Credentialing Specialist


Salary:

$26.60 to $30.80 per hour

Location:

Mission Hills, CA

Date Posted:

April 26, 2019

Employment Type:

Temporary

Job Reference:

00291-0010943487

Staffing Area:

Office & Administrative


Description
A healthcare organization in the San Fernando Valley is in need of a Credentialing Coordinator for their growing organization. The Credentialing Coordinator is responsible to ensure that all providers are processed/credentialed prior to start date (i.e. Credentialing support of Employment, Hospital, and Licensing Applications). Maintain communication with Internal/External customers (MSO?s, Client Service, State Boards) ensuring accuracy of the Applications (its Affiliates, Managed Entities etc.) and creating efficiency for the on-boarding process.

ESSENTIAL DUTIES AND RESPONSIBILITIES
Complete and review with accuracy and thoroughness all new hires and additional locations/boards for credentialing and re-credentialing applications within timeframe
Responsible for notification to appropriate parties once received
Responsible ensure MSO (Medical Staff Offices), credentialing database is updated and current
Ensure primary source verifications occur for internal processing as well as external customers (i.e. MSO?s State Boards)
Provide timely follow-up to obtain documentation required
Credentialing (within 180 days) re-credentialing within 36 months
Coordinate internally to ensure complete information is received
Ensure credentialing re-credentialing is processed in accordance with NCQA and company standards
Assist and prepare for NCQA audit
Additional projects as needed
Reads and abides by the company?s code of conduct, ethics statements, employee handbook(s), policies and procedures and other corporate mandates, including participation in mandatory training programs.
Reports any real or suspected violation of the corporate compliance program, company policies and procedures, harassment or other prohibited activities in accordance with the reporting policies of the company
Obtains clarification of policy whenever necessary and may use the resources available through the Compliance, Human Resources or Legal Department to do so
Knowledge of MD Staff or Cactus Software is highly preferred

If you are interested please submit your resume to: [email protected]
Requirements
Certified Provider Credentialing, Medical Terminology
OfficeTeam is the world's leader in professional staffing for office support jobs, focusing exclusively on the temporary and temporary-to-full-time placement of professionals in the administrative field. We are faster at finding you work because of the depth of our client network. Specifically, our professional staffing managers connect with thousands of hiring managers in North America every week to find your office support job opportunities. We evaluate all of our OfficeTeam temporaries' skills and match them with the needs of top employers in their area.

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