Credentialing Coordinator - Medical Foundation Administration

Agence PROvidence

Los Angeles (CA)

On-site

USD 38,000 - 59,000

Full time

3 days ago
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Job summary

Providence Facey Medical Foundation is seeking a Credentialing Specialist to manage credentialing, privileging and licensing for physician/providers. You will track and report credentialing data and stay informed on related economic and legislative issues to support Providence’s mission of patient-centered care.

The role supports Providence caregivers in a culture of respect and collaboration, with compensation and benefits designed to support you and your family.

Qualifications

  • 4 years of current experience in health care setting.
  • 2 years of experience in a medical credentialing environment (payer, IPA, medical group, or institutional privileging).

Responsibilities

  • Process and facilitate credentialing, privileging and licensing activities.
  • Handle select payer activities and track/report credentialing data for providers.
  • Respond to economic and legislative issues related to credentialing activities for Providence.

Skills

Healthcare experience
Credentialing

Job description

Description

Credentialing Specialist is responsible for processing and facilitating the credentialing, privileging and licensing and select payer activities for Providence. Further, the Credentialing Specialist is also responsible for the tracking and reporting of pertinent data to monitor the credentialing activities of the physician/providers providing professional medical services for Providence. In addition, the specialist is knowledgeable and can respond to economic and legislative issues as they relate to Credentialing activities for Providence.

Credentialing Specialist is responsible for processing and facilitating the credentialing, privileging and licensing and select payer activities for Providence. Further, the Credentialing Specialist is also responsible for the tracking and reporting of pertinent data to monitor the credentialing activities of the physician/providers providing professional medical services for Providence. In addition, the specialist is knowledgeable and can respond to economic and legislative issues as they relate to Credentialing activities for Providence. Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Facey Medical Foundation and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Required Qualifications
  • 4 years of current experience in health care setting.
  • 2 years of experience in a medical credentialing environment (payer, IPA, medical group, or institutional privileging).
Preferred Qualifications
  • Medical group experience or related area.
Why Join Providence?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.

Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

About The Team

Providence Clinical Network (PCN) is a service line within Providence serving patients across seven states with quality, compassionate, coordinated care. Collectively, our medical groups and affiliate practices are the third largest group in the country with over 11,000 providers, 900 clinics and 30,000 caregivers.

PCN is comprised of Providence Medical Group in Alaska, Washington, Montana and Oregon; Swedish Medical Group in Washington's greater Puget Sound area, Pacific Medical Centers in western Washington; Kadlec in southeast Washington; Providence's St. John's Medical Foundation in Southern California; Providence Medical Institute in Southern California; Providence Facey Medical Foundation in Southern California; Providence Medical Foundation in Northern and Southern California; and Covenant Medical Group and Covenant Health Partners in west Texas and eastern New Mexico.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

Requsition ID

467403

Company

Providence Jobs

Job Category

Clinical Administration

Job Function

Clinical Support

Job Schedule

Full time

Job Shift

Day

Career Track

Clinical Support

Department

7011 MED STAFF ADMIN PFMF CORP

Address

CA Mission Hills 15451 San Fernando Mission Blv

Work Location

Facey Medical Foundation Admin Office-Mission Hills

Workplace Type

On-site

Pay Range

$27.92 - $42.73

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

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