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Medical Credentialing Specialist
Medical Credentialing SpecialistTEKsystems • Fairfield, CA, United States
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Medical Credentialing Specialist

Medical Credentialing Specialist

TEKsystems • Fairfield, CA, United States
[job_card.variable_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]
  • Description
  • Performs credentialing and re-credentialing activities according to policies and procedures.
  • Sends forms and related documentation and tracks and follows-up to ensure timely return of information.
  • Gathers information and researches discrepancies. Scrutinizes documents for consistency and accuracy.
  • Monitors healthcare practitioners licensing boards and federal and state reporting sites.
  • Reviews comprehensive written documents and writes concise, accurate summaries.
  • Prepares and maintains files ensuring all documentation meets standards to demonstrate policies and procedures are followed and decisions are documented.
  • Educates providers on the completion of forms and required submissions.
  • Prepares a variety of reports and templates using Word and Excel.
  • Enters data into several databases.
  • Responds to telephone inquiries
  • Additional Skills & Qualifications
  • 1-2 years of credentialing experience or 2-3 years of experience with verifying insurances or working with benefits
  • Medical Terminology
  • Strong written and oral communication skills.
  • Advanced computer skills, including proficiency in multiple software applications such as Microsoft Office.
  • Strong organizational and multi-tasking abilities.
  • Excellent interpersonal and customer service skills.
  • Detail-oriented with the ability to recognize vital information.
  • Consistently maintain high quality and production standards.
  • Ability to use good judgment in making decisions and handle sensitive issues with diplomacy and tact.
  • Experience Level
  • Intermediate Level

    • Job Type & Location
    • This is a Contract position based out of Fairfield, CA.

    • Pay and Benefits
    • The pay range for this position is $26.00 - $26.00 / 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 Fairfield,CA.

    • Application Deadline
    • This position is anticipated to close on Dec 10, 2025.

      h4>

      About TEKsystems :

      We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

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

      About TEKsystems and TEKsystems Global Services

      We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

      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.

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    Credentialing Specialist • Fairfield, CA, United States

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