Credentialing Intake CoordinatorAstrana Health, Inc. • Monterey Park, CA, US
No longer accepting applications
Credentialing Intake Coordinator
Astrana Health, Inc. • Monterey Park, CA, US
2 days ago
Job type
- Full-time
Job descriptionBachelors degree in Business, Communications, Healthcare, or similar field. Proven experience in credentialing within a health plan or managed care setting. Strong knowledge of credentialing procedures and regulatory standards for health plans. Proficiency in Microsoft Office Suite (Word, Excel, Outlook). Excellent organizational skills and attention to detail. Ability to maintain confidentiality and manage sensitive information. Effective written and verbal communication skills. Certification from a credentialing organization (e.g., National Association of Medical Staff Services, NAMSS). Experience using credentialing software or databases. Familiarity with medical terminology and healthcare provider networks. Our organization follows an hybrid work structure where the expectation is to work onsite 2 days a week. This position will report to our Monterey Park office at 1600 Corporate Center Drive. The total pay range for this role is : $18-20 / hr. This salary range represents our national target range for this role.
Credentialing Intake Coordinator
Department : Ops - Credentialing
Employment Type : Full Time
Location : 1600 Corporate Center Dr., Monterey Park, CA 91754
Reporting To : Natalie Fandel
Compensation : $18.00 - $20.00 / hour
Description
Our Credentialing Intake Coordinator oversees the intake and initial processing of credentialing applications for medical providers. This role ensures all necessary documentation is reviewed, verified, and accurate, facilitating a smooth credentialing process.
What You'll Do
- Review and process healthcare providers' credentialing applications to ensure compliance with health plan participation requirements.
- Verify providers' professional qualifications, including education, licensure, and certifications.
- Maintain and update credentialing records for all providers within the health plan network.
- Submit credentialing applications to health plans for review and approval.
- Monitor re-credentialing timelines, ensuring timely renewal of certifications, licenses, and memberships.
- Ensure compliance with federal, state, and health plan-specific regulations and policies.
- Collect required documentation from providers, including diplomas, licenses, certifications, and malpractice insurance.
- Address and resolve discrepancies or issues encountered during the credentialing process.
- Protect the confidentiality of sensitive provider and patient information.
- Assist with audits and respond to health plan inquiries regarding credentialing status.
- Collaborate with internal departments to resolve credentialing-related issues and maintain accurate data.
Qualifications
Preferred Qualifications
Environmental Job Requirements and Working Conditions
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Intake Coordinator • Monterey Park, CA, US