Credentialing Specialist

Native Preference in hiring is given to qualified enrolled members of Paskenta Band of Nomlaki Indians and Native Americans in accordance with the Band's Preference Policy, Chapter 1-715 of the Paskenta Band of Nomlaki Indians Tribal Policies).

Applicants claiming Indian Preference must submit verification of Indian certified by tribe of affiliation or other acceptable documentation of Indian heritage.

Credentialing Specialist Department: Revenue Cycle Department Location: Rolling Hills Clinic Job Type: Full-time Pay grade: RHC 9h Classification: Non-Exempt Reports To: Revenue Cycle Director Last Revised: 08/24/2026 Position Summary The Credentialing Coordinator serves as Rolling Hills Clinic's internal owner and central point of coordination for provider credentialing, privileging, recredentialing, payer enrollment, onboarding readiness, provider records, professional-license oversight, CAQH and payer-portal administration, and related organizational communication.

The position works closely with contracted credentialing and payer enrollment vendors and ensures each provider file is initiated, supported, tracked, completed, communicated, and maintained.

This role does not duplicate the technical services assigned to the vendors.

The vendors perform specialized processing; the Credentialing Coordinator manages Rolling Hills Clinic's internal workflow, documents, approvals, deadlines, portals, records, communication, and accountability.

MERGEFIELD Position_Summary Essential Duties/Responsibilities Provider Onboarding and Readiness Coordination · Receive notification of new employees, locum tenens providers, contractors, and other practitioners requiring credentialing or payer enrollment.

· Initiate credentialing, privileging, and payer enrollment requests with the appropriate contracted vendors.

· Distribute provider applications, instructions, and document requests; monitor completion and follow up on missing or incomplete information.

· Track anticipated start dates, onboarding dependencies, clinical approval, payer readiness, and outstanding requirements.

· Maintain a consolidated provider-readiness tracker across medical, dental, specialty, behavioral health, and physical therapy service lines.

· Coordinate provider status and readiness information with Human Resources, site managers, Operations, clinical leadership, Revenue Cycle, and other authorized stakeholders.

Credentialing, Privileging, and Recredentialing Coordination · Serve as the primary organizational liaison for the credentialing, privileging, recredentialing, and reprivileging contractor.

· Submit complete provider intake information and organizational documents to the contractor and respond promptly to follow-up requests.

· Coordinate Medical and Dental Director review, recommendations, peer review or competency documentation, and governing-body approval workflows in accordance with organizational policy.

· Track initial credentialing, temporary privilege, privilege...