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Credentialing Specialist, Physicians

Credentialing Specialist, Physicians

Community Health SystemFresno, CA, United States
6 days ago
Job type
  • Full-time
Job description

Overview

  • All positions located in Fresno / Clovis CA

Opportunities for you!

  • Consecutively recognized as a top employer by Forbes
  • Direct impact on quality patient care
  • Vacation time starts building on Day 1, and builds with your seniority
  • 403(b) retirement plan with up to 8% matching contributions
  • Free parking and electric charging
  • Great food options with on-demand ordering

    • Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community.

    We know that our ability to provide the highest level of care is through taking care of our incredible teams. Want to learn more? Click here.

    Responsibilities

    The Credentialing Specialist CCH coordinates, monitors and performs the credentials verification process for initial appointments, temporary privileges, provisional reviews and reappointments of physicians and allied health professionals. Through formal and on-the-job training, incumbents will develop their skills in all aspects of initial comprehensive credentialing and privileging to include reappointment process, and temporary privilege requests in accordance with the Department of Managed Healthcare (DMHC) and NCQA accreditation standards, state and federal regulatory requirements, bylaws, rules and regulations, policies and procedures aligned with the Knox-Keene Act.

    Qualifications

    Education

  • High School Diploma, High School Equivalency (HSE) or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required
  • Associate's Degree preferred

    • Experience

  • 1 year previous Medical Staff experience preferred
  • Experience coordinating, monitoring and performing the credentials verification process for temporary privileges, provisional reviews and reappointments of physicians and other professionals

    • Licenses and Certifications

  • CPCS - Certified Provider Credentialing Specialist preferred

    • Disclaimers

  • Pay ranges listed are an estimate and subject to change.
  • If any bonuses are noted, they are only applicable to external hires meeting criteria.
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    Credentialing Specialist • Fresno, CA, United States