Enrollment Credentialing Coordinator

Job ID
2021-172899
Employment Type
Full Time
Department
Credentialing
Hours / Pay Period
80
Facility
Dignity Health Management Services Organization
Shift
Day
Standard Hours
Monday - Friday 8:00 AM - 5:00 PM
Work Schedule
8 Hour
Location
CA-Bakersfield

Overview

Assist with all credentialing activities associated with all IPAs and product lines managed by DHMSO.  Works with Credentialing Supervisor, Medical Directors, Provider Relations Department, Contracting Department, health plans, providers, provider office staff, and other persons or businesses as necessary to ensure that all providers are properly credentialed according to NCQA and health plan standards.  Where appropriate, makes recommendations regarding improvement of processes and procedures.

Responsibilities

Assist with all credentialing activities associated with all IPAs and product lines managed by DHMSO. Works with Credentialing Supervisor, Medical Directors, Provider Relations Department, Contracting Department, health plans, providers, provider office staff, and other persons or businesses as necessary to ensure that all providers are properly credentialed according to NCQA and health plan standards. Where appropriate, makes recommendations regarding improvement of processes and procedures.

Qualifications


    Minimum


  • Excellent analytical and organizational skills required.


  • Highly detail oriented, creative and proven problem solver.


  • Strong attention to detail and ability to analyze same.


  • Strong MS Office Suite skills (Word, Excel, PowerPoint and SharePoint) and proven ability to learn/use company specialized software and hardware.


  • One to two years of experience in the healthcare industry required, preferably with experience in credentialing.


  • Self-directed and able to work independently under tight time frames.


  • Able to interact with co-workers, managers, supervisors, and administrators in a manner that promotes a positive work environment.



  • Preferred


  • Bachelor's degree preferred


  • One or more years of vocational or college coursework preferred.


  • Prefer Certified Provider Credentialing Specialist certification (CPCS)



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