Credentialing Operations Specialist

1 day ago

Monterey, California, United States Astrana Health Full time
About the Role

As a Credentialing Coordinator at Astrana Health, you will play a vital role in optimizing credentialing operations and elevating system performance. You will work closely with the Credentialing Specialists to ensure seamless, up-to-date processes and drive excellence in management.

Key Responsibilities
  • Assist Credentialing Specialists with initial and reappointment credentialing applications and conduct follow-up as needed
  • Prepare for upcoming meetings and input credentialing data into the credentialing software database accurately and timely
  • Work closely with IPAs and Hospitals to ensure exceptional customer service
  • Maintain provider state licenses, DEA certificates, malpractice insurance, and other required credentialing documents
  • Represent the MSO while interacting with internal and external contacts
  • Manage incoming calls and direct to credentialing specialists as needed
  • Stay up-to-date with credentialing accreditation standards, including NCQA and Joint Commission
  • Organize digital credentialing files and documents
  • Ensure all credentialing verification sites have an account balance at all times
  • Ensure supplies are fully stocked
Qualifications
  • Ability to work with multiple projects and deadlines
  • Excellent written and verbal communication skills
  • Detail-oriented and possess strong organizational skills in a fast-paced environment
  • High School Diploma
  • 2-3 years' experience in office required
You're Great for This Role If
  • You have a BA/BS degree
  • You have credentialing experience
About Astrana Health

Astrana Health is a physician-centric, technology-powered healthcare management company. We are building and operating a novel, integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner. Our mission is to combine our clinical experience, best-in-class delivery network, and technological expertise to improve patient outcomes, increase access to healthcare, and make the US healthcare system more efficient.

Our platform currently empowers over 10,000 physicians to provide care for over 1.2 million patients nationwide. Our rapid growth and unique position at the intersection of all major healthcare stakeholders (payer, provider, and patient) gives us an unparalleled opportunity to combine clinical and technological expertise to improve patient outcomes, increase access to quality healthcare, and reduce waste in the US healthcare system.

Our Values
  • Patients First
  • Empowering the Independent Provider
  • Be Innovative
  • Operate with Integrity & Deliver Excellence
  • Team of One
Environmental Job Requirements and Working Conditions
  • This position is Hybrid. The office is located at 1600 Corporate Center Drive, Monterey Park, CA 91754.
  • The total compensation target pay rate for this role is between $20.00 - $24.00 per hour.

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