Provider Credentialing Coordinator

2 weeks ago

Oakland, California, United States Altais Health Solutions Full time
Job Overview

About Altais Health Solutions

At Altais, we are on the lookout for innovative and driven professionals who are dedicated to transforming healthcare experiences and advancing the healthcare system. Join our dynamic team as we work towards a brighter future in healthcare. Our family of companies includes Brown & Toland Physicians, Family Care Specialists, and Altais Medical Groups.

Your Team

If you are enthusiastic about redefining healthcare and wish to be part of a mission-oriented organization that values creativity and new ideas, we would love to connect with you.

Your Responsibilities

The Provider Credentialing Coordinator will oversee the administrative functions related to credentialing services, ensuring compliance with requirements and maintaining precise and current provider information.

Your Key Responsibilities Include:

  • Managing all elements of credentialing and recredentialing for providers, which includes verifying applications and documents, sending requests, and accurately recording provider information.
  • Handling the credentialing and recredentialing processes for 'Organizational Providers', including the verification of applications, dispatching initial applications, and managing approval and denial communications.
  • Processing credentialing and recredentialing applications efficiently and accurately, preparing credentialing files and monthly reports for the Credentialing Committee.
  • Updating databases and communicating provider changes to relevant health plans and departments, while coordinating credentialing workflows and maintaining task management grids for follow-up and completion.
  • Supporting and maintaining the database, addressing and resolving inquiries related to the database, and making necessary modifications.

Qualifications and Skills

  • Experience: 2-4 years in healthcare or physician practice; certification as a Provider Credentialing Specialist (CPCS) is preferred.
  • Proficient in computer applications, particularly Microsoft Office.
  • Ability to exercise independent judgment and initiative within established guidelines.
  • Strong interpersonal skills to maintain excellent relationships with all levels of staff and external stakeholders.
  • Exceptional communication and organizational abilities.
  • Capability to analyze data and propose solutions while managing multiple projects simultaneously.

Our Mission and Values

  • You are committed to enhancing the healthcare experience.
  • You are bold and inquisitive, willing to embrace challenges and think creatively.
  • You take pride in your work and are accountable for the quality of your contributions.
  • You demonstrate compassion and emotional intelligence.
  • You collaborate effectively, valuing diverse perspectives.
  • You build trust through honesty and transparency.

Altais offers competitive compensation and benefits. The anticipated salary range for this position may vary based on the candidate's qualifications and skills. All external hires must successfully complete a background check and drug screening. Qualified candidates will be considered for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status, or disability status.

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