Credentialing Coordinator / Analyst Job at EDI Staffing, an EDI Specialists Company, Long Beach, CA

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  • EDI Staffing, an EDI Specialists Company
  • Long Beach, CA

Job Description

Credentialing Analyst (Temp)

This Credentialing Coordinator / Analyst supports high-volume provider credentialing operations to ensure timely onboarding, data accuracy, and compliance with NCQA, CMS, State, and Health Plan requirements.

Key Responsibilities:

  • Prepare and process credentialing/recredentialing files (collect, review, and organize provider documentation)
  • Follow up with providers/practices for missing or incomplete information
  • Perform and coordinate Primary Source Verification (PSV) (licenses, DEA, board certs, education, sanctions, malpractice)
  • Support provider onboarding and track credentialing packet completion
  • Maintain accurate data entry and updates in credentialing systems
  • Monitor and report on:
  • File completeness
  • Recredentialing expirations
  • Cycle times and backlog
  • Assist with audit readiness (NCQA, health plan, internal audits) and file quality reviews
  • Validate provider demographic and roster data
  • Support backlog reduction and special projects
  • Handle administrative tasks (document scanning, indexing, system updates)

Focus of Role: Increase credentialing capacity during high-volume periods (onboarding, acquisitions, expansions, audits) while ensuring compliance and timely provider activation.

Our client is looking for candidates who can start immediately.

Job Tags

Temporary work, Immediate start

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