Credentialing Coordinator Part-time, Day (Dalles)

Adventist Health • Roseville, CA

11h • $25 - $33

About The Position

Coordinates and processes medical staff applications for appointment and reappointment in assigned areas according to established procedures. Coordinates the organization’s physician initial application and appointment process in accordance with Joint Commission on Accreditation of Healthcare Organizations standards and medical bylaws. Serves as a liaison between organization administration and the Medical Staff, and coordinates small programs with limited budget or impact.

Requirements

• Certified Professional Medical Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS) certification is required.

Nice To Haves

• High school education/GED or equivalent.
• Associate’s/Technical Degree or an equivalent combination of education and related experience.
• Five years of relevant experience.
• Healthcare industry experience.
• Commercial healthcare experience.

Responsibilities

• Initiates inquiries and requests verification regarding education, training, personal medical references, staff affiliations, board certifications, out-of-state licensure, and other relevant information; requests verification of current state licensure from the Medical Board of California; queries the National Practitioner Databank; and creates confidential practitioner files with copies of applicable licenses and certificates.
• Conducts background investigations, research, and primary-source verification of application file components using letters, faxes, websites, telephone verifications, or equivalent sources.
• Follows up on incomplete or problematic information in a timely and consistent manner.
• Ensures reappointments are completed and reviewed by the appropriate credentialing entity before expiration dates, and tracks provider license and certification expirations to ensure timely renewals.
• Assists with the annual review of Medical Staff Bylaws, rules and regulations, and other relevant department documents; submits sections for revision to appropriate committees; and keeps current with legal issues relevant to implementation of the bylaws.
• Oversees provider information in online credentialing databases and systems.
• Performs other job-related duties as assigned.

What This Job Offers

• Job Type: Part-time
• Education Level: High school or GED