Credentialing Coordinator

Location: Cerritos, CA
Date Posted: 02-01-2019
CareNational
Credentialing Coordinator - Managed Care
Cerritos, CA
 
** This is a Full-Time, Benefits Available, CONTRACT opportunity, expected to last 7 months, or longer! **
 
Credentialing Coordinator Job Summary: 
  • Maintains files and electronic records.
  • Communicates with associates, facilities, and other entities to resolve issues.
  • Communicates with hospitals regarding initial or re-appointments, ensuring and coordinating proctoring as needed.
  • Assures all practitioner dues and fees are paid timely.
  • Tracks and processes license renewals, including address changes, status changes, and name changes.
  • Researches new application requirements, processes documents, manages timelines, and generates status reports.
  • Provide credentialing support to the credentialing manager. 
  • Maintain a sound working knowledge of credentialing trends and changes.
  • Provide consultation to the medical staff regarding credentialing matters.
  • Ensure all processes are in compliance with state statutes and regulatory agencies as demonstrated by observation.
  • Complete physician applications for the state medical licenses and hospital privileges.
  • Work closely with the state licensing boards and hospital medical staff offices.
  • Help keep physician credentials up to date, administer tracking, and reminder system.
  • Filing, data entry, and database maintenance.
  • Responsible for maintaining and securing confidential and time sensitive material.
 
 Credentialing Coordinator Background:
 
  • Requires an education level of at least a high school diploma or GED. Associates degree preferred
  • Requires at least 1-3 years of healthcare credentialing experience, or provider/practice management, or related.
  • Credentialing certification is highly preferred.
  • Strongly prefer prior healthcare database experience and experience working in hospital administration.
  • Basic familiarity with healthcare / medical industry is required.
  • Ability to multi-task duties as well as the ability to understand multiple products and multiple levels of benefits within each product.
  • Computer skills to include Microsoft Word, Excel and basic data entry, including the ability to learn new and complex computer system applications.
  • Ability to analyze and integrate information and make sound decisions based upon established guidelines.
  • Resourcefulness as demonstrated by the effective application of professional knowledge to new situations.
  • Possess planning, organizing, conflict resolution, negotiating and interpersonal skills.
  • Strong oral and written communication skills; ability to interact with all levels of internal and external contacts.
  • Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously.


‚Äč#ADMIN
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KEVIN SLAFKOSKY
DIVISION VICE PRESIDENT
CareNational
kevin@carenational.com
410.885.4745 (CALL – TEXT – FAX)

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