Community Clinic Credentialing Coordinator

1 week ago

Los Angeles, United States KHEIR Center Full time
Job DescriptionJob Description

CREDENTIALING COORDINATOR

Full-Time, Non-exempt Position

Our community clinic is seeking a passionate and detail-oriented individual to join our team as a Credentialing Coordinator. The Credentialing Coordinator will be responsible for managing the credentialing process for healthcare providers, ensuring compliance with accreditation standards, regulatory requirements, and organizational policies. This position will involve conducting regular audits, training staff on compliance procedures, and implementing corrective actions as needed. The ideal candidate will have excellent communication skills, and a commitment to upholding the highest standards of ethical conduct.

ASSIGNMENT SUMMARY

The Credentialing Coordinator will be an active member of the Compliance and Credentialing teams, which includes the HR & Compliance Director, Compliance Coordinator and selected clinic staff. Will be responsible for maintaining current knowledge of relevant compliance requirements, clinic operations and managed care programs. Must be highly proficient in Microsoft Office programs and other computer functions in order to maintain detailed records.

MINIMUM QUALIFICATIONS

  • Bachelor's degree in healthcare administration, public health, or a related field.
  • Minimum of 2 years of experience in healthcare compliance or a related field.
  • Strong knowledge of healthcare laws and regulations, including HIPAA, OSHA, HRSA, FTCA.
  • Excellent organizational skills and attention to detail.
  • Strong communication and interpersonal skills.
  • Strong ability to research and resolve compliance issues.
  • Strong knowledge of the health care managed care compliance requirements.
  • Ability to work independently and as part of a team.
  • Excellent written and verbal communication skills
  • Excellent time management and organizational skills
  • Excellent computer skills, including email, Microsoft Office (Excel) & data tracking
  • Ability to work quickly, follow directions and make independent decisions
  • Ability to maintain confidentiality when handling patient medical records
  • Experience in community clinic environment a plus
  • Valid California driver license and insurable driving record required

 

ESSENTIAL FUNCTIONS/RESPONSIBILITIES

  • Collect, review and verify credentials of healthcare providers, including licenses, certifications, education, training and work experience.
  • Conduct primary source verification of credentials in accordance with organizational policies and regulatory standards.
  • Maintain internal provider grid to ensure all information is accurate
  • Ensure enrollment in Medi-Cal, Medicare, National Plan and Provider Enumeration System, Provider Enrollment Chain and Ownership System, Provider Application and Validation for Enrollment, CAQH ProView, etc.
  • Complete revalidation requests issues by government payers
  • Maintain accurate and up-do-date records in credentialing databases

· Coordinate Provider Credentialing and Re-Credentialing with Health Plans to meet all HRSA and state regulatory agency requirements

  • Serve as point of contact for providers regarding credentialing inquiries and issues.
  • Communicate credentialing requirements and processes effectively to new and existing staff.
  • Assist in training and onboarding of new credentialing staff as needed.
  • Provide support in the development and implementation of credentialing policies and procedures.
  • Support credentialing process improvement and efficiency initiatives
  • Assist with the development and maintenance of policies and procedures related to compliance with federal, state, and local regulations.
  • Conduct regular audits to assess compliance with healthcare laws, regulatory standards, and internal policies.
  • Assist with staff training on compliance requirements and best practices.
  • Keep abreast of changes in healthcare regulations, ensuring compliance
  • Monitor and track compliance indicators to ensure the clinic's adherence to standards.
  • Garner & maintain knowledge of Health Plan compliance requirements, medical group operations, and medical terminology
  • Work with the training and development staff to deliver and update training documentation, ensuring comprehensive understanding and adherence to compliance protocols.
  • Develop and conduct trainings relating to emergency management and risk management.
  • Provide support in relation to Risk Management requirements\
  • Assist preparing for and participating in audits and regulatory reviews.
  • Assist with Survey Requests
  • Support various compliance initiatives as needed
  • Other duties as assigned & necessary

 

 

Company DescriptionThe Kheir Clinic is a primary provider of critical in-language healthcare and human services support to the residents of Metro Los Angeles and its neighboring communities. We strive to accommodate underserved residents in the greater Los Angeles area regardless of race, ethnicity, gender, sexual orientation or income. Annually, Kheir Center offers over 30,000 Human Services case visits, 100,000 hot meals to seniors, and 30,000 patient visits in English, Spanish, Korean, Thai and Bengali.Company DescriptionThe Kheir Clinic is a primary provider of critical in-language healthcare and human services support to the residents of Metro Los Angeles and its neighboring communities. We strive to accommodate underserved residents in the greater Los Angeles area regardless of race, ethnicity, gender, sexual orientation or income. Annually, Kheir Center offers over 30,000 Human Services case visits, 100,000 hot meals to seniors, and 30,000 patient visits in English, Spanish, Korean, Thai and Bengali.

