Credentialing Coordinator

Found in: Appcast Linkedin GBL C2 - 2 weeks ago


San Diego, United States ANESTHESIA MANAGEMENT PROFESSIONALS, LLC Full time

Anesthesia Management Professionals, Inc. (“AMP”), a leading medical management company and subsidiary of Anesthesia Service Medical Group (“ASMG”), has an immediate, full-time opening for a Credentialing Coordinator. Founded in 1946, ASMG presently employs more than 260 anesthesiologists in San Diego, California. These physicians provide anesthesia services in ten acute care hospitals, eleven freestanding outpatient surgery centers and numerous physician and dental offices throughout San Diego County. As a professional management corporation, AMP provides a full range of financial, operational, legal, and human resources services in support of ASMG’s clinical practice.

Job Description:

Under direct supervision, works as part of a team to maintain providers’ privileges and credentials in accordance with criteria set forth by the National Committee on Quality Assurance (NCQA) and Joint Commission (JC); provides related administrative and clerical support; other duties as assigned.


Required Skills and Experience:

·        Two years credentialing experience required; CPCS or CMPSM preferred

·        Familiarity with NCQA and JC standards; Medical Staff Bylaws, Rules and Regulations and hospital policies, as they relate to credentialing

·        Proficient in Microsoft Windows, MS Word, and MS Excel; familiarity with computer-based credentialing software, MD Staff experience preferred

·        Knowledge of medical terminology

·        Excellent organizational and communication skills with specific attention to detail and follow up

·        Team player

·        Ability to handle confidential and/or sensitive information in a professional manner

·        Ability to work independently and prioritize tasks; specifically, must be able to allocate time among several credentialing projects and accommodate the needs of each client

·        Ability to handle frequent interruptions and confidently resolve issues

 

Essential Functions

 

·        Completes and coordinates applications and reappointment applications for all providers

·        Acts as liaison between physicians including Locum Tenens and medical facilities, payers and other related entities

·        Processes requests and/or applications for temporary privileges

·        Assists in biannual recredentialing process

·        Maintains communication with Credentialing Manager regarding credentialing issues

·        Provides general clerical support to Credentialing and Practice Management units as needed 




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