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TrueCare · 5 hours ago

Credentialing Specialist, Hybrid In-Office San Marcos, CA

San Marcos, California

Full-time

Hybrid

Mid Level

3+ years exp

TrueCare is a trusted healthcare provider serving San Diego and Riverside Counties, offering compassionate and comprehensive care to underserved communities. The Credentialing Specialist supports the Medical Staff department in ensuring that all healthcare providers are properly credentialed, privileged, and enrolled, and in compliance with relevant policies.

Hospital & Health Care

Responsibilities

Collect and review initial credentialing and recredentialing applications

Ensure completeness and accuracy of documentation (licenses, certifications, malpractice insurance, etc.)

Enter and update credentialed staff information in credentialing databases or software (e.g., MD-Staff, CAQH, NPPES)

Verify provider credentials including education training, licensure, board certification, employment history and references

Contact licensing boards, educational institutions, and previous employers for primary source verification

Communicate with Licensed Independent Providers (LIPs), staff to obtain missing or expired documents

Track expiration dates and ensure timely renewal of licenses, DEA registrations, and other required documents

Audit credentialing databases to ensure accuracy and integrity of data

Generate and distribute credentialing reports and assist in preparing files for credentialing committee meetings

Process Continuing Medical Education (CME) requests

Process licensing reimbursement requests

Qualification

Credentialing experienceMD Staff Credentialing SoftwareNational Association Medical Staff Services CertificationCertified Provider Credentialing SpecialistCertified Professional Medical Staff ManagementOrganizational skillsMicrosoft Office SuiteHealthcare experienceAttention to detail