Sutter Health

Credentialing Coordinator III

Sutter Health$67K — $97K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • HS Diploma or GED equivalent required
  • 2 years of recent relevant experience in credentialing
  • Knowledge of medical provider credentialing and accreditation processes
  • Proficiency in MS Word, MS Excel, and MS Access
  • Strong organizational and problem-solving skills
  • Ability to manage confidential information with independent judgment
  • Capable of analyzing data and preparing reports

Responsibilities

  • Complete credentialing functions while maintaining compliance with standards
  • Maintain relationships with health plan auditors and physician leaders
  • Audit credentialing verification organization's files for primary source verification
  • Maintain an accurate database of physician licensure and professional information
  • Communicate credentialing issues with various departments
  • Analyze and interpret data to make informed recommendations

Benefits

  • Work from home eligibility within California
  • Full-time work schedule with no weekend requirements
  • Regular employee status with a comprehensive benefits package
Full Job Description
Organization:
SHSO-Sutter Health System Office-Valley

Position Overview:
* This position is eligible to work from home from within the state of California.

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.

Job Description:

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

Position Status:
Non-Exempt

Weekly Hours:
40

Employee Status:
Regular

Pay Range is $32.36 to $46.93 / hour

The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

About Sutter Health

Sutter Health is a not-for-profit health system in Northern California, headquartered in Sacramento. It includes doctors, hospitals and other health care services in more than 100 Northern California cities and towns. Major service lines of Sutter Health-affiliated hospitals include cardiac care, women’s and children’s services, cancer care, orthopedics and advanced patient safety technology.
Learn more about Sutter Health
Size
58,000 employees
Industry
Founded
1981

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