Credentialing Analyst

US Global Medical Billing Services provides a comprehensive array of professional management services, specializing in Revenue Cycle Management, medical coding, and credentialing for physicians across the United States. Our solutions aim to help medical practices operate with greater accuracy and efficiency. In addition to medical billing, we offer coding services such as claims analysis, coding audits, contract consulting, and credentialing support. Clients benefit from free coding and credentialing services as well as EDI, ERA, and EFT services when partnered with us. We also provide a 30-day trial audit for prospective clients to evaluate our services.

This is a full-time, on-site Credentialing Analyst role based in Sacramento, CA. The Credentialing Analyst will manage and oversee the credentialing processes for healthcare providers in accordance with organizational and regulatory requirements. Responsibilities include verifying provider credentials, licensure, and certification; maintaining updated records; ensuring compliance with federal and state regulations; and collaborating with insurance networks. The individual will work closely with the team to accurately process information and contribute to delivering efficient services.

• Strong Human Resources (HR) and HR Management skills
• Proficiency in Human Resources Information Systems (HRIS) and Benefits Administration
• Excellent Analytical Skills for accurate and thorough credential verification and documentation
• Attention to detail, organizational skills, and ability to meet deadlines
• Strong communication and interpersonal skills to collaborate with internal and external partners
• Familiarity with healthcare regulations and compliance standards is preferred
• Bachelor’s degree in a relevant discipline or equivalent professional experience
• Experience in credentialing or a similar role within the healthcare sector is a plus