Credentialing Coordinator - MemorialCare Health System - Fountain Valley, CA

Posted on June 30th, 2015

JOB SUMMARY

Credentialing Coordinator is responsible for coordinating all provider credentialing activities for the Central Verification Office at MemorialCare and acts as a liaison between the hospital medical staff departments, medical group and IPA as well as the providers. The position provides oversight for credentialing and is responsible for the timely and accurate processing of all applications and related documents required to meet regulatory and plan requirements for credentialing.

Essential Job Outcomes
Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customer or employees of the organization.
Ability to add, subtract, multiply and divide in all units of measure using whole numbers, common fractions and decimals. Ability to compute rate, ratio and percent to draw and interpret bar graphs.
Ability to apply commonsense understanding to carry out detailed but uninvolved written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations.

Proficient on Microsoft Word, Excel, Outlook and PowerPoint. Strong oral and written communication and research/problem solving skills. Attention to detail and accuracy. Ability to meet deadlines. Excellent interpersonal skills with a focus on internal/external customer satisfaction and teamwork. Proven dedication to quality, teamwork, customer service and professionalism.
“Other duties as assigned”

QUALIFICATIONS

* Minimum 2 years related experience and/or training with an understanding of hospital medical staff requirements, health plan eligibility and health care benefits, or equivalent combination of education and experience.
*Associates degree (A.A.) in Medical Staff Management (MSSM) or equivalent from two year college or technical school preferred
*CPCS or (CPMSM) Certification preferred
 
To Apply For This Position: Please visit www.memorialcare.org/careers

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