  • Community Clinic Credentialing Coordinator

    2 months ago

    Los Angeles, United States Kheir Clinic (FQHC) Full time $19 - $25

    The Credentialing Coordinator will be an active member of the Compliance and Credentialing teams, which includes the HR & Compliance Director, Compliance Coordinator and selected clinic staff. Will be responsible for maintaining current knowledge of relevant compliance requirements, clinic operations and managed care programs. Must be highly proficient in...

  • Credentialing Coordinator

    7 days ago

    Los Angeles, California, United States Kheir Clinic (FQHC) Full time

    Job Title: Community Clinic Credentialing CoordinatorJob Summary:Clinic Kheir Clinic (FQHC) is seeking a highly skilled Community Clinic Credentialing Coordinator to join our Compliance and Credentialing teams. The ideal candidate will have a strong understanding of healthcare laws and regulations, including HIPAA, OSHA, HRSA, FTCA. The Coordinator will be...

  • Credentialing Coordinator

    1 week ago

    Los Angeles, United States MedPOINT Management Full time

    Job DescriptionJob DescriptionResponsible for collaborating with CVO, credentialing staff and provider services to coordinate, monitor and maintain the credentialing and re-credentialing process. Responsible for the accuracy and integrity of the credentialing database system and related systems.  Ensures interpretation and compliance with the appropriate...

  • Credentialing Coordinator

    7 days ago

    Los Angeles, California, United States MedPOINT Management Full time

    At MedPOINT Management, we are seeking a highly organized and detail-oriented Credentialing Coordinator to join our team.Job Description:The Credentialing Coordinator will be responsible for collaborating with cross-functional teams to coordinate, monitor, and maintain the credentialing and re-credentialing process. This includes preparing and sending out...

  • Credentials Coordinator

    24 hours ago

    Los Angeles, United States Robert Half Full time

    Job DescriptionJob DescriptionWe are offering a short term contract employment opportunity for a Credentials Coordinator located in Los Angeles, California. As a Credentials Coordinator, you will be working in the healthcare industry, where you will be responsible for credentialing functions for medical and allied health staff, managing medical staff...

  • Healthcare Operations Coordinator

    6 days ago

    Los Angeles, California, United States UMMA Community Clinic Full time

    Job SummaryWe are seeking a detail-oriented and organized Patient Care Coordinator to join our team at UMMA Community Clinic. As a key member of our operations team, you will be responsible for facilitating the smooth flow of patients, clients, and work throughout the organization.

  • Medical Credentialing Specialist

    6 days ago

    Los Angeles, California, United States MedPOINT Management Full time

    Job DescriptionMedPOINT Management is seeking a highly organized and detail-oriented Medical Credentialing Specialist to join our team. This role will be responsible for ensuring the accuracy and integrity of our credentialing database system, while also maintaining compliance with accrediting and regulatory agencies.The ideal candidate will have a strong...

  • Clinical Pharmacist

    2 weeks ago

    Los Angeles, United States Saban Community Clinic Full time

    Job DetailsJob Location8405 Beverly Blvd - West Hollywood, CAPosition TypePer DiemSalary Range$68.00 - $68.00 HourlyDescriptionAt Saban we believe in the employee experience, and know you are the heart of our business! Work shouldn't consume your life, we believe in Work-Life-Balance and strive for flexibility through various company perks.Benefits and...

  • Credentialing Clerk

    1 week ago

    Los Angeles, United States MedPOINT Management Full time

    Job DescriptionJob DescriptionSummaryResponsible for collaborating with CVO, credentialing staff and provider services to coordinate, monitor and maintain the credentialing and re-credentialing process. Duties and Responsibilities1. Prepare and send out packets, applications, contracts and other correspondence by e-mail or fax2. Write letters, make labels,...

