What are the responsibilities and job description for the Credentialing Coordinator position at Sante Health?
Santé Health System is seeking a self-motivated and highly organized Credentialing Coordinator to join our team. The Credentialing Coordinator is responsible for coordinating, monitoring and maintaining the credentialing and re-credentialing process for our medical providers. This position also ensures the credentialing process runs smoothly and efficiently. Are you attentive to detail? Do you enjoy working as part of a team and taking initiative for work assigned? If so, keep reading!
ABOUT SANTÉ HEALTH SYSTEM
Santé Health System is a Management Services Organization that serves multiple clients. "Santé" is the French word for health. Our name symbolizes our commitment to good health, progressive care, and leadership in our community.
Santé is one of the largest healthcare claims and billing management companies in Central California. The strength of Santé is the extraordinary network of physicians, health plans, and other health service providers it offers the people of our valley. Santé coordinates with physicians, health plans, hospitals, and ancillary providers to ultimately benefit the patient in a managed care environment. Santé Health System provides numerous client services such as billing, claims processing, contracting, credentialing, finance, human resources, information services, marketing/communications, physician services, practice management, provider relations, quality improvement, and utilization management.
Santé is celebrating its 25th year in service to the community. We deeply understand that we would not be successful in enhancing the quality of life of our patients without our incredible team. This is why we have created a work culture that is comprised of talented, driven, dedicated, innovative, and service-driven professionals. We provide competitive pay, excellent benefits including medical, dental, vision, and life insurance, 401k retirement plan, paid time off, and opportunities for advancement. Being part of our team is like being part of a big family. Join our team and make Santé Health System your home away from home. Apply today!
YOUR LIFE AS A CREDENTIALING COORDINATOR
We rely on you as our Credentialing Coordinator to handle all aspects of the credentialing and re-credentialing processes for all medical providers who provide patient care for Santé Physicians, IPA (SP) and Santé Foundation Medical Group. You ensure that providers are credentialed and all required documents are submitted to the contracted health plans. With great attention to detail, you maintain up-to-date data for each provider in credentialing databases and online systems. This allows you to know when to renew licenses and certifications. To be successful in this role, you ensure that currency and accuracy of all information.
QUALIFICATIONS
- High school diploma or equivalent (associate degree preferred)
- At least 4 years of experience in a credentialing environment.
- Working knowledge and understanding of the credentialing process
- Ability to research and analyze data and remain current with NCQA, State, and Federal regulations related to health plan credentialing activities
- Proficiency with Microsoft Office
Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) preferred or expectation of securing certification within three years of hire date. Candidates should also have exceptional people and communication skills, be highly skilled in multi-tasking in a fast paced environment, a commitment to achieving a high level of accuracy and attention to detail, and a no-task-too-small approach to the work.
ARE YOU READY TO JOIN OUR HEALTHCARE TEAM?
We understand your time is valuable and that is why we have a very quick and easy application process. If you feel that you would be right for this data analysis position in the healthcare field, apply now with our initial 3-minute, mobile-friendly application!
