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Credentialing Coordinator

Dignity Health Medical Group
RANCHO CORDOVA, CA Full Time
POSTED ON 4/22/2024 CLOSED ON 5/20/2024

What are the responsibilities and job description for the Credentialing Coordinator position at Dignity Health Medical Group?

Overview

***This position is work from home within the Greater Sacramento, CA region.

 

 

Dignity Health Medical Foundation established in 1993 is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity Health - one of the largest health systems in the nation - with hospitals and care centers in California Arizona and Nevada. Today Dignity Health Medical Foundation works hand-in-hand with physicians and providers throughout California to provide comprehensive health care services to the many communities we serve. As Dignity Health Medical Foundation continues to grow and establish new premier care centers we provide increasing support and investment in the latest technologies finest physicians and state-of-the-art medical facilities. We strive to create purposeful work settings where staff can provide great care while advancing in knowledge and experience through challenging work assignments and stimulating relationships. Our staff is well-trained and highly skilled qualities that are vital to maintaining excellence in care and service.


Responsibilities
***This position is work from home within the Greater Sacramento, CA region.
 
 
Position Summary:
 
Under the direction of the Director Credentialing and Payer Enrollment, the Credentialing Coordinator provides complex administrative and project management support for the confidential and organization-critical initiatives, projects, and processes related to credentialing and payer enrollment. Responsibilities include coordinating pre-credentialing intake, initial and re-credentialing application processes, compiling and analyzing data from various internal/external systems, and monitoring/managing the shared Credentialing and Payer Enrollment email calendar and distribution lists. Develops policies, standard operating procedures, and diagrammed workflows to support assigned responsibilities. Manages and has access to provider Protected Personal Information (PPI) and Protected Health Information (PHI) and maintains the confidentiality of same at all times. Occasional travel to locations for meetings and any other duties as assigned to support Credentialing and Payer Enrollment initiatives and projects.
 

Qualifications
Minimum Qualifications:
  • High school diploma (or equivalent) required
  • Two (2) years health care, or closely related experience, including working knowledge of reporting, auditing, and data analysis required
  • One (1) year of customer service experience required
  • Requires:
    • Strong project management problem resolution and communication skills
    • Excellent customer service written verbal and interpersonal communication skills
    • Strong attention to detail and ability to analyze same
    • Computer proficiency including Microsoft Excel/PowerPoint/Word and ability to use/learn company specialized software and hardware particularly databases
    • Possesses a strong work ethic and high level of professionalism
    • Excellent organizational skills with the ability to organize personal workload and prioritize tasks in a busy office environment 
Preferred Qualifications:
  • Associates degree (or coursework in Business or Healthcare-related professions) preferred
  • Three (3) years of progressive and varied experience in healthcare preferred
  • Experience in a multi-specialty physician group setting preferred
STAFF SERVICES MANAGER I
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