Senior Remote Credentialing Coordinator

Sutter Health; Oregon; Ibrido; USD 45.000 - 67.000; Tempo pieno

Descrizione del lavoro

Sutter Health is seeking a Credentialing Specialist to complete credentialing functions and maintain compliance with standards and health plan requirements. The role involves auditing files for primary source verification and managing licensure, board certification, and professional liability data for physicians and providers.

The position requires 2 years of relevant experience and solid MS Word/Excel/Access skills, with strong data analysis and confidentiality handling.

Competenze

• Knowledge of medical provider 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.
• PC skills (MS Word, MS Excel, and MS Access) and proficiency regarding data entry skills.
• Organizational skills with ability to prioritize, problem solve and meet deadlines.
• Ability to analyze, interpret, and draw inferences from research findings, and prepare reports.
• Able to use independent judgment and to manage and impart confidential information.
• Ability to analyze data/reports and to make recommendations

Mansioni

• Complete credentialing functions and ensure program integrity and compliance with standards.
• Audit Credentialing Verification Organization's files for primary source verification.
• Maintain database of licensure, board certification, professional liability coverage and claims for physicians and allied health professionals.
• Collaborate with health plan auditors and physician leaders on credentialing issues.
• Work with multiple departments on credentialing issues and communicate findings.

Conoscenze

Credentialing knowledge

Confidential information handling

Data analysis

Organizational skills

Time management

Report preparation

Formazione

HS Diploma or GED

Strumenti

MS Word

MS Excel

MS Access

Descrizione del lavoro

Sutter Health is seeking a Credentialing Specialist to complete credentialing functions and maintain compliance with standards and health plan requirements. The role involves auditing files for primary source verification and managing licensure, board certification, and professional liability data for physicians and providers.

The position requires 2 years of relevant experience and solid MS Word/Excel/Access skills, with strong data analysis and confidentiality handling.