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Credentialing Specialist

Company: Robert Half International
Location: Daly City
Posted on: June 6, 2021

Job Description:

Robert Half Healthcare currently has an opportunity for a Credentialing Specialist at a Sutter clinic in the South Bay. This position is responsible for the completion of all credentialing functions. If the below responsibilities align with your skillset, please apply!Responsibilities: - Ensures program integrity and compliance with standards, federal/state requirements, and Health Plan Credentialing Requirements. - Assists Supervisor in maintaining relationships with Health Plan Auditors; communicates and works with Physician leaders on credentialing issues; works with other departments in multiple areas that relate to credentialing issues. - Audits Credentialing Verification Organization's released files to ensure it obtains primary source verification of required physician information. - Maintains database of current and accurate information concerning licensure, board certification, professional liability coverage and claims for all PMC and MPMG Physicians, Contracted Providers and Allied Health Professionals. - Manages the provider add process, recruitment and transition, including the successful appointment to the Mills-Peninsula Provider Network in accordance with the Credentials Policies & Procedures and regulatory agency requirements. - 3-5 years experience working in an acute setting. - Preferred CPCS certification. - Bachelors Degree preferred but not required.

Keywords: Robert Half International, Daly City , Credentialing Specialist, Other , Daly City, California

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