately, this means our providers spend more time caring for patients and less time bogged down with administrative work.

As part of the Akido medical network, we are currently responsible for more than 250,000 patients in Southern California, with plans to expand into new markets across the U.S. We care deeply about the communities we serve and are committed to providing accessible, high quality healthcare that helps our patients and communities live their fullest lives. We're building a dynamic, diverse and driven team as we continue to grow and broaden our impact. We are seeking passionate people who care deeply about helping patients and communities. We hope you'll join our team

The Opportunity

Are you driven to build the systems that keep healthcare running seamlessly? As a Credentialing / Provider Enrollment Specialist, you'll be part of our credentialing/provider enrollment team to ensure providers are credentialed and enrolled quickly and accurately with health plans and hospitals — so patients always have uninterrupted access to care.

Credentialing/enrollment activities on this team include:

  • Filling out provider enrollment applications with health plans, Medicare, Medicaid and hospitals.
  • Following up with health plans and hospitals on submitted applications.
  • Solve complicated credentialing-related issues directly with IPAs and health plans.
  • Maintaining a clean database of provider data and enrollment-related activities in MD Staff.
  • Applying for license renewals.
  • Communicating with providers on credentialing-related updates.

This is a hands-on role where you will work with the Credentialing Supervisor and fellow Provider Enrollment Coordinators to ensure all work is completed in a timely and accurate fashion. If you're energized by improving processes and building a credentialing function that supports high-quality care, we'd love to meet you!

What You'll Do

  • Work amongst a team of credentialing/enrollment specialists to deliver accurate, timely, and compliant work - including completing credentialing/enrollment tasks.
  • Process credentialing, re-credentialing, and privileging applications to keep providers active and patient care uninterrupted.
  • Solve enrollment-related issues as they arise, working directly with health plans to get them resolved.
  • Monitor application timelines to prevent delays and resolve escalated issues from staff, clinics, and providers.
  • Maintain high data quality, including both provider data as well as credentialing data, like expiration dates, contact information, etc.
  • Follow SOPs and policies that are designed to streamline workflows and strengthen compliance.
  • Maintain compliance with the state, federal, and payer-specific credentialing requirements.
  • Act as a liaison for external partners, including payers, hospitals, and credentialing verification organizations.

Who You Are

  • Bachelor's degree in healthcare administration, business, or related field (preferred).
  • 3+ years of experience in provider credentialing/enrollment.
  • Strong knowledge of NCQA standards, payer requirements, and credentialing best practices.
  • Excellent problem-solving and critical thinking skills, with the ability to resolve escalated issues.
  • Exceptional organization skills, with sharp attention to detail and ability to manage multiple priorities.
  • Strong written and verbal communication and interpersonal skills to collaborate cross-functionally and with external stakeholders.
  • Experience with credentialing/enrollment software and databases (preferred).

Benefits

  • Health benefits include medical, dental and vision
  • Life insurance
  • Paid leaves

Location

  • This role is in-person in Pomona, CA.
Hourly pay range
$24—$34 USD

Chaparral Medical Group and Akido MSO are an equal opportunity employers, and we encourage qualified applicants of every background, ability, and life experience to contact us about appropriate employment opportunities.

Create a job alert for this search

Credentialing Specialist • Pomona, CA, US

Similar jobs

Technical Specialist\/Scientist 3

Spectraforce TechnologiesPomona, California, United States
Full-time

Technical Specialist/Scientist 3.This role provides ongoing troubleshooting and technical analysis to support the onboarding and provisioning of SPE, Transmission & Distribution (T&D), Generation, ...Show more

 • Promoted

Technical Specialist/Scientist II

ATX LearningPomona, CA, United States
Temporary

Technical Specialist/Scientist II.M-F, 8:00 am - 5:00 pm (Hybrid).Approximately 12-Months, possibly longer.Technical Specialist/Scientist II.Transmission & Distribution (T&D), Generation, and Envir...Show more

 • Promoted

Open Publishing Applications Specialist

The Claremont Colleges ServicesClaremont, CA, United States
Full-time

Open Publishing Applications Specialist (OPAS).The Open Publishing Applications Specialist (OPAS) will join a highly motivated team of librarians to support open access and open publication, and en...Show more

