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Credentialing Specialist

1/8/2026

The Credentialing Specialist processes credentialing and re-credentialing applications for healthcare providers and coordinates with them to gather necessary information. They also communicate with applicants and medical office staff to ensure timely completion of the credentialing process.

Working Hours

40 hours/week

Company Size

51-200 employees

Language

English

Visa Sponsorship

About The Company

For over 50 years our medical group has been known as “PMA” which stands for “Pulmonary Medicine Associates.” Our providers care for some of the most complicated and critically ill patients in the Greater Sacramento Area, both in the hospital and in the outpatient office environment. Currently, PMA providers offer a broad spectrum of specialized services often found only in an academic setting. The scope of services available from the group’s Board Certified providers include, but are not limited to: •Critical Care Medicine – Assessment and care for seriously ill patients in the hospital •Tele-ICU Care – Assessment and management for seriously ill patients who are in the hospital, from a remote location •Pulmonary Medicine – Evaluation and care for patients with health problems involving the lungs. Examples include, but are not limited to asthma, emphysema, interstitial lung disease, pleural effusions, pulmonary embolism, sarcoidosis, pulmonary fibrosis, and lung infections •Infectious Diseases – Evaluation and care for patients with serious infections including acute infectious diseases, post operative infections, long term IV antibiotic treatment, and management of HIV disease •Palliative Care – Care focused on providing patients with relief from the symptoms, pain, and stress of a serious illness — whatever the prognosis •Sleep Medicine – Evaluation and treatment of the complete range of sleep disorders

About the Role

Description

Pulmonary Medicine Associates (PMA) has been treating patients in the greater Sacramento area since 1973 and is a unique and exciting place to work. With specialties that include critical care, infectious disease, palliative care, pulmonology, pediatric pulmonology, sleep medicine, and travel medicine. We are a busy practice with over 80 providers that serves multiple hospitals and has 2 outpatient clinic locations. PMA currently a full time opening for a Credentialing Specialist. Because we value our employees, PMA offers a competitive salary and exceptional benefits including medical, dental, vision, life, LTD, PTO, and 401k with generous company match. Please visit our website at www.pmamed.com to learn more. PMA is an equal opportunity employer.

General Duties Include:

• Processes credentialing and re-credentialing applications of PMA health care providers.

• Coordinates with providers to gather information, such as licensing, CV, peer references, privileges lists/procedures history,

• Performs data entry.

• Prepares and submits applications for insurances, hospitals and malpractice insurance.

• Communicates regularly with applicants, providers and medical office staff to ensure credentialing is timely and completed as efficiently as possible.

• Acts as PMA liaison to hospitals and insurance companies and interprets, explains and follows all institution-specific rules, regulations and polices related to credentialing process.

• Prepares related records and reports.

• Performs other related duties as required or requested.

Requirements

• High school diploma or GED. Associates degree in a related field OR a minimum of 2+ years of related work experience in a medical environment.

• Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) a plus.

• Experience with PAVE, PECOS CAQH required.

• Must be highly organized.

• Excellent phone etiquette and verbal communication skills.

• Strong customer service skills and ability to establish and maintain effective working relationships with other employees, hospitals, insurance companies, etc.

• Excellent detail orientation and ability to maintain accurate records.

• Ability to maintain confidentiality of sensitive information.

• Ability to work independently and juggle multiple priorities.

• Good working knowledge of MS Office (Word and Excel). Must be able to accurately type 45 WPM.

Physical Requirements/Working Conditions: Must be able to work in a climate controlled, office environment. Sit for extended periods of time. Ability to read and write in order to process paperwork. Manual dexterity needed for keyboarding and other repetitive office tasks. Vision must be good or corrected to normal to perform normal job duties. Hearing must be good to have the ability to understand information to perform job duties.

Key Skills

CredentialingData EntryCommunicationCustomer ServiceOrganizationAttention to DetailConfidentialityMS OfficeTypingMedical EnvironmentLicensingPeer ReferencesInsurance ApplicationsRecord KeepingMulti-taskingProblem Solving