Remote Senior Credentialing Specialist

Sutter Health; Sacramento (CA); Remoto; USD 45.000 - 67.000; Tempo pieno

Descrizione del lavoro

Sutter Health is seeking a Credentialing Specialist to support credentialing functions, ensuring compliance with federal/state requirements and health plan credentialing standards. You will maintain provider licensure, board certification, and liability coverage data, and collaborate with auditors and physician leaders on credentialing issues.

The role involves handling confidential information and data entry.

Competenze

• Knowledge of 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.

Mansioni

• Complete credentialing functions and ensure program integrity with state/federal requirements.
• Audit Credentialing Verification Organization files for primary source verification.
• Maintain database of licensure, board certification, and professional liability information for physicians and providers.

Conoscenze

Credentialing principles

Data entry

Confidentiality

MS Word

MS Excel

MS Access

Formazione

HS Diploma or GED

Strumenti

MS Word

MS Excel

MS Access

Spreadsheets

Descrizione del lavoro

Sutter Health is seeking a Credentialing Specialist to support credentialing functions, ensuring compliance with federal/state requirements and health plan credentialing standards. You will maintain provider licensure, board certification, and liability coverage data, and collaborate with auditors and physician leaders on credentialing issues.

The role involves handling confidential information and data entry.