Credentialing Coordinator

For over 16 years, Trilyon has been at the forefront of providing comprehensive global workforce solutions and staffing services. Leveraging our extensive expertise across multiple domains such as Cloud technology, Salesforce, AI, Machine Learning, and Technical Writing, we consistently exceed expectations in catering to a wide range of requirements.

Title: Credentialing Coordinator

Location: 3901 Lone Tree Way Antioch, CA 94509

Duration: 3 months

Position Summary:

• The Credentialing Coordinator III is responsible for performing advanced credentialing and recredentialing functions in alignment with Client’s standards, federal and state regulatory requirements, and health plan credentialing criteria. This position plays a key role in maintaining the integrity and accuracy of provider data, ensuring compliance, and supporting the timely onboarding and privileging of medical staff and allied health professionals.
• This role requires extensive hands-on experience with medical staff credentialing processes, including verification of licensure, board certification, malpractice coverage, and professional references, as well as familiarity with Echo credentialing software.

Essential Duties and Responsibilities

• Administer and oversee all aspects of credentialing, recredentialing, and privileging for physicians, allied health professionals, and contracted providers.
• Perform primary source verification (PSV) of licensure, board certifications, malpractice claims history, DEA/CDS registrations, and other required credentials.
• Maintain, audit,and update provider data in the Echo credentialing system, ensuring accuracy and timeliness of records.
• Support Medical Staff leadership and committees by preparing and distributing credentialing reports and ensuring all required documentation is complete before review.
• Ensure compliance with regulatory agencies (e.g., Joint Commission, CMS, NCQA) and Client’s internal policies.
• Liaise with external health plans, auditors, and regulatory bodies during credentialing audits and reviews.
• Collaborate closely with physician leaders and department managers to resolve credentialing discrepancies or delays.
• Participate in continuous process improvement initiatives to streamline credentialing workflows and reduce turnaround time.
• Maintain confidentiality of all provider and organizational information in accordance with HIPAA .

Required Qualifications

• Education: Associate’s degree or equivalent experience in healthcare administration, business, or related field.
• Experience: Minimum of 3 years of recent, hands-on experience in medical staff credentialing or provider enrollment within a hospital or health system setting.
• Echo Credentialing Software proficiency is required.
• Demonstrated experience using Microsoft Teams and Microsoft Office Suite (Word, Excel, Outlook).

Knowledge:

• Deep understanding of credentialing standards, bylaws, and accreditation requirements (Joint Commission, CMS, NCQA).
• Working knowledge of medical staff office operations and governance processes.

Skills:

• Exceptional attention to detail and data accuracy.
• Strong organizational, analytical, and communication skills.
• Ability to work independently under tight deadlines in a fast-paced environment.
• Professional demeanor and ability to interact effectively with physicians and administrative leaders.

Preferred Qualifications

• Certified Provider Credentialing Specialist (CPCS) certification through NAMSS preferred.
• Experience supporting medical staff committees or working directly with physician leadership in a credentialing office environment

Equal Employment Opportunity

Trilyon is an Equal Opportunity Employer, committed to fairness and respect for all individuals. We value diversity in age, disability, ethnicity, gender, gender identity, religion, and sexual orientation, believing it drives innovation and better service. Employment decisions are made impartially, without regard to any protected characteristic under federal, state, or local law. Our diverse team drives innovation, competitiveness, and creativity, enhancing our ability to effectively serve our clients and communities. This commitment to diversity makes us stronger and more adaptable.