Credentialing Coordinator
4 weeks ago
Position Summary:
Credential all new providers, Re-credential existing Providers according to Regal Medical Group credentialing policies and procedures. Submit credentialing information as requested by contracted HMOs. Maintain and update files on all credentialed Providers. Provide credentialing information on a Provider when requested by other RMG.Maintain and update Provider files in credentialing database.
Essential Duties and Responsibilities include the following:
- Process Initial and Reappointment applications for ADOC, GCMG, LMG and RMG.
- Process Initial and Reappointment applications for Health Delivery Organizations (HDO)
- Assist with the gathering of information required to complete credentialing/re-credentialing cycles for our contracted/credentialed providers.
- Verifies all pertinent required information and follows up as needed.
- Data entry for credentialing database with current information.
- Prepare and review practitioner files for Credentialing Committee review and decisions.
- Assist Management in training and teaching Credentialing Assistants in their assigned tasks.
- All other duties as directed by management.
The total compensation package for this position may also include other elements, including a sign-on bonus and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered.
Details of participation in these benefit plans will be provided if an employee receives an offer of employment.
If hired, employee will be in an “at-will position” and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.
As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.
Full Time Position Benefits:
The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life.
Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options.
Health and Wellness:
- Employer-paid comprehensive medical, pharmacy, and dental for employees
- Vision insurance
- Zero co-payments for employed physician office visits
- Flexible Spending Account (FSA)
- Employer-Paid Life Insurance
- Employee Assistance Program (EAP)
- Behavioral Health Services
- 401k Retirement Savings Plan
- Income Protection Insurance
- Vacation Time
- Company celebrations
- Employee Assistance Program
- Employee Referral Bonus
- Tuition Reimbursement
- License Renewal CEU Cost Reimbursement Program
- Business-casual working environment
- Sick days
- Paid holidays
- Mileage
Requirements
Education and/or Experience:
- High School graduate or equivalent.
- One year or more of experience with credentialing.
- Health Care Industry Knowledge.
- Excellent written and verbal communication skills.
- Knowledge of Windows-based computer.
- Proficient in Microsoft Excel.
- Attention to detail.
- Ability to work well under pressure.
- Strong planning and organization skills to cope and manage multiple competing priorities.
-
Medical Staff Credential Coord
5 days ago
Northridge, United States CommonSpirit Health Full timeOverview: Founded in 1955 Dignity Health Northridge Hospital Medical Center is a 394-bed acute care nonprofit community hospital located in Northridge California. The hospital offers a full complement of award winning services including the Leavey Cancer Center a cardiovascular center stroke center the Center for Assault Treatment Services a pediatric...
-
Medical Staff Credential Coord
4 days ago
Northridge, California, United States Dignity Health Full timeOverviewFounded in 1955 Dignity Health – Northridge Hospital Medical Center is a 394-bed acute care nonprofit community hospital located in Northridge California. The hospital offers a full complement of award winning services including the Leavey Cancer Center a cardiovascular center stroke center the Center for Assault Treatment Services a pediatric...
-
Medical Staff Credential Coord
2 days ago
Northridge, California, United States Dignity Health Full timeOverviewFounded in 1955 Dignity Health – Northridge Hospital Medical Center is a 394-bed acute care nonprofit community hospital located in Northridge California. The hospital offers a full complement of award winning services including the Leavey Cancer Center a cardiovascular center stroke center the Center for Assault Treatment Services a pediatric...
-
Medical Staff Credential Coord
5 days ago
Northridge, United States Dignity Health Full timeOverview Founded in 1955 Dignity Health – Northridge Hospital Medical Center is a 394-bed acute care nonprofit community hospital located in Northridge California. The hospital offers a full complement of award winning services including the Leavey Cancer Center a cardiovascular center stroke center the Center for Assault Treatment Services a pediatric...
-
Medical Staff Credential Coord
2 days ago
Northridge, United States Dignity Health Full timeOverview Founded in 1955 Dignity Health – Northridge Hospital Medical Center is a 394-bed acute care nonprofit community hospital located in Northridge California. The hospital offers a full complement of award winning services including the Leavey Cancer Center a cardiovascular center stroke center the Center for Assault Treatment Services a pediatric...
-
Network Coordinator
1 month ago
Northridge, United States REGAL MEDICAL GROUP, INC Full time**Position Summary**: The Coordinator, Network Management is responsible for working as the internal liaison in maintaining, processing and reviewing department databases and reporting on a daily basis to assist the Network Management Department in meeting the overall network growth and development goals. **Essential Duties and Responsibilities include the...
-
Hedis Outreach Coordinator
1 month ago
Northridge, United States Regal Medical Group, Inc. Full timeJob DescriptionPosition Summary:Responsibilities include but are not limited to data entry, maintenance, and reporting in, of and from the Contract Database (CDB); verification and processing of various forms used by, Network Management, HR, Corporate and IS; and gathering provider information from a variety of sources.Essential Duties and Responsibilities...
-
Hedis Outreach Coordinator
22 hours ago
Northridge, United States Regal Medical Group, Inc. Full timeJob DescriptionPosition Summary:Responsibilities include but are not limited to data entry, maintenance, and reporting in, of and from the Contract Database (CDB); verification and processing of various forms used by, Network Management, HR, Corporate and IS; and gathering provider information from a variety of sources.Essential Duties and Responsibilities...
-
Sonographer Staff
1 month ago
Northridge, United States Physician's Mobile X-Ray Full timeFull-Time $5,000 Sign On Bonus!! Position Summary A Sonographer Staff is a Diagnostic Ultrasound Professional that is qualified by professional credentialing and academic and clinical experience to provide diagnostic patient care services using ultrasound and related diagnostic procedures. The scope of practice includes those procedures, acts and...
-
Sonographer Staff
21 hours ago
Northridge, United States Physician's Mobile X-Ray Full timeFull-Time $5,000 Sign On Bonus!! Position Summary A Sonographer Staff is a Diagnostic Ultrasound Professional that is qualified by professional credentialing and academic and clinical experience to provide diagnostic patient care services using ultrasound and related diagnostic procedures. The scope of practice includes those procedures, acts and...
-
Summer Intern-Law Clerk
4 weeks ago
Northridge, United States HARMAN International Full timeA Career at HARMAN As a technology leader that is rapidly on the move, HARMAN is filled with people who are focused on making life better. Innovation, inclusivity and teamwork are a part of our DNA. When you add that to the challenges we take on and solve together, you'll discover that at HARMAN you can grow, make a difference and be proud of the work you...
-
Summer Intern-Law Clerk
2 days ago
Northridge, United States HARMAN International Full timeA Career at HARMAN As a technology leader that is rapidly on the move, HARMAN is filled with people who are focused on making life better. Innovation, inclusivity and teamwork are a part of our DNA. When you add that to the challenges we take on and solve together, you'll discover that at HARMAN you can grow, make a difference and be proud of the work you...