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Credentialing Coordinator

2 months ago

Arcadia, United States LHH Recruitment Solutions Full time
Job DescriptionJob Description

The Credentialing Coordinator oversees medical staff support functions as outlined in the Medical Staff Bylaws and General Rules and Regulations. This role requires a detail-oriented professional with excellent problem-solving skills and the ability to exercise independent judgment in addressing non-routine medical staff and credentialing issues.

Responsibilities:

  • Process applications for appointment and reappointment.

  • Conduct thorough reviews and analyses of practitioner applications.

  • Identify and follow up on "red flag" items.

  • Prepare files for review and recommendation by the medical staff.

  • Manage expirations of licensures, permits, certifications, health records, annual dues, and application fees.

  • Ensure the accuracy of all collected information.

  • Provide administrative support to medical staff.

  • Facilitate medical staff department and committee meetings.

  • Prepare emergency on-call schedules and maintain bank account records.

  • Compose correspondence, reports, and forms as needed.

  • Generate queries and prepare credentialing/privileging reports.

  • Ensure the flow of information and action items for medical staff committees and the board of directors.

  • Develop and implement processes and policies to ensure compliance with federal, state, local, and government/insurance agency regulations and guidelines.

  • Advise providers, management, and administrators on compliance issues.

  • Manage continuing medical educational activities for physicians to comply with accreditation standards.

  • Assist with clinical privilege development and maintain the entity privileging database.

  • Make administrative/procedural decisions regarding urgent physician privileging matters impacting patient care.

  • Ensure the accuracy of system-wide processes and maintain data integrity.

  • Coordinate and participate in daily office management duties, including answering phones, handling incoming and outgoing mail, scanning, filing, information distribution, database management, Outlook calendar management,

  • Accurately maintain department records and confidential physician data and hospital correspondence.


Qualifications:

  • Bachelor's degree required in healthcare administration or related field.

  • A minimum of 5 years of experience in medical staff support and credentialing.

  • Proficiency in Publisher, credentialing software (MDStaff), and QuickBooks.

  • Current NAMSS Certification, preferred

  • Certified Provider Credential Specialist, Preferred

  • Schedule: Onsite, Monday to Friday, 8:00 AM - 5:00 PM
     



Pay Details: $24.00 to $26.00 per hour

Search managed by: Joanna Calderon

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer/Veterans/Disabled

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacy

The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
  • The California Fair Chance Act
  • Los Angeles City Fair Chance Ordinance
  • Los Angeles County Fair Chance Ordinance for Employers
  • San Francisco Fair Chance Ordinance