Job Summary

Credentials Specialist

  • Location:
    San Leandro, California
  • Job reference:
    US_EN_6_23685_59632961
  • Category:
    Consulting
  • Contract Type:
    Contract/Temporary

Join the Modis team in a temporary Credentials/Provider Enrollment Specialist opportunity at a large healthcare system in the San Francisco Bay area!
 
Job Summary
The Credentials Specialist, Medical Staff Services performs, credentialing and re-credentialing processes and provider enrollment. Must be detail oriented, manages all aspects of credentialing including initial appointment, reappointment, completion of enrollment applications, monitoring and privileging for medical staff and allied health practitioners. Maintains compliance with accreditation, regulatory agencies and/or statues and laws. Responsible for the accuracy and integrity of the credentialing, clinical privileging and enrollment database systems and for ensuring the timeliness of credentialing/re-credentialing and primary source verification.
 
Qualifications


  • Education: High School diploma or GED. Associates degree or Bachelor’s degree in related field preferred..
  • Minimum Experience: Two to five years medical staff services credentialing experience in an acute care hospital or provider enrollment experience within a health plan or medical group; must be able to work in a labor / management partnership.
  • Required Licenses/Certifications: Certification from the National Association of Medical Staff Services as a Certified Medical Staff Coordinator (CMSC) and/or Certified Provider Credentialing Specialist (CPCS). If not certified at the time of hire, certification must be obtained within two (2) years for CPSC and/or (4) years for CMSC depending on experience and satisfying of National Association of Medical Staff Services educational requirements.

 
Knowledge, Skills and Abilities

  • Proficient computer skills including Microsoft Office (Word, Outlook, Excel, PowerPoint).
  • Basic organization and structure of healthcare organizations, policies and procedures, work practices, forms and documents associated with credentialing.
  • Compile and summarize data for use by department, and to comply with procedural or administrative requirements.
  • Follow clear directions, instructions and protocol in the course of assigned duties.
  • Maintain highly sensitive and confidential information.
  • Maintains current knowledge of The Joint Commission (TJC), State and CMS credentialing/medical staff regulations.
  • Organize work, set priorities, meet critical deadlines and follow up on assignments with minimum direction.
  • Provide varied, complex, responsible and often confidential office administrative assistance.
  • Research, compile and summarize informational materials.

 


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All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.

Equal employment opportunity information:
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