CREDENTIALING SPECIALIST

Job Description:

CREDENTIALING SPECIALIST

Description

Position/Program Information

EXAM NUMBER:
b0927A

JOB TYPE :
We welcome applications from everyone

FILING PERIOD

We will be accepting online applications from Tuesday, July 15th, 2025 at 9:00 AM (PT) until Tuesday, July 29th, 2025 at 5:00 PM (PT). All applications must be received prior to closing.

We encourage applications from anyone!

As the nation’s largest public mental health department, LACDMH ensure access to care and treatment for our most vulnerable residents in a region with more than 10 million people.

DEFINITION:

Provides support in the process of obtaining, verifying and assessing the qualifications of physician and allied health professionals to provide patient care services.

Classification standards:

Under general supervision, positions allocable to this class are responsible for collecting, reviewing, monitoring, and updating credentialing documentation for existing and the appointment of new medical providers. Incumbents follow policies and procedures, established by departmental by-laws and regulatory agencies, to evaluate and verify professional licensure, education, training, experience, competencies and hospital affiliations to ensure that medical providers are appropriately qualified and privileged. Incumbents in this class are required to serve a one-year probationary period.

Positions allocated to the Department of Mental Health typically report to a higher-level manager and are responsible for processing and maintaining credentialing documentation for review by the credentialing review committee.

Essential Job Functions

• Receives and processes applications for credentialing from Behavioral Healthcare Practitioners and other behavioral healthcare specialist and ancillary staff for Credentialing Approval notifies the respective interdepartmental personnel and the applicant of their status and time frames for completion.

• Reviews applications for required documentation; verifies and collects credentials, education, employment history, licensure, hospital affiliations and liability claims history by performing on-line queries from a variety of resources, such as the National Practitioner Data Bank, American Medical Association, Drug Enforcement Administration, and Office of the Inspector General.
• Ensures Behavioral Healthcare Practitioners, other behavioral healthcare specialist and ancillary staff of a healthcare facility are accurately licensed, trained, and certified as mandated by state and federal regulations.
• Monitors the Credentialing Application process to ensure completion, coordinates with relevant interdepartmental personnel and presents candidates to the Credentialing Review Committee.
• Prepares summary report of each application for evaluation and review by the Credentials Review Committees; identifies any potential adverse information.
• Maintains application and credentialing files in a confidential manner; regularly enters credentialing information into the database to ensure information on credentialing, , certifications; disseminates data to authorized personnel.
• Prepares reports or credential files for periodic audits as requested; conducts internal reviews; and completes required tasks as vital.
• Prepares reports for various committees as requested on a periodic basis.
• Participates in the development and implementation of credentialing processes and procedures.

Requirements

REQUIREMENTS TO QUALIFY:

Training and experience:

Two years of recent*, full-time**, paid experience in a Medical Staff Services office*** at the level of the Los Angeles County class of Intermediate Typist Clerk**** or higher
Applicants must qualify at time of filing. No withholds or out-of-class experience will be accepted.

License:

A valid California Class C Driver License or the ability to use an alternative method of transportation when needed to carry out job-related essential functions.

Physical class:

2 - Light

This class includes administrative and clerical positions requiring light physical effort that may include occasional light lifting to a 10-pound limit and some bending, stooping, or squatting. Considerable ambulation may be involved.

CERTIFICATION:

Successful certification as a Certified Provider Credentialing Specialist issued by the National Association of Medical Staff Services will be required before final appointment.

Special Requirement Information:

*Recent experience is deemed to be within the last five (5) years.

**Full time experience is 40 hours per week. Part-time experience will be prorated to full-time experience.

***Definition of Medical Staff Services office is primarily accountable for the administrative and credentialing compliance structure for a health care organization.

****For this examination, an Intermediate Typist Clerk performs duties that include, but are not limited to, assisting in processing paperwork, initial credentialing, re-credentialing and ensuring that the database includes detailing the practitioners' education, training, licensing, experience, and other information are accurate and up to date.

