Senior Credentialing Coordinator

AltaMed Health Services Corporation; Montebello, Northern (CA, KY); Hybrid; USD 37,000 - 48,000; Full time

Benefits offered by this job

Medical, Dental and Vision insurance

403(b) Retirement savings plan with ER

Flexible Spending Accounts

Paid Time Off & Holidays

CME Days

Job summary

AltaMed Health Services Corporation is seeking a Credentialing Specialist to manage initial and re-credentialing for physicians, mid-levels, dentists and other providers. You will ensure complete, timely credentialing and prepare files for committee reviews, audits and health plan requests.

You will collaborate with the Credentialing Supervisor and coordinators to develop skills, support audits, and maintain accurate documentation across departments within our FQHC network in Southern California.

Qualifications

• High School diploma required.
• An associate's degree and/or college coursework are highly preferred.
• Certified Provider Credentialing Specialist (CPCS) preferred.

Responsibilities

• Process initial and re-credentialing applications for physicians, mid-levels, dentists, and other providers.
• Prepare credentialing files for presentation to the Credentialing Committee and audits.
• Coordinate with Credentialing Coordinators to gain skills and experience.

Education

High School diploma

Associate's degree

Job description

Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it’s a calling that drives us forward every day.

Job Overview

The Credentialing Specialist position specializes in credentialing activities, coordinates the credentialing functions, performs analytical and critical thinking skills when credentialing/re-credentialing an applicant, and acts as a liaison between the credentialing staff and administration within the parameters established by the Credentialing Manager/Chair/Designee/CMO. Under the direction of the Credentialing Supervisor, the Credentialing Specialist is responsible for processing initial and re-credentialing applications for physicians, mid-levels, dentists, and all other applicable providers. Ensures accurate, complete, and timely functioning of the initial and re-credentialing processes. Prepares credentialing files for presentation to the Credentialing Committee, State Agencies, and Health Plans audits. Supports Credentialing Coordinators to gain skills and experience.

Minimum Requirements

High School diploma required.

An associate's degree and/or college coursework are highly preferred.

Certified Provider Credentialing Specialist (CPCS) preferred.

Minimum of 5 years of experience in the field of Health Care (Managed Care, MSO, Medical Staff) Credentialing or related field required.

Compensation

$27.56 - $34.45 hourly

Compensation Disclaimer Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations. The range is subject to change. AltaMed is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives.

Benefits & Career Development

• Medical, Dental and Vision insurance
• 403(b) Retirement savings plans with employer matching contributions
• Flexible Spending Accounts
• Commuter Flexible Spending
• Career Advancement & Development opportunities
• Paid Time Off & Holidays
• Paid CME Days
• Malpractice insurance and tail coverage
• Tuition Reimbursement Program
• Corporate Employee Discounts
• Employee Referral Bonus Program
• Pet Care Insurance

Job Advertisement & Application Compliance Statement

AltaMed Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if AltaMed Health Service Corp. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.

As the nation’s largest Federally Qualified Health Center (FQHC), AltaMed is at the forefront of providing affordable, high-quality health care to underserved communities in Los Angeles and Orange Counties. At AltaMed, you will have the opportunity to work with a diverse team of dedicated professionals who are passionate about making a difference and supporting our community of over 400,000 patients.

Learn About AltaMed:

Equal Employment Opportunities

AltaMed Health Services Corporation is committed to providing equal employment opportunities for all qualified individuals.

We strictly prohibit discrimination in employment based on race, color, creed, religion, marital status, sexual orientation, registered domestic partner status, sex, gender, gender identity or expression, ancestry, national origin, age, medical condition, physical or mental disability, military or protected veteran status, pregnancy or perceived pregnancy, childbirth, breastfeeding or related medical conditions, genetic information, or any other characteristic protected by local, state, or federal law, ordinance, or regulation.

We are committed to promoting equality and inclusivity beyond our recruitment and hiring processes.

We aim to create a respectful, valued, and inclusive workplace through training, advancement opportunities, and access to resources and support.

We focus on fostering a diverse workforce because it enriches our organization and improves our ability to effectively serve our clients and community.

We encourage individuals from all backgrounds to apply and join us in our mission to create a positive impact.