Title: Credentialing Coordinator
Location: Fountain Valley/Pre-dominantly Remote
Department: IPA - Provider Network
Status: Full Time
Shift: Day
Pay Range: $23.55 - $34.13
At MemorialCare Health System, we believe in providing extraordinary healthcare to our communities and an exceptional working environment for our employees. Memorial Care stands for excellence in Healthcare. Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation and teamwork. Position Summary
The Credentialing Coordinator is responsible for gathering and verifying physician information, compiling required documents, researching necessary information, and interacting with primary sources to verify information submitted by network providers on their application. The Credentialing Coordinator ensures interpretation and compliance with the appropriate credentialing regulations. The Credentialing Coordinator is also responsible for the accuracy and integrity of the credentialing database. Essential Functions and Responsibilities of the Job Qualified candidate must excel in interpersonal communication and customer service and be able to work both independently and as part of a team. They must excel in organization, attention to details, prioritization and follow through. Additionally, they must have the ability to problem solve to logical conclusion and demonstrate initiative and responsibility. Must have good listening skills, be able to multi-task. Be able to communicate (written and verbal) in English effectively and clearly. Be at work and be on time.
*Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. Health and wellness is our passion at MemorialCare-that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there's more...Check out our MemorialCare Benefits for more information about our Benefits and Rewards. Minimum Requirements Qualifications/Work Experience: Minimum of two years provider credentialing experience. Experience working with various healthcare industry regulatory agencies and requirements including but not limited to CMS, NCQA, DMHC, ICE, DHCS, preferred. Proficiency in Microsoft Office applications including Word, Power Point, Excel, and Outlook is a must. Education/Licensure/Certification: High school graduate or equivalent. Credentialing certification preferred.
