Credentialing Coordinator

Lakeside Medical Northridge, CA
As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.

We currently have an opening for a Temp Credentialing Coordinator.

1. Credential all new providers, Re-credential existing Providers according to All applicable Medical Groups credentialing policies and procedures.

2. Submit credentialing information as requested by contracted HMOs.

3. Maintain and update files on all credentialed Providers.

4. Provide credentialing information on a Provider when requested by other HPN

departments.

5. Maintain and update Provider files in credentialing database.

Job Duties include:

1. Process Provider applications to HPN Credentialing Plan and NCQA specifications.

2. Process Ancillary applications to HPN Credentialing Plan and NCQA specifications.

3. Assist with the gathering of information required to complete credentialing/re-credentialing cycles for providers of all applicable Medical Groups.

4. Data entry for credentialing database with current information.

5. Prepare and review practitioner files for Credentialing Committee review and decisions.

6. Assist Management in training and teaching Credentialing Assistants in their assigned tasks.

7. Other duties as assigned by Management.

Qualifications:

1. One years of varied, increasingly responsible secretarial experience.

2. Good written and verbal communication skills.

3. Knowledge of Windows-based computer skills preferred.

4. Well organized.

5. Ability to work well under pressure.

Similar jobs you might like