Coordinator - Medical Staff

Desert Valley Hospital & Medical Group; Victorville (CA); On-site; USD 32,000 - 39,000; Full time

Benefits offered by this job

401K retirement plan

Medical, dental, and vision coverage

Tuition reimbursement

Paid time off

Job summary

Desert Valley Medical Group seeks a credentialing professional to support Medical Staff Services. You will manage credentialing, enrollments, and CAQH profiles, interfacing with physicians and staff to ensure timely, accurate credentialing and provider data.

The role requires an Associate degree or equivalent experience, 3+ years in Medical Staff Services, and proficiency in MS Office. This on-site position offers a comprehensive Total Rewards package and paid time off.

Qualifications

• Associates degree preferred or equivalent education/experience.
• CPES and/or CPCS certification preferred
• Minimum of 3 years technical/administrative experience in Medical Staff Services/Credentialing or contracting in acute care hospital.
• Strong computer, communication, and writing skills.
• Proficient in Microsoft Office: Word, Excel, and PowerPoint.
• Knowledge of practitioner enrollment terminology and documents required for enrollment is preferred.

Responsibilities

• Facilitates credentialing processes for medical staff departments and assignments by the Director/Manager.
• Manages payer enrollment applications, submissions, roster maintenance and provider directory validation.
• Maintains CAQH practitioner profiles and reports; supports annual/semi-annual renewals.
• Interacts with physicians and medical group staff in a professional, collaborative manner.

Skills

Credentialing

Payer enrollment

Microsoft Office

Education

Associates degree or equivalent

CPES/CPCS certification

Tools

Microsoft Office

Job description

Overview

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Desert Valley Medical Group is affiliated with Desert Valley Hospital, one of the nation's "100 Top Hospitals" and "A" rated for patient safety. We offer incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

Responsibilities

Ability to function in a demanding environment by navigating multiple projects simultaneously and effectively supporting a busy Medical Staff Office. Responsible for assigned Medical Staff Departments as assigned by Director/Manager. Facilitates all aspects of credentialing, including applications, reappointments, proctoring and competencies. Facilitates all aspects of payer/health plan provider enrollment, including timely and accurate processing of payer enrollment applications and submissions, provider roster maintenance, provider directory validation and annual/semi annual report submissions, and creating and maintaining CAQH practitioner profiles. Interfaces with physicians and medical group management staff in a positive and professional manner.

Qualifications

EDUCATION, EXPERIENCE, TRAINING

• Associates degree preferred or equivalent education/experience.
• Certified Provider Enrollment Specialist (CPES) and/or Certified Provider Credentialing Specialist (CPCS) preferred
• Minimum of 3 years technical/administrative experience, Medical Staff Services Department, Credentialing/Contracting and/or acute care hospital experience preferred.
• Must have strong computer, communication, and writing skills.
• Must be proficient in Microsoft Office: Word, Excel, and PowerPoint.
• Must exhibit a positive attitude and willingness to learn.
• Knowledge of practitioner enrollment terminology and documents required for enrollment, medical terminology and medical staff services and/or acute care hospital experience, preferred.

Pay Transparency

Desert Valley Medical Group offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $23.00 to $28.25. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

Employment Status

Full Time

Shift

Days

Equal Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

Privacy Notice

Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf