Credentialing Coordinator III
Remote · USFull-time$32.45–48.68/hrSeen todaySeen in employer's feed today
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Job overview
The Credentialing Coordinator III completes credentialing functions and supports program integrity and compliance with applicable standards, government requirements, and health plan requirements. The role maintains relationships with health plan auditors, works with physician leaders and other departments on credentialing issues, audits released verification files, and maintains accurate provider information. The position is eligible for work from home within California.
Skills & qualifications
Skills
Qualifications
Full job description
We are so glad you are interested in joining Sutter Health!
Organization:
SHSO-Sutter Health System Office-Valley
Position Overview:
- This position is eligible to work from home from within the state of California.
Responsible for completion of credentialing functions. Ensures program integrity and compliance with standards, federal/state requirements, and health plan credentialing requirements. Maintains relationships with health plan auditors, communicates and works with physician leaders on credentialing issues, works with other departments in multiple areas that relate to credentialing issues. Audits Credentialing Verification Organization's released files to ensure it obtains primary source verification of required physician information. Maintains database of current and accurate information concerning licensure, board certification, professional liability coverage and claims for physicians, contracted providers and Allied Health Professionals.
Job Description :
EDUCATION:
- HS Diploma or General Education Diploma (GED)
TYPICAL EXPERIENCE:
- 2 years recent relevant experience
SKILLS AND KNOWLEDGE:
-
Knowledge of medical provider credentialing and accreditation principles, processes, procedures, and documentation.
-
Knowledge of computer spreadsheets and other related applications.
-
Ability to use independent judgment and to manage and impart confidential information.
-
PC skills (MS Word, MS Excel, and MS Access) and proficiency regarding data entry skills.
-
Organizational skills with ability to prioritize, problem solve and meet deadlines.
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Ability to analyze, interpret, and draw inferences from research findings, and prepare reports.
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Able to use independent judgment and to manage and impart confidential information.
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Ability to analyze data/reports and to make recommendations
Job Shift:
Days
Schedule:
Full Time
Shift Hours:
8
Days of the Week:
Monday - Friday
Weekend Requirements:
None
Benefits:
Yes
Unions:
No
Position Status:
Non-Exempt
Weekly Hours:
40
Employee Status:
Regular
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $32.45 to $48.68 / hour
The posted pay range is based on the position's primary work location. Candidates who reside and work outside of that location may be subject to a different pay range based on their work location. Candidate starting salaries consider multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.
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