Credentialing Specialist Whittier, CA

PIH Health; Whittier (CA); On-site; USD 55,000 - 75,000; Full time

Job summary

PIH Health is seeking a Credentialing Specialist to coordinate credentialing activities and act as a liaison between medical staff, nursing staff and administration. The role requires 5-7 years of credentials experience in a medium to large medical center, plus CPCS certification within the first year.

Strong writing, medical terminology, and proficiency in MDStaff, Word and Excel are essential. The position is based at PIH Health Whittier, CA and involves collaboration across departments to

Qualifications

• High school diploma and 5-7 years’ experience as a Credentials Coordinator or credentialing capacity, in a medium to large size medical center with knowledge of medical staff function, credentialing, preparation of meeting minutes, CIHQ, Title XXII, NCQA, health plans and CMA.
• CPCS certified within 1 year of employment
• Knowledgeable with ASM MDStaff software
• Must obtain LA City Fire Card within 6 months of employment (PHGSH Only)

Skills

Writing ability

Medical terminology

Computer proficiency

Excellent communication

Organized

Dependable

Professional appearance

Independent judgment

CIHQ standards

Critical thinking

Analytical skills

Education

High school diploma

Tools

MDStaff

MS Word

Excel

Job description

6557 Greenleaf Ave, Whittier, California, United States

Tracking Code

29027-977

Position Type

Full-Time/Regular

The Credentialing Specialist is a professional specialized in credentialing activities, coordinates the credentialing functions, performs analytical and utilizes critical thinking skills when credentialing an applicant, and acts as a liaison between the medical staff, nursing staff and administration within the parameters established by the System Director, Administration, and the officers of the Medical Staff.

PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram .

Required Skills

• Writing ability
• Medical terminology (preferred)
• Computer proficiencies in WORD, EXCEL, and working in PDF documents, MDStaff
• Excellent and effective communication skills
• Organized
• Dependable
• Positive professional appearance and attitude
• Regularly demonstrates the ability to exercise independent judgment in times of need and emergency situations
• Familiarity with standards and requirements set forth by CIHQ and Health plans (Medical Group)
• Critical thinking skills
• Analytical skills

Required Experience

Required:

• High school diploma and 5-7 years’ experience as a Credentials Coordinator or credentialing capacity, in a medium to large size medical center with knowledge of medical staff function, credentialing, preparation of meeting minutes, CIHQ, Title XXII, NCQA, health plans and CMA.
• CPCS certified within 1 year of employment
• Knowledgeable with ASM MDStaff software
• Must obtain LA City Fire Card within 6 months of employment (PHGSH Only)