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