Credentialing Coordinator

Regal Medical Group • Los Angeles, CA

19h • $25 - $27

About The Position

Position Summary:

Credential all new providers, Re-credential existing Providers according to
Regal Medical Group credentialing policies and procedures.
Submit credentialing information as requested by contracted HMOs.
Maintain and update files on all credentialed Providers.
Provide credentialing information on a Provider when requested by other RMG
Maintain and update Provider files in credentialing database.

As one of the fastest growing Independent Physician Associations in Southern
California, Regal Medical Group, Lakeside Community Healthcare & Affiliated
Doctors of Orange County, offers a fast-paced, exciting, welcoming and
supportive work environment. Opportunities abound, and enterprising, capable,
focused people prosper with us. We promote teamwork, nurture learning, and
encourage advancement for all of our employees. We want to see you excel,
because we believe that your success is our success.

Full Time Position Benefits:

The success of any company depends on its employees. For us, employee
satisfaction is crucial not only to the well-being of our organization, but also
to the health and wellness of our members. As such, we are firmly dedicated to
providing our employees the options and resources necessary for building
security and maintaining a healthy balance between work and life.

Our dedication to our staff is evident in our comprehensive benefits package. We
offer a very generous mixture of benefits, including many employer-paid options.

Requirements

• High School graduate or equivalent.
• One year or more of experience with credentialing.
• Good written and verbal communication skills.
• Knowledge of Windows-based computer skills preferred.
• Proficient in Microsoft Excel.
• Attention to detail.
• Ability to work well under pressure.
• Well organized.

Responsibilities

• Process Provider applications to RMG Credentialing Plan and NCQA specifications.
• Process Ancillary applications to RMG Credentialing Plan and NCQA specifications.
• Assist with the gathering of information required to complete credentialing/re-credentialing cycles for providers of Regal Medical Group
• Data entry for credentialing database with current information.
• Prepare and review practitioner files for Credentialing Committee review and decisions.
• Assist Management in training and teaching Credentialing Assistants in their assigned tasks.
• Other duties as assigned by Management.

Benefits

• Employer-paid comprehensive medical, pharmacy, and dental for employees
• Vision insurance
• Zero co-payments for employed physician office visits
• Flexible Spending Account (FSA)
• Employer-Paid Life Insurance
• Employee Assistance Program (EAP)
• Behavioral Health Services
• 401k Retirement Savings Plan
• Income Protection Insurance
• Vacation Time
• Company celebrations
• Employee Assistance Program
• Employee Referral Bonus
• Tuition Reimbursement
• License Renewal CEU Cost Reimbursement Program
• Business-casual working environment
• Sick days
• Paid holidays
• Mileage

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 501-1,000 employees