Credentialing Coordinator

Company: Universal Healthcare Services, Inc
Location: Bakersfield
Posted on: May 23, 2023

Job Description:

Description:Initiate, coordinate, monitor and maintain the credentialing and re-credentialing of all practitioners and allied health staff employed and/or contracted.Will also assist to perform duties regarding various managed-care activitiesCompletion of health care professionals credentialing and re-credentialing applications including the privileging and re-privileging for all Practitioners and allied health staff employed/or contracted with all sites.In addition, responsible for the completion of the credentialing and re-credentialing of Other Licensed and Certified PractitionersInitiates and conducts primary source verification of practitioner's background, education/training and malpractice history through the use of online systems, written correspondence, telephone inquiries and other acceptable credentialing methodsIdentifies and evaluates potential red flags and works in collaboration with the credentialing manager to determine next stepsPerforms ongoing monthly and quarterly compliance reportingAnalysis of report data and state board sanction information in compliance with regulatory on-going monitoring requirementsIs responsible for preparation of materials and files for presentation and review by credentialing committeePerform data management and reporting from credentials databaseCollaborates with inter-departmental peers, including Quality Management and Operations to identify and implement best practices and to ensure an integral, timely, and consistent productWorks with Human Resources/Operations department/Recruitment to ensure timely credentialing of new health care professionalsRequirements:Any combination equivalent to: An associate's degree AND one year of credentialing experience in a managed care setting or experience in the medical field with a thorough understanding of credentialing and privilegingBackground of strong administrative skills will also be consideredProven ability to function independently with minimal direct supervision requiredStrong organizational and communication skills requiredExcellent oral and written communication, interpersonal and computer skills requiredProficient in Microsoft Office Suite (Outlook, Word, Excel)Comfortable extracting and formatting data for ad hoc report requestsAttention to detail a mustConfidentiality required

Keywords: Universal Healthcare Services, Inc, Bakersfield , Credentialing Coordinator, Other , Bakersfield, California