Job Description - QI Credentialing Coordinator in Camarillo
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QI Credentialing Coordinator

Ref: US_EN_6_914737_1465430

Posted on 15 September 2022

At Modis, we use our insight, knowledge, and global resources to make exceptional connections every day. With 60 branch offices located strategically throughout North America, we are positioned perfectly to deliver the industry's top talent to each of our clients. Clients choose Modis as their workforce partner to solve staffing challenges that range from locating hard-to-find niche talent to completing quick-fill demands.

**Candidates must be able to work in the United States without sponsorship. Unfortunately the company cannot sponsor visas at this time**

  • Position: QI Credentialing Coordinator
  • Location: 100% remote (must be based in US)
  • Duration: Contract
  • Pay rate: $25/hour
  • POSITION SUMMARY

    The Quality Improvement (QI) Credentialing Coordinator is responsible for all aspects of the privileging and credentialing process for the health care provider. The Coordinator will processes applications, verify information, research application details, and assure processes are in accordance with medical staff bylaws. The Coordinator will provide consistent, accurate, and timely credentialing support, enhancing the organization's ability to provide professional services. Work includes the accurate, timely and documented verification of the information provided by the applicant and maintenance of the highly confidential credentialing related files. In addition, the Credentialing Coordinator will provide general Quality Improvement assistance within the Department, and administrative support to the Director of Quality Improvement.

    Essential Functions:

    • Assists with the on boarding process of Medical Provider candidates.

    • Coordinates the credentialing and privileging processes for LIP's (Licensed Independent Practitioners).

    • Processes provider credentialing applications in accordance with accreditation standards, regulatory requirements, and policies and procedures.

    • Examines researches, enters data, files, and gathers all information necessary to process information received from providers to support the credentialing process.

    • Maintains database of provider information.

    • Organizes materials for the Credentialing Committee.

    • Verify, research, and respond to telephone inquiries and written inquiries, from providers and other departments, pertaining to provider participation and credentialing status in a professional and courteous manner.

    • Maintain all additions, terminations, and changes to all plans as appropriate. • Produces credentialing related reports and information for the Department.

    • Provides general assistance within the Department as applicable.

    • Provides administrative support to the Director of Quality Improvement.

    • Communicate with physicians and physician office staff.

    • Coordinates credentialing activities with the QI Department's contracting functions.

    POSITION QUALIFICATIONS

    • Ethical - Ability to demonstrate conduct conforming to a set of values and accepted standards.

    • Accuracy - Ability to perform work accurately and thoroughly.

    • Research Skills - Ability to design and conduct a systematic, objective, and critical investigation.

    • Goal Oriented - Ability to focus on a goal and obtain a pre-determined result.

    • Interpersonal - Ability to get along well with a variety of personalities and individuals.

    • Diversity Oriented - Ability to work effectively with people regardless of their age, gender, race, ethnicity, religion, or job type.

    • Time Management - Ability to utilize the available time to organize and complete work within given deadlines.

    Education: High School Graduate or General Education Degree (GED) Required; Bachelor's Degree (four year college or technical school) Preferred, Field of Study: Health Care Management, or a related field

    Experience:

  • 3 plus years of experience in credentialing.
  • Computer Skills: Proficiency with programs included in the MS Office products (Word, Excel, Outlook, and PowerPoint).
  • Certified Provider Credentialing Specialist (CPCS) or Certified Medical Staff Coordinator (CMCS) by the National Association of Medical Staff Services (NAMSS) desired.
  • Equal Opportunity Employer/Veterans/Disabled

    To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.modis.com/en-us/candidate-privacy

    The Company will consider qualified applicants with arrest and conviction records

    Find your local office.

    Modis has over 100 offices in the United States, Canada and Europe. With both industry and location-specific expertise, our people know their area and their labor market and can find the right position for you.

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