 • Promoted

Specialist Series Pool Ad

University of California - IrvineIrvine, California, United States
Full-time

A reasonable estimate for this position is $55,000-$194,800.See table Specialist Series - Exempt or Non-Exempt for.Friday, Mar 6, 2026 at 11:59pm (Pacific Time).Applications received after this dat...Show more

 • Promoted

Aerospace and Defense Supplier Specialist

OEM Logistics IncIrvine, CA, United States
Full-time

OEM Logistics, LLC was founded in January 2023 by two industry veterans with a proven track record of success identifying outside the box niche solutions that address the supply chain challenges wi...Show more

 • Promoted

Registration Specialist

Paramount Residential Mortgage GroupCorona, CA, United States
Full-time

Reviews incoming loans for TRID compliance and minimum documentation requirements.Communicates file deficiencies with internal and external customers regarding documentation needed to complete disc...Show more

 • Promoted

Technical Specialist\/Scientist 2

Spectraforce TechnologiesPomona, California, United States
Full-time

Technical Specialist/Scientist 3.This role provides day-to-day operational support through ongoing troubleshooting and technical analysis related to the onboarding and provisioning of SPE, Transmis...Show more

 • Promoted

Mortgage CD Specialist

Paramount Residential Mortgage GroupCorona, CA, United States
Full-time

This role is responsible for preparing initial CD's & closing CD's, and balancing Titles.PRMG offers a comprehensive benefits package for our full-time employees and their dependents, which include...Show more

 • Promoted

Compliance Specialist

AkkodisIrvine, CA, United States
Permanent

Export Compliance Principle Specialist.We are ideally looking for someone from Aerospace/ Automotive industries.The salary may be negotiable based on experience, education, geographic location, and...Show more

 • Promoted • New!

Billing and Credentialing Specialist

Clinivoy LLCIrvine, CA, United States
Full-time

The Billing & Credentialing Specialist is responsible for managing the full revenue cycle for infusion services, including benefits investigation, verification, accurate claim submission, denial re...Show more

 • Promoted

Open Positions - Specialist Series

University of California - IrvineIrvine, California, United States
Full-time

A reasonable estimate for this position is $55,000 - $194,800.See Specialist Series - Represented Fiscal Year, Exempt and Specialist Series - Represented Fiscal Year, Non-Exempt.Wednesday, Jul 16, ...Show more

 • Promoted

Scheduling Specialist

Float HealthIrvine, CA, United States
Full-time

Float Health Is Hiring In Irvine, CA!.Float Health is the full-stack platform for Specialty Pharma home infusion.We're on a mission to make healthcare safer, easier, and more efficient by connectin...Show more

 • Promoted

Hierarchy Specialist

Monster BeverageCorona, CA, United States
Full-time

We're the risk-takers, the trailblazers, the game-changers.We're not perfect, and we don't pretend to be.We're raw, unfiltered, and a bit unconventional.But our drive is unrivaled, just like our at...Show more

 • Promoted

Technical Specialist

AppleMission Viejo, CA, United States
Full-time

Apple Retail is where the best of Apple comes together.We bring our expertise to help people do what they love, delivering an only-at-Apple experience.At Apple, we believe inclusion is a shared res...Show more

 • Promoted

HSPD-12: Government Badging & Credentialing Specialist (Lake Forest, CA.*)

CitizantLake Forest, California, United States
Full-time

Citizant is a leading provider of professional IT services to the U.We seek to address some of our country's most pressing challenges in the areas of Agile application development, Enterprise Data ...Show more

 • Promoted

Sr. Technical Specialist - Regulatory Affairs & Global Certifications

Karma AutomotiveIrvine, CA, United States
Full-time

Technical Specialist - Regulatory Affairs & Global Certifications.Technical Specialist - Regulatory Affairs & Global Certifications.Specifically, we seek a strong candidate with regulatory experien...Show more

 • Promoted

Specialist Series Open Ranks

University Of California IrvineIrvine, CA, United States
Full-time

A reasonable estimate for this position is $55,000-194,800 for exempt and $26.See Specialist Series Exempt Salary Scale and Specialist Series Non-Exempt Salary Scale.Sunday, Mar 29, 2026 at 11:59pm...Show more

 • Promoted

Title Specialist

CopartRancho Cucamonga, CA, United States
Full-time

Copart links vehicle sellers to more than 750,000 buyers in over 190 countries.We believe in providing an unmatched experience, every day and everywhere, driven by our people, processes, and techno...Show more