Ambulatory Clinic Credentialing Specialist
7 days ago
We are seeking a highly skilled Ambulatory Clinic Credentialing Specialist to join our team at Tri-City Healthcare District. As a key member of our healthcare team, you will be responsible for performing credentialing activities, including maintaining active status for all providers by successfully completing initial and subsequent credentialing packages as required by hospitals, surgery centers, commercial payers, Medicare, and Medicaid.
Key Responsibilities- Maintain a safe, clean working environment, including unit-based safety and infection control requirements.
- Request all necessary credentialing documentation from onboarding providers and maintain all current copies of credentialing documentation.
- Complete all attestations through the various required entities.
- Review and screen initial and reappointment credentialing applications for completeness, accuracy, compliance with federal, state, and local regulations, guidelines, policies, and standards.
- Enter, update, and maintain data from provider applications into credentialing database, focusing on accuracy and interpreting or adapting data to conform to defined data field uses, and in accordance with internal policies and procedures.
- Communicate clearly with internal and external customers and provide timely responses regarding credentialing and privileging issues.
- Three (3) years medical and professional credentialing experience, required.
- Strong organizational skills, including ability to prioritize daily workload to meet multiple tasks and deadlines, required.
- Ability to communicate effectively utilizing both written and verbal skills, required.
- Ability to provide excellent customer service, required.
- Ability to interpret, adapt, and apply guidelines and procedures. Knowledge of Joint Commission standards and regulatory requirements, required.
- High-school diploma or GED, required.
- Associate's degree, preferred.
- Certification: CPCS, preferred.
We offer a competitive salary/hourly wage range based on experience. To protect the health of patients and staff, and to comply with the new State of California mandates, all job offers are contingent on the successful engagement in the TCMC COVID-19 vaccination program (fully vaccinated with documented proof or approved exception/deferral.)
Tri-City Healthcare District is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with a disability.
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