Credentialing Coordinator III
Company: Sutter Health
Location: Sacramento
Posted on: March 17, 2023
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Job Description:
Organization: SMF-Sutter Med Foundation- Central Position
Overview: Responsible for completion of credentialing functions.
Ensures program integrity and compliance with standards,
federal/state requirements, and health plan credentialing
requirements. Maintains relationships with health plan auditors,
communicates and works with physician leaders on credentialing
issues, works with other departments in multiple areas that relate
to credentialing issues. Audits Credentialing Verification
Organization's released files to ensure it obtains primary source
verification of required physician information. Maintains database
of current and accurate information concerning licensure, board
certification, professional liability coverage and claims for
physicians, contracted providers and Allied Health Professionals.
Job Description: * This position is open to California residents
only. Position is hybrid (some days working in the office and some
days from working from home). EDUCATION * Equivalent experience
will be accepted in lieu of the required degree or diploma.
* HS Diploma or equivalent education/experience PREFERRED
EXPERIENCE AS TYPICALLY ACQUIRED IN: * 2 years experience related
to medical professional credentialing. SKILLS AND KNOWLEDGE *
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 Pay
Range: $27.38-$39.71 The salary range for this role may vary above
or below the posted range as determined by location. This range has
not been adjusted for any specific geographic differential
applicable by area where the position may be filled. Compensation
takes into account several factors including but not limited to a
candidate's experience, education, skills, licensure and
certifications, department equity, training and organizational
needs. Base pay is just one piece of the total rewards program
offered by Sutter Health. Eligible roles also qualify for a
comprehensive benefits package. Job Shift: Days Schedule: Full Time
Shift Hours: 8 Days of the Week: Friday, Monday, Thursday, Tuesday,
Wednesday Weekend Requirements: None Benefits: Yes Unions: No This
position is work from home eligible. Position Status: Non-Exempt
Weekly Hours: 40 Employee Status: Regular Number of Openings: 3
Sutter Health is an equal opportunity employer
EOE/M/F/Disability/Veterans.
Keywords: Sutter Health, Sacramento , Credentialing Coordinator III, Other , Sacramento, California
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