Credentialing Coordinator/Clerk

Company: Memorial Hospital of Gardena
Location: Gardena
Posted on: March 19, 2023

Job Description:

Job Description 1. Reviews and screens initial credentialing applications for completeness, accuracy, and compliance with federal, state and local guidelines, policies, and standards. 2. Identifies, analyzes and resolves extraordinary information, discrepancies, time gaps and other idiosyncrasies that could adversely impact ability to credential. 3. Monitors files to ensure completeness and accuracy; reviews all file documentation for compliance with quality standards, accreditation requirements, and all other relevant policies; prepares and provides information to internal and external customers as appropriate. 4. Prepares, issues, electronically tracks and follows-up on appropriate verifications for efficient, high-volume processing of individual applications/re-applications in accordance with applicable credentialing standards, established procedural guidelines, and strict timelines. 5. Communicates clearly with providers, their liaisons. medical staff leadership and Administration, as needed to provide timely responses upon request on day-to-day credentialing and privileging issues as they arise. 7. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest developments to enhance understanding of various regulations and legislation of the health care industry. 8. Performs miscellaneous job-related duties as assigned by the Medical Staff Director. Knowledge, Skills and Abilities Required

• Ability to communicate effectively both orally and in writing.
• Customer service skills.
• Ability to respond to emails timely and effectively.
• Information research skills.
• Knowledge of medical provider credentialing and accreditation principles, policies, processes, procedures, and documentation.
• Working knowledge of clinical and/or hospital operations and procedures.
• Ability to use independent judgment and to manage and impart confidential information.
• Ability to maintain confidentiality and discretion in all communications on behalf of credentialing applicants and/or applications.
• Ability to make administrative/procedural decisions and judgments.
• Demonstrated advanced working knowledge of Microsoft Word and Excel.
• Skill in establishing priorities with independent coordination of day-to-day aspects.
• Advanced skills in computerized spreadsheeting and database management 'MD STAFF'. by Jobble

Keywords: Memorial Hospital of Gardena, Gardena , Credentialing Coordinator/Clerk, Other , Gardena, California