Credentialing Specialist
5 days ago
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
- High School Diploma
- 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
- Put Patients First
- Empower Entrepreneurial Provider and Care Teams
- Operate with Integrity and Excellence
- Be Innovative
- Work as One Team
- 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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