Credentialing Coordinator – III

🔥 14 hours ago

🏄 California – Remote

🏄 California – Remote

💵 $32 - $48 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Sutter Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded Sutter Health was founded in 1996.

🏥 Healthcare

⚕️ Healthcare Insurance

🤝 Non-profit

💰 Grant on 2016-11

Healthcare • Healthcare Insurance • Non-profit

Sutter Health is a not-for-profit health system serving Northern California, offering a wide range of healthcare services. It provides comprehensive primary and specialty care, including mental health, oncology, orthopedics, women's health, and more. The organization supports both in-person and virtual visits, ensuring accessibility to its services. Sutter Health is also involved in medical research, education, and offers various health plans, including Sutter Health Plus. It emphasizes innovative, compassionate care and maintains a network of hospitals, medical groups, and other health providers across Northern California.

📋 Description

• Complete credentialing functions • Ensure program integrity and compliance with standards, federal/state requirements, and health plan credentialing requirements • Maintain relationships with health plan auditors • Communicate and work with physician leaders on credentialing issues • Work with other departments on areas related to credentialing issues • Audit Credentialing Verification Organization released files to ensure primary source verification of required physician information • Maintain current and accurate database information concerning licensure, board certification, professional liability coverage, and claims for physicians, contracted providers, and Allied Health Professionals

🎯 Requirements

• HS Diploma or General Education Diploma (GED) • 2 years recent relevant experience • Knowledge of medical provider credentialing and accreditation principles, processes, procedures, and documentation • Knowledge of computer spreadsheets and other related applications • Ability to use independent judgment and to manage and impart confidential information • PC skills (MS Word, MS Excel, and MS Access) • Proficiency regarding data entry skills • Organizational skills with ability to prioritize, problem solve and meet deadlines • Ability to analyze, interpret, and draw inferences from research findings, and prepare reports • Ability to analyze data/reports and to make recommendations

🏖️ Benefits

• Comprehensive benefits package • Eligible positions include a comprehensive benefits package

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