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What is the role of a Credentialing Coordinator at Universal Urgent Care and Occupational Medicine, I?

The Credentialing Coordinator position at Universal Urgent Care and Occupational Medicine, I is a Full-time or part-time position opportunity in the Medical field.

Where is this Credentialing Coordinator job located?

Bakersfield, California, 93312, United States

What type of employment is offered for this Credentialing Coordinator role?

Full-time or part-time position

What is the expected salary for this Credentialing Coordinator job?

Compensation will be discussed during the hiring process.

Credentialing Coordinator job near me in Bakersfield, California at Universal Urgent Care and Occupational Medicine, I

Job Description

Description:

Initiate, coordinate, monitor and maintain the credentialing and re-credentialing of all practitioners and allied health staff employed and/or contracted.
Will also assist to perform duties regarding various managed-care activities
Completion of health care professionals credentialing and re-credentialing applications including the privileging and re-privileging for all Practitioners and allied health staff employed/or contracted with all sites.
In addition, responsible for the completion of the credentialing and re-credentialing of Other Licensed and Certified Practitioners
Initiates and conducts primary source verification of practitioner’s background, education/training and malpractice history through the use of online systems, written correspondence, telephone inquiries and other acceptable credentialing methods
Identifies and evaluates potential red flags and works in collaboration with the credentialing manager to determine next steps
Performs ongoing monthly and quarterly compliance reporting
Analysis of report data and state board sanction information in compliance with regulatory on-going monitoring requirements
Is responsible for preparation of materials and files for presentation and review by credentialing committee
Perform data management and reporting from credentials database
Collaborates with inter-departmental peers, including Quality Management and Operations to identify and implement best practices and to ensure an integral, timely, and consistent product
Works with Human Resources/Operations department/Recruitment to ensure timely credentialing of new health care professionals

Requirements:

Any combination equivalent to: An associate’s degree AND one year of credentialing experience in a managed care setting or experience in the medical field with a thorough understanding of credentialing and privileging
Background of strong administrative skills will also be considered
Proven ability to function independently with minimal direct supervision required
Strong organizational and communication skills required
Excellent oral and written communication, interpersonal and computer skills required
Proficient in Microsoft Office Suite (Outlook, Word, Excel)
Comfortable extracting and formatting data for ad hoc report requests
Attention to detail a must
Confidentiality required