Credentialing Coordinator

2 weeks ago


Ventura, California, United States Ventura Full time
Job Summary

We are seeking a highly skilled Credentialing Coordinator to join our team at the Ventura County Medical Center. As a Credentialing Coordinator, you will be responsible for coordinating all aspects of the privileging and credentialing process of licensed independent practitioners (LIPs) in accordance with regulatory requirements.

Key Responsibilities
  • Maintain knowledge and compliance with all regulatory and accrediting requirements
  • Process initial and reappointment applications, checking for completeness and accuracy
  • Ensure that all credentials files are current and complete
  • Maintain credentialing database with current practitioner information
  • Audit files based on internal standards and regulatory requirements
  • Monitor and report application status and provide appropriate correspondence
  • Assist with development and maintenance of Medical Staff delineation of privilege forms
  • Coordinate and record assigned medical staff committee meetings
  • Protect all credentialing information and files with strict confidence and limited access
  • Participate in preparation for health plan annual audits and reports
  • Maintain professional working relationship with Medical Staff, organization departments, clinics, and outside facilities
Requirements
  • Current National Association of Medical Staff Services (NAMSS) Certified Provider Credentialing Specialist (CPCS) or actively pursuing certification and certification obtained within two (2) years of eligibility to sit for the exam
  • Intermediate computer skills using Microsoft products and web-based queries
Preferred Qualifications
  • Previous hospital medical staff or managed care credentialing experience
  • Experience with credentialing software
  • Experience preparing agendas and taking minutes
  • Certified Professional Medical Staff Management (CPMSM) certification
Working Conditions

This position is represented by the Service Employees International Union (SEIU) and is eligible for overtime compensation.

Benefits

As a County of Ventura employee, you will be eligible for a comprehensive benefits package, including health insurance, retirement plan, and paid time off.



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