Credentialing Coordinator

AECOM; California; On-site; USD 80,000 - 100,000; Full time

Job summary

AECOM is seeking a Credentialing Specialist responsible for ensuring compliance within the Greater Sacramento area. This role encompasses managing credentialing processes, accuracy of databases, and primary source verifications to support healthcare operations. Candidates should possess relevant experience and skills in data handling, communication, and healthcare regulation compliance.

Qualifications

• Minimum of 3 years of credentialing experience in an Acute Care setting or 5 years in Ambulatory setting required.
• CPCS certification preferred.
• Training in TJC/CMS/NCQA standards and requirements desired.

Responsibilities

• Coordinate and maintain the credentialing and re-credentialing process.
• Ensure compliance with accrediting and regulatory agencies.
• Verify source documents for credentialing verification processes.

Skills

Data entry skills

Verbal communication

Written communication

Medical terminology

Customer service

Organizational skills

Team orientation

Confidentiality

HIPAA regulations familiarity

Education

High School diploma or equivalent

Associate's or Bachelor's degree (preferred)

Tools

Microsoft Office Suite

MSO/MSOW

Job description

**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.

**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 384-bed not-for-profit Level 2 Trauma Center located in Carmichael California. We have served north Sacramento County as well as south Placer County for over 50 years. Our facility is one of the area's largest medical centers and also one of the most comprehensive. Our staff and volunteers are dedicated to community well-being; providing excellent patient care to all. Mercy San Juan Medical Center is a Comprehensive Stroke Center as well as a Spine Center of Excellence. We are proud recipients of the Perinatal Care Certificate of Excellence and a Certificate of Excellence for Hip and Knee Replacements.

One Community. One Mission. One California (https://www.youtube.com/watch?v=RrPuiSnALJY)

**Pay Range**

$25.25 - $36.61 /hour

We are an equal opportunity/affirmative action employer.