Incumbent is responsible for assisting in the development, implementation and monitoring of credentialing procedures required by the Medical Staff bylaws, state and federal laws, hospital accreditation, and NCQA standards. Credentials practitioners, maintains accurate physician data, coordinates Medical and/or University Physicians and Surgeons (UPS) staff meetings, prepares a variety of reports and prepares policies and procedures to meet licensing requirements.
Rate Minimum $22.70 Midpoint $30.05 Maximum $37.40
Ability to coordinate and resolve issues in a timely manner
Ability to establish and maintain effective working relationships across the HealthSystem
Ability to maintain a work pace appropriate to the workload
Associate's degree in health care or business administration or two years of relevant experience in a credentialing office or an equivalent combination of experience and education.
Certification as CPMSM and/or CPCS
Demonstrated understanding of medical terminology
Excellent written and verbal communication skills in English
Knowledge of the Joint Commission and NCQA standards, California Code of Regulations Title 22 and CMS regulations regarding Conditions of Participation
Must demonstrate customer service skills appropriate to the job
Must possess the skill, knowledge and ability essential to the successful performance of assigned duties
Proficient in Microsoft Office, Word, PowerPoint, Excel and Outlook
Strong analytical and problem solving skills and the ability to plan strategically
Strong interpersonal and organizational skills
Strong verbal and written communication skills
Knowledge of University and medical center organizations, policies, procedures and forms
Physical, Mental & Environmental Demands:
To comply with the Rehabilitation Act of 1973 the essential physical, mental and environmental requirements for this job are listed below. These are requirements normally expected to perform regular job duties. Incumbent must be able to successfully perform all of the functions of the job with or without reasonable accommodation.
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