  • Credentialing Specialist

    2 months ago

    Los Angeles, United States True Vine Concepts LLC Full time $22 - $27

    Credentialing Specialist$20 to $27 depending on experience Job Description:The Credentialing Specialist will be responsible for leading, coordinating, monitoring, and maintaining the credentialing and re-credentialing process.Liaise between the practitioners, health plans, hospitals, patient care facilities, and all related entities regarding credentialing,...

  • Care Coordinator Clinic Full Time

    7 days ago

    Los Angeles, United States MLK Community Hospital Full time

    Care Coordinators function as liaisons between patients, providers, and the healthcare system. Care Coordinators ensures that patient needs, discharge planning, and care coordination efforts are all coherent with care management criteria. Care coordi Clinic, Care Coordinator, Coordinator, Healthcare, Patient Care, Clinical

  • LGBTQ Program Clinical Coordinator

    6 days ago

    Los Angeles, California, United States Social Model Recovery Systems Full time

    About the RoleWe are seeking a skilled and compassionate Clinical Coordinator to join our team at Social Model Recovery Systems, a non-profit 501(c)3 organization providing direct treatment services in Los Angeles County.Salary InformationThe salary for this position is commensurate with credential and experience, but we estimate it to be around $75,000 per...

  • Medical Compliance Specialist

    5 days ago

    Los Angeles, California, United States KHEIR Center Full time

    We are seeking a highly detail-oriented and organized Medical Compliance Specialist to join our team at the KHEIR Center in Los Angeles. The ideal candidate will have excellent communication skills, a commitment to upholding the highest standards of ethical conduct, and a strong understanding of healthcare laws and regulations.The Medical Compliance...

  • Care Coordinator Clinic Full Time

    2 months ago

    Los Angeles, United States Martin Luther King Jr. Community Hospital Full time

    If interested, please apply and submit your resume to kaalvarez@mlkch.org POSITION SUMMARY Care Coordinators function as liaisons between patients, providers, and the healthcare system. Care Coordinators ensures that patient needs, discharge planning, and care coordination efforts are all coherent with care management criteria. Care coordinators must remain...

  • Clinical Support Specialist

    7 days ago

    Los Angeles, California, United States Noble Community Medical Clinic Full time

    We are seeking a skilled and dedicated Clinical Support Specialist to join our team at Noble Community Medical Clinic.Job SummaryThis role involves providing administrative and clinical support to our medical staff, ensuring the smooth operation of our fast-paced family practice medical office.The ideal candidate will possess excellent communication skills,...

  • Clinical Research Coordinator

    2 weeks ago

    Los Angeles, United States Joulé Full time

    Title: Clinical Research Coordinator Location: Encino, CA Type: Full-time, Direct Hire/Perm Pay Rate: $25-35/hour Start Date: ASAP The Clinical Research Coordinator (CRC) is a specialized research professional working with and under the guidance of the clinical research site management and Principal Investigator (PI). While the PI is primarily...

  • Clinical Research Coordinator

    2 days ago

    Los Angeles, California, United States Compu-Vision Consulting Full time

    Job Title: Clinical Research CoordinatorAbout the Job:We are seeking a motivated and organized Clinical Research Coordinator to join our team at Compu-Vision Consulting.Key Responsibilities:Coordinate research studies, identify participants according to the IRB-approved recruitment plan, and assist the PI with determining patient eligibility.Facilitate the...

  • Clinical Coordinator

    1 month ago

    Los Angeles, United States destinationone Consulting Full time

    destinationone Consulting specializes in recruitment across diverse sectors including Healthcare Health Tech Government Municipalities NonProfits Legal Public Accounting Food and more. We are proactively building a data bank for opportunities in these fields. By applying you ensure our recruiters can quickly match you with suitable roles when they...

  • Care Management Coordinator

    1 month ago

    Los Angeles, United States Gracelight Community Health Full time

    Job DetailsJob LocationLos Angeles, CAPosition TypeFull TimeSalary Range$21.84 - $33.26 HourlyDescriptionThe Care Management Coordinator is responsible for supporting the Clinical Care Manager by outreaching patients/caregivers, providers, Community Based Organizations (CBO), and others to help assist our highest need members into the Care Management (CM),...

  • Clinical Research Coordinator

    2 days ago

    Los Angeles, California, United States Wake Research Full time

    At Wake Research, an M3 company, we are seeking a highly skilled Clinical Research Coordinator to join our team.The successful candidate will be responsible for managing, supporting, facilitating, and coordinating daily clinical trial activities, working under the guidance of the clinical research site management and Principal Investigator (PI).The Clinical...