Credentialing Specialist

5 days ago


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

Astrana Health is seeking a highly motivated Credentialing Specialist to join our team. This role will report to the Supervisor - Credentialing and enable us to continue to scale in the healthcare industry.

Key Responsibilities
  • Process initial and reappointment credentialing applications and conduct follow-up as needed
  • Quality spot check applications before submission to committee
  • Prepare monthly reports for peer review/credentialing committee meetings
  • Input all credentialing data into 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 any other required credentialing documents
  • Represent the MSO while interacting with internal and external contacts
  • Remain up to date with credentialing accreditation standards with NCQA and Joint Commission
Qualifications
  • High School Diploma
What You'll Do
  • Process initial and reappointment credentialing applications and conduct follow-up as needed
  • Quality spot check applications before submission to committee
  • Prepare monthly reports for peer review/credentialing committee meetings
  • Input all credentialing data into 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 any other required credentialing documents
  • Represent the MSO while interacting with internal and external contacts
  • Remain up to date with credentialing accreditation standards with NCQA and Joint Commission
Our Values
  • Put Patients First
  • Empower Entrepreneurial Provider and Care Teams
  • Operate with Integrity and Excellence
  • Be Innovative
  • Work as One Team
Environmental Job Requirements and Working Conditions
  • This position is hybrid. The office is located at 1600 Corporate Center Dr., Monterey Park, CA
  • The total compensation target pay range for this role is: $22.00 to $28.00 per hour


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