Credentialing Coordinator
Company: Dignity Health
Location: Bakersfield
Posted on: May 27, 2023
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Job Description:
**Credentialing Coordinator**
Dignity Health Management ServicesBakersfield, California
The posted compensation range of $17.93 - $22.62 /hour is a
reasonable estimate that extends from the lowest to the highest pay
CommonSpirit in good faith believes it might pay for this
particular job, based on the circumstances at the time of posting.
CommonSpirit may ultimately pay more or less than the posted range
as permitted by law.
**Requisition ID** 2023-299629 **Employment Type** Full Time
**Department** Credentialing **Hours/Pay Period** 80 **Shift** Day
**Weekly Schedule** Monday - Friday (8:00am-5:00pm) **Remote** Yes
**Category** Administrative and Clerical
**Overview**
The purpose of Dignity Health Management Services Organization
(Dignity Health MSO) is to build a system-wide integrated
physician-centric full-service management service organization
structure. We offer a menu of management and business services that
will leverage economies of scale across provider types and
geographies and will lead the effort in developing Dignity Healths
Medicaid population health care management pathways. Dignity Health
MSO is dedicated to providing quality managed care administrative
and clinical services to medical groups hospitals health plans and
employers with a business objective to excel in coordinating
patient care in a manner that supports containing costs while
continually improving quality of care and levels of service.
Dignity Health MSO accomplishes this by capitalizing on
industry-leading technology and integrated administrative systems
powered by local human resources that put patient care first.
Dignity Health MSO offers an outstanding Total Rewards package that
integrates competitive pay with a state-of-the-art flexible Health
& Welfare benefits package. Our cafeteria-style benefit program
gives employees the ability to choose the benefits they want from a
variety of options including medical dental and vision plans for
the employee and their dependents Health Spending Account (HSA)
Life Insurance and Long Term Disability. We also offer a 401k
retirement plan with a generous employer-match. Other benefits
include Paid Time Off and Sick Leave.
**Responsibilities**
*****This position can be onsite or remote** **within California**
**.**
**Position Summary:**
Assist with all credentialing activities associated with all IPAs
and product lines managed by Dignity Health MSO. 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 may include:
- Keep current on all NCQA and health plan credentialing standards,
policies, and procedures.
- Maintain access to all Primary Source Verification websites.
- Assists with performing internal primary source verifications and
full credentialing for those providers who are to be credentialed
on a RUSH basis. RUSH status is to be determined by administration
including CEO and Medical Directors.
- Keep all credentialing files and credentialing database current
and complete.
- Attend assigned meetings pertaining to provider credentialing and
provider network management as assigned, including but not limited
to Provider Information Meetings sponsored by Provider Relations
Department on a quarterly basis, QM & Credentialing Committee
meeting for GEMCare Medical Group, and MasterCare IPA Board of
Directors.
- Coordinate credentialing activities with Supervisor as needed,
and keep supervisor informed of status of credentialing activities
on a regular basis.
- Validate information in master credentialing database against
information in health plan database.
- Perform other duties as assigned.
**Qualifications**
**Minimum Qualifications:**
- One to two (1-2) years of experience in the healthcare industry
required, preferably with experience in credentialing.
- Excellent analytical and organizational skills required. Highly
detail oriented, creative and proven problem solver. Strong
attention to detail and ability to analyze same.
- 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.
- Strong MS Office Suite skills (Word, Excel, PowerPoint and
SharePoint) and proven ability to learn/use company specialized
software and hardware.
**Preferred Qualifications:**
- One or more (1+) years of vocational or college coursework
preferred. Bachelor's degree preferred.
- Prefer Certified Provider Credentialing Specialist certification
(CPCS).
**Equal Opportunity**
CommonSpirit Health is an Equal Opportunity/Affirmative Action
employer committed toa diverse and inclusive workforce. All
qualified applicants will be considered foremployment without
regard to race, color, religion, sex, sexual orientation,
genderidentity, national origin, age, disability, marital status,
parental status,ancestry, veteran status, genetic information, or
any other characteristic protectedby law. For more information
about your EEO rights as an applicant,pleaseclick here.
(https://tbcdn.talentbrew.com/company/35300/img/v1_0/EEOC_KnowYourRightsEnglish.pdf)
CommonSpirit Health will not discharge or in any other manner
discriminate against employees or applicants because they have
inquired about, discussed, or disclosed their pay or the pay of
another employee or applicant. However, employees who have access
to the compensation information of other employees or applicants as
a part of their essential job functions cannot disclose the pay of
other employees or applicants to individuals who do not otherwise
have access to compensation information, unless the disclosure is
(a) in response to a formal complaint or charge, (b) in furtherance
of an investigation, proceeding, hearing, or action, including an
investigation conducted by the employer, or (c) consistent with the
contractors legal duty to furnish information. 41 CFR
60-1.35(c).External hires must pass a post-offer, pre-employment
background check/drug screen. Qualified applicants with an arrest
and/or conviction will be considered for employment in a manner
consistent with federal and state laws, as well as applicable local
ordinances, ban the box laws, including but not limited to the San
Francisco and Los Angeles Fair Chance Ordinances.If you need a
reasonable accommodation for any part of the employment process,
please contact us by telephone at (415) 438-5575 and let us know
the nature of your request. We will only respond to messages left
that involve a request for a reasonable accommodation in the
application process. We will accommodate the needs of any qualified
candidate who requests a reasonable accommodation under the
Americans with Disabilities Act (ADA).CommonSpirit Health
participates in E-Verify.Dignity Health is an Equal Opportunity/
Affirmative Action employer committed to a diverse and inclusive
workforce. All qualified applicants will be considered for
employment without regard to race, color, religion, sex, sexual
orientation, gender identity, national origin, age, disability,
marital status, parental status, ancestry, veteran status, genetic
information, or any other characteristic protected by law.
Keywords: Dignity Health, Bakersfield , Credentialing Coordinator, Other , Bakersfield, California
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