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Job Title: Credentialing Specialist

Job Description

The Credentialing Specialist is responsible for managing the credentialing and re-credentialing process for healthcare providers within our Federally Qualified Health Center (FQHC). This role ensures compliance with all regulatory and payer requirements, including Medicare and commercial insurance plans, while maintaining accurate provider records.

Responsibilities

+ Coordinate and complete credentialing and re-credentialing for all providers, ensuring compliance with FQHC standards and payer requirements.

+ Manage applications and documentation for Medicare, Medicaid, and commercial insurance plans.

+ Verify provider qualifications, licenses, certifications, and work history through primary source verification.

+ Maintain accurate and up-to-date credentialing files and databases.

+ Communicate with providers, payers, and internal teams to resolve credentialing issues promptly.

+ Track credentialing timelines and follow up to ensure timely completion.

+ Assist with audits and reporting related to credentialing activities.

Essential Skills

+ Minimum 2 years of credentialing experience in a healthcare setting, preferably with FQHCs.

+ Strong knowledge of Medicare and commercial payer credentialing processes.

+ Experience in vetting providers and conducting thorough bg checks.

+ Basic proficiency in Microsoft Excel for data tracking and reporting.

+ Excellent attention to detail and organizational skills.

+ Strong communication and problem-solving abilities.

+ Ability to manage multiple tasks and meet deadlines in a fast-paced environment.

Additional Skills & Qualifications

+ Familiarity with MedTrainer software preferred (not required).

+ High School diploma with 2 years of medical office administrative assistant experience, or AA degree with 1 year of medical office administrative assistant experience, or Bachelor’s degree with 6 months of administrative assistant experience credentialing experience is preferred.

Work Environment

Generally a typical office environment. Hybrid work model: 1-2 days from home once training is completed. Enjoy a great work environment with excellent benefits, similar to those provided in state employment, including substantial healthcare coverage.

Job Type & Location

This is a Contract to Hire position based out of Marysville, CA.

Pay and Benefits

The pay range for this position is $28.75 - $37.51/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully onsite position in Marysville,CA.

Application Deadline

This position is anticipated to close on Dec 12, 2025.

About Aston Carter:

Aston Carter provides world-class corporate talent solutions to thousands of clients across the globe. Specialized in accounting, finance, human resources, talent acquisition, procurement, supply chain and select administrative professions, we extend the capabilities of industry-leading companies. We draw on our deep recruiting expertise and expansive network to meet the evolving needs of our clients and talent community with agility and excellence. With offices across the U.S., Canada, Asia Pacific and Europe, Aston Carter serves many of the Fortune 500. We are proud to be a ClearlyRated Best of Staffing® double diamond winner for both client and talent service.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email [email protected] (%[email protected]) for other accommodation options.