Credentialing Coordinator – III

This is a fully remote position, open to applicants in California.

📋 Description

• Execute all credentialing functions effectively.

• Ensure adherence to program integrity and compliance with standards, as well as federal and state requirements, alongside health plan credentialing criteria.

• Foster and maintain relationships with health plan auditors.

• Collaborate and communicate with physician leaders regarding credentialing matters.

• Coordinate with other departments on issues pertaining to credentialing.

• Review Credentialing Verification Organization released files to confirm primary source verification of essential physician information.

• Keep up-to-date and precise database information related to licensure, board certification, professional liability coverage, and claims for physicians, contracted providers, and Allied Health Professionals.

⛳️ Requirements

• High School Diploma or General Education Diploma (GED) is required.

• Minimum of 2 years of recent relevant experience.

• Familiarity with medical provider credentialing and accreditation principles, processes, procedures, and documentation.

• Competence in using computer spreadsheets and other related applications.

• Ability to exercise independent judgment and manage confidential information responsibly.

• Proficient in PC skills including MS Word, MS Excel, and MS Access.

• Strong data entry skills.

• Excellent organizational abilities with the capability to prioritize tasks, solve problems, and meet deadlines.

• Skill in analyzing, interpreting, and drawing conclusions from research findings, as well as preparing reports.

• Ability to assess data/reports and provide actionable recommendations.

🏝️ Benefits

• Comprehensive benefits package offered.

• Eligible positions come with a thorough benefits package.