Remote HDO Credentialing Specialist

MedPOINT Management; Los Angeles (CA); Remoto; USD 52.000 - 78.000; Tempo integral

Benefícios oferecidos por esta vaga

401(k)

401(k) matching

Company parties

Dental insurance

Employee discounts

Health insurance

Opportunity for advancement

Paid time off

Parental leave

Savings bank

Training & development

Vision insurance

Wellness resources

Resumo da vaga

MedPOINT Management is seeking a detail-oriented HDO Credentialing Coordinator to join our team in Sherman Oaks, CA. This role focuses on ensuring provider credentialing meets high standards in a fast-paced healthcare environment, and it is remote within the Pacific Time zone.

Responsibilities include managing end-to-end credentialing, verifying licenses and work history, maintaining records, coordinating with hospitals and health plans, and preparing files for committee review.

Qualificações

• Minimum 1-2 years of experience in healthcare credentialing or medical staff services.
• Familiarity with NCQA, URAC, or Joint Commission credentialing standards.
• Experience with credentialing software and provider data management systems.
• Strong attention to detail with excellent organizational and time management skills.
• Ability to handle confidential information with discretion and professionalism.

Responsabilidades

• Manage end-to-end credentialing and re-credentialing processes for healthcare delivery organization (HDO) providers.
• Verify provider credentials, licenses, certifications, and work history in compliance with NCQA and regulatory standards.
• Maintain accurate and up-to-date provider records in credentialing databases and systems.
• Coordinate with hospitals, medical groups, and health plans to facilitate timely credentialing approvals.
• Monitor expiring credentials and proactively initiate renewal processes to ensure continuous compliance.
• Prepare and present credentialing files for Credentialing Committee review.
• Respond to provider and internal team inquiries regarding credentialing status and requirements.

Conhecimentos

Attention to detail

Organizational skills

Time management

Effective communication

Ferramentas

Credentialing software

Descrição da vaga

MedPOINT Management is seeking a detail-oriented HDO Credentialing Coordinator to join our team in Sherman Oaks, CA. This role focuses on ensuring provider credentialing meets high standards in a fast-paced healthcare environment, and it is remote within the Pacific Time zone.

Responsibilities include managing end-to-end credentialing, verifying licenses and work history, maintaining records, coordinating with hospitals and health plans, and preparing files for committee review.