Desirable Qualifications:

• Experience working for a credentialing verification organization.
• Experience with being a team lead of a credentialing team.
• Experience presenting to a credentialing review committee

Additional Information

EXAMINATION CONTENT :

This examination, weighted 100%, will consist of an evaluation of experience and desirable qualifications based upon the responses received in the application and supplemental questionnaire.

A score of 70% or higher on this examination is required to be placed on the list.

Eligibility information:

Candidates who passed the examination are placed on an eligible list in the order of their score group for a period of twelve (12) months. We will use this list to fill vacancies as they occur.

Special Information:

Past and present mental health clients and family members are encouraged to apply.

Vacancy Information

The eligible list for this examination will be used to fill vacancies in the Department of Mental Health.

Application and Filing Information:

Applicants are required to complete and submit an online LA County Employment Application AND Supplemental Questionnaire in order to be considered for this examination. Paper applications, resumes, or any unsolicited documents won't be accepted in lieu of completing the online application and Supplemental Questionnaire. We must receive all application by 5:00 pm, PT, on the last day of filing.

Instructions for Filing Online

How to Apply: We only accept applications filed online. Applications submitted by U.S. Mail, Fax, or in person are not accepted. This website can also be used to get application status updates.

Please fill out the application completely.

Bear in mind, the NEOGOV system also requires email verification for each new email address, which may cause delays in submitting an application.

Apply online by clicking on the green "Apply" button at the top right of this posting.

Applicants must complete and submit their online applications and upload required documents (i.e. Diploma or Letter of Verification of Completion of Degree) as attachment(s) during application submission, or send by email to exams@dmh.lacounty.gov within 15 calendar days from date of application submission. Indicate the Exam Title on the subject line when sending required documents by email.

The acceptance of the submitted application will depend on whether the Minimum Requirements are clearly met. Online applications must show complete education and work experience information vital to evaluate applicants qualifications. Education information section must include name and address of school attended, complete dates attended, name of course/s taken, number of units earned, and degree/s earned. Work experience section must include job title, employer name and address, name of work area/facility, actual payroll title held and not the working and/or functional titles, from/to dates of employment including month, day and year, total number of months, total number of hours worked per week - not a range of hours (full or part-time), and complete and detailed description of related job duties. If range of hours is provided, experience will be prorated based on the lowest number of hours worked per week. LIST separately each job experience to be evaluated. Information provided is considered provisional and requires verification. Applicants may be rejected at any stage of the selection process.

Important notes:

• ALL information supplied by applicants and included in the application is dependent on VALIDATION at any point during the examination and/or hiring process, including after an appointment has been made.
• There's a possibility of rejection at any moment for an application, including during the course of the examination and selection process.
• FALSIFICATION of any information may result in DISQUALIFICATION or RESCISSION OF APPOINTMENT.
• Using VERBIAGE from the Class Specification, Selection Requirements, and/or Special Requirement Information serving as your description of duties WILL NOT be sufficient to demonstrate that the minimum requirements are met. In doing so, your application will be REJECTED as INCOMPLETE.

SOCIAL SECURITY NUMBER: Please include your SSN for record control purposes. Federal law requires that all employed persons have a SSN.

No sharing of user ID and password:

All applicants must file their application online using their OWN user ID and password. Using a family member's or friend's log in information may erase a candidate's original application record.

Computer and internet access at public libraries:

For applicants who may not have regular access to a computer or the internet, applications can be completed on computers at public libraries throughout LA County!

General Information:

If applicants have any questions about working for LA County, including current open recruitments, tips on crafting a resume or acing an interview, career planning, or any other general information, please visit our website at https://hr.lacounty.gov/

For more information about the outstanding benefits offered by LA County, Please visit us here: https://hr.lacounty.gov/benefits/

Department Contact Name: Antonio Estrada, Exam Analyst

Department Contact Phone: 323-705- 3862 or 213-972-7034

Department Contact Email: acestrada@dmh.lacounty.gov or Exams@dmh.lacounty.gov

ADA Coordinator Phone: 213-972-7034

Teletype Phone: 800-735-2922

California Relay Services Phone: 800-735-2922

For detailed information, please click here

Closing Date/Time: 7/29/2025 5:00 PM Pacific

Salary:

$65,911.68 - $88,823.04 Annually