Credentialing Coordinator

Commonspirit; California; On-site; Full time

Job summary

CommonSpirit is seeking a Credentialing Coordinator to oversee the credentialing process in the Greater Sacramento area. This role involves ensuring compliance with regulations, maintaining database integrity, and requiring strong communication skills. The ideal candidate has significant credentialing experience in healthcare, and benefits include comprehensive insurance, PTO, and tuition assistance.

Benefits

Health/Dental/Vision Insurance

Flexible spending accounts

Voluntary Protection: Group Accident Critical Illness and Identity Theft

Adoption Assistance

Free Premium Membership to Care.com

Employee Assistance Program (EAP)

Paid Time Off (PTO)

Tuition Assistance

Retirement Programs

Wellness Programs

Qualifications

• Minimum 3 years credentialing experience in Acute Care or 5 years in Ambulatory setting.
• CPCS certification preferred.

Responsibilities

• Responsible for coordination of credentialing and re-credentialing processes.
• Ensures compliance with accrediting and regulatory agencies.
• Maintains credentialing database and verifies source documents.

Skills

Data entry skills

Verbal communication

Written communication

Medical terminology

Customer service

Organizational skills

Team orientation

Maintain confidentiality

Familiarity with HIPAA

Education

High School diploma or equivalent

Associate's or Bachelor's degree (preferred)

Tools

Microsoft Office products

MSO/MSOW

Excel

Word

Outlook

Access

Job description

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*Responsibilities*

This position is responsible for coordination, facilitating, monitoring and maintaining the credentialing and re-credentialing process for the Greater Sacramento San Joaquin Service Area, which includes, but is not limited to, initial applications, re-applications, site transfers , maintenance of MSOW database and expirables. The incumbent ensures credentialing compliance with the accrediting and regulatory agencies, Joint Commission, Title 22, CMS, NCQA), and Medical Staff bylaws, rules and regulations. This position is responsible for the accuracy and integrity of the credentialing and clinical privileging database system and ensuring the timeliness of credentialing/re-credentialing verification processes including the gathering, verification and evaluation of source documents for education/training, professional liability, licensure/certifications, hospital affiliations, work history, professional references and all other primary source verifications as required by the hospital(s), the medical staff(s) and regulatory agencies.

*We offer the following benefits to support you and your family:*

• Health/Dental/Vision Insurance
• Flexible spending accounts
• Voluntary Protection: Group Accident Critical Illness and Identity Theft
• Adoption Assistance
• Free Premium Membership to Care.com with preloaded credits for children and/or dependent adults
• Employee Assistance Program (EAP) for you and your family
• Paid Time Off (PTO)
• Tuition Assistance for career growth and development
• Retirement Programs
• Wellness Programs
  
  

*Qualifications*

*Experience: *

A minimum of 3 years credentialing experience in an Acute Care setting or 5 years credentialing experience in an Ambulatory setting (required).

*Education: *

High School diploma or equivalent (required).

Associate's or Bachelor's degree or some college education preferred.

*Licensure: *

CPCS certification is preferred.

Special Skills

Special skills required include: good data entry skills; excellent verbal and written communication skills; medical terminology; customer service;

organizational skills; team orientation; ability to maintain confidentiality and familiarity with HIPAA regulations.

*Training: *

Training in or working knowledge of TJC/CMS/Title 22 /NCQA standards and requirements; advanced Microsoft Office products MSO/MSOW, Excel, Word, Outlook, Access, Internet software; and office equipment including computer, copy machine, fax, and scanner (required).

*Overview*

Dignity Health Mercy San Juan Medical Center is a 370-bed not-for-profit Level 2 Trauma Center located in Carmichael California serving the areas of north Sacramento County and south Placer County for more than 50 years. It is one of the area’s largest and most comprehensive medical centers. Dedicated to the community’s well-being our staff and volunteers provide excellence in care for our patients each year. Mercy San Juan Medical Center has received recognition for being a Comprehensive Stroke Center and Center of Excellence for Bariatric Surgery along with Certificates of Excellence in Perinatal Care Hip- and Knee- Replacement.

[One Community. One Mission. One California](https://youtu.be/RrPuiSnALJY?si=pvQgPZ6ZWZM60TPV)

*Pay Range*

$25.25 - $36.61 /hour

Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Wellness and Fitness Services, Hospitals and Health Care, and Medical Practices

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