Credentialing Coordinator III

Sutter Health; Oregon; Híbrido; USD 45.000 - 67.000; Jornada completa

Descripción de la vacante

Sutter Health is seeking a Credentialing Specialist to complete credentialing functions and maintain compliance with standards and health plan requirements. The role involves auditing files for primary source verification and managing licensure, board certification, and professional liability data for physicians and providers.

The position requires 2 years of relevant experience and solid MS Word/Excel/Access skills, with strong data analysis and confidentiality handling.

Formación

• Knowledge of medical provider credentialing and accreditation principles, processes, procedures, and documentation.
• Knowledge of computer spreadsheets and other related applications.
• Ability to use independent judgment and to manage and impart confidential information.
• PC skills (MS Word, MS Excel, and MS Access) and proficiency regarding data entry skills.
• Organizational skills with ability to prioritize, problem solve and meet deadlines.
• Ability to analyze, interpret, and draw inferences from research findings, and prepare reports.
• Able to use independent judgment and to manage and impart confidential information.
• Ability to analyze data/reports and to make recommendations

Responsabilidades

• Complete credentialing functions and ensure program integrity and compliance with standards.
• Audit Credentialing Verification Organization's files for primary source verification.
• Maintain database of licensure, board certification, professional liability coverage and claims for physicians and allied health professionals.
• Collaborate with health plan auditors and physician leaders on credentialing issues.
• Work with multiple departments on credentialing issues and communicate findings.

Conocimientos

Credentialing knowledge

Confidential information handling

Data analysis

Organizational skills

Time management

Report preparation

Educación

HS Diploma or GED

Herramientas

MS Word

MS Excel

MS Access

Descripción del empleo

Organization

SHSO-Sutter Health System Office-Valley

Position Overview

We are so glad you are interested in joining Sutter Health! This position is eligible to work from home from within the state of California. Responsible for completion of credentialing functions. Ensures program integrity and compliance with standards, federal/state requirements, and health plan credentialing requirements. Maintains relationships with health plan auditors, communicates and works with physician leaders on credentialing issues, works with other departments in multiple areas that relate to credentialing issues. Audits Credentialing Verification Organization's released files to ensure it obtains primary source verification of required physician information. Maintains database of current and accurate information concerning licensure, board certification, professional liability coverage and claims for physicians, contracted providers and Allied Health Professionals.

Education

• HS Diploma or General Education Diploma (GED)

Typical Experience

• 2 years recent relevant experience

Skills and Knowledge

• Knowledge of medical provider credentialing and accreditation principles, processes, procedures, and documentation.
• Knowledge of computer spreadsheets and other related applications.
• Ability to use independent judgment and to manage and impart confidential information.
• PC skills (MS Word, MS Excel, and MS Access) and proficiency regarding data entry skills.
• Organizational skills with ability to prioritize, problem solve and meet deadlines.
• Ability to analyze, interpret, and draw inferences from research findings, and prepare reports.
• Able to use independent judgment and to manage and impart confidential information.
• Ability to analyze data/reports and to make recommendations

Job Shift

Days

Schedule: Full Time

Shift Hours: 8

Days of the Week: Monday - Friday

Weekend Requirements: None

Benefits

Yes

Unions

No

Position Status

Non-Exempt

Weekly Hours

40

Employee Status

Regular

Equal Opportunity

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range

Pay Range is $32.45 to $48.68 / hour

The posted pay range is based on the position's primary work location. Candidates who reside and work outside of that location may be subject to a different pay range based on their work location. Candidate starting salaries consider multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.