Credentialing Coordinator III

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Organization:

PAMF-Palo Alto Medical Foundation PAD

Position Overview:

Responsible for completion of credentialing functions. Ensures program integrity and compliance with standards, federal/state requirements, and health plan credentialing requirements. Maintains 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 physicians, contracted providers and Allied Health Professionals. Primarily work from home, working PST hours, with the requirement to be on site occasionally as needed. Candidate must live in one of the following Palo Alto Medical Foundation approved states: California, Nevada, Texas.

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EDUCATION: HS Diploma or General Education Diploma (GED) TYPICAL EXPERIENCE: 2 years recent relevant experience. SKILLS AND KNOWLEDGE: 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) and 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. Able to use independent judgment and to manage and impart confidential information. Ability to analyze data/reports and to make recommendations.

Job Shift :

Days

Schedule :

Full Time

Shift Hours:

8

Days of the Week:

Monday - Friday

Weekend Requirements:

None

Benefits:

Yes

Unions:

No

This position is work from home eligible.

Position Status:

Non-Exempt

Weekly Hours:

40

Employee Status:

Regular

Number of Openings:

1

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $32.48 to $47.10 / hour. Nevada, Texax Pay Range is $25.42 to $36.86 / hour.

The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.