Credentialing Specialist, Healthcare
About The Position
The Credentialing Specialist CCH coordinates, monitors and performs the credentials verification process for initial appointments, temporary privileges, provisional reviews and reappointments of physicians and allied health professionals. Through formal and on-the-job training, incumbents will develop their skills in all aspects of initial comprehensive credentialing and privileging to include reappointment process, and temporary privilege requests in accordance with the Department of Managed Healthcare (DMHC) and NCQA accreditation standards, state and federal regulatory requirements, bylaws, rules and regulations, policies and procedures aligned with the Knox-Keene Act.
Requirements
- High School Diploma, High School Equivalency (HSE) or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required
- 1 year previous Medical Staff experience preferred
Nice To Haves
- Associate's Degree preferred
- CPCS - Certified Provider Credentialing Specialist preferred
Responsibilities
- coordinates, monitors and performs the credentials verification process for initial appointments, temporary privileges, provisional reviews and reappointments of physicians and allied health professionals.
- develop their skills in all aspects of initial comprehensive credentialing and privileging to include reappointment process, and temporary privilege requests in accordance with the Department of Managed Healthcare (DMHC) and NCQA accreditation standards, state and federal regulatory requirements, bylaws, rules and regulations, policies and procedures aligned with the Knox-Keene Act.
Benefits
- Free Continuing Education and certification
- Tuition reimbursement, education programs and scholarships
- Vacation time starts building on Day 1, and builds with your seniority
- Free money toward retirement with a 403(b) and matching contributions
- Great food options with on-demand ordering
- Free parking and electric charging
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
