Credentialing Clerk

Job Description

Originally established in 1957, Sacramento Ear, Nose & Throat’s (SacENT) award-winning physicians are nationally recognized leaders in their fields. At SacENT, the mission of the physicians and staff is to provide the highest standard of state-of-the-art specialty medical care in a personal, compassionate manner.

SacENT is looking to fill a Part-Time Credentialing Clerk position.

POSITION SUMMARY

The Credentialing Clerk verifies the professional licensing, training, and certifications of professional medical staff. Your job duties include preparing and maintaining reports of credentialing activities such as accreditation, membership or facility privileges. The primary goal is to ensure healthcare professionals and services meet all established federal and state standards. (S)he supports SacENT/SMS’ mission, vision, core values and customer service philosophy.

ESSENTIAL FUNCTIONS

• Credentialing specialists maintain regular cooperation and compliance with all regulatory, accrediting, and membership-based organizations.
• Create and carry out various credentialing processes in relation to physicians, and various other healthcare professionals.
• Ensure that all personnel and services adhere to facility and staff policies, department guidelines, regulations, and government laws.
• Process applications and reappointment paperwork, checking for full completeness and accuracy.
• Constantly collect and process significant amounts of verification and accreditation information and thus must constantly maintain and update accurate databases for both practitioners and facilities. These databases include pertinent education, training, experience, and licensure content.
• Credentialing specialists must prepare their own records for regular auditing, as well as maintain close communication with all appropriate practitioners to ensure that records are up-to-date and consistent.

SKILLS

• Knowledge and understanding of the credentialing process.
• Ability to organize and prioritize work and manage multiple priorities.
• Excellent verbal and written communication skills including letters, memos and emails.
• Excellent attention to detail.
• Ability to research and analyze data.
• Ability to work independently with minimal supervision.
• Ability to establish and maintain effective working relationships with providers, management, staff, and contacts outside the organization.
• Proficient use of Microsoft Office applications (Word, Excel, Access) and internet resources

PHYSICIANS/PROVIDERS

• Maintains confidentiality of provider information.
• Responsible for strong physicians’ relationships and facilitating staff relationships with physicians.
• Ensure regular and effective communication with all physicians.

ADMINISTRATIVE

• Checks correspondence whether electronic, paper or voice mail, and responds as appropriate.
• Directs information gathering as required supporting credentialing.
• Responsible for efficient utilization of inventory, supplies and equipment pertaining to credentialing.

OTHER

• Other duties as assigned.

KNOWLEDGE, SKILLS AND EXPERIENCE

Minimum Education (or substitute experience) required:

• High school diploma or equivalent.
• Associate's degree or equivalent training (Preferred)
• Certification/Licensure: Certified Provider Credentialing Specialist (CPCS) (preferred)

Minimum Experience required:

• One year of relevant credentialing experience and/or medical administrative experience.

PHYSICAL DEMANDS AND WORKING CONDITIONS

The physical demands and work environmental characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Day-to-day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position may require travel between assigned facilities and various locations within the community. Travel to Corporate meetings may be required.

The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.

Job Type: Part-Time

Pay: $21 - $25 per hour

Work Location: In person