Credentialing Specialist jobs in Antioch, CA

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Credentialing Specialist II
  • Partnership HealthPlan of California
  • Fairfield, CA FULL_TIME
  • Overview

    To gather and validate healthcare practitioner credentialing information in accordance withregulatory and accreditation standards. Provides administrative support to the CredentialingCommittee. Participates in delegated oversight activities, including ensuring reports anddocumentation are received timely and tracked. The Credentialing Specialist II handles morecomplex transactions and phone calls, additional duties such as meeting minutes, agendas, orassisting with desk procedures, and answers routine questions for Specialists I’s.

    Responsibilities

    • Performs, prepares and maintains all credentialing and credentialing activities according topolicies and procedures. Gathers forms and related documentation and researchesdiscrepancies. Scrutinizes documents for consistency and accuracy.
    • Sends forms and related documentation and tracks and follows-up to ensure timely returnof information.
    • Reviews comprehensive written documents and writes concise, accurate summaries.
    • Monitors healthcare practitioner licensing boards and federal and state reporting sites.Tracks and reports findings. Conducts primary source verification and compilesdocuments.
    • Prepares Committee agendas, meeting minutes, written reports, and related documents.Prepares action items list and monitors to ensure action items are completed.
    • Prepares a variety of reports and templates using Word, Excel and Adobe.
    • Participates in delegation oversight functions, including report tracking and annual audits.
    • Assists with preparing corrective action plans consistent with delegation agreements.
    • Educates providers on the completion of forms and required submissions.
    • Enters data into several databases.
    • Responds to complex telephone inquiries.
    • Provides assistance to Credentialing Specialist in the application of Credentialingprocedures and accreditation standards.
    • Other duties as assigned.

    Qualifications

    Education and Experience

    High school diploma or equivalent; minimum 18 months credentialingexperience.

     

     

    Special Skills, Licenses and Certifications

    Strong written and oral communication skills. Advanced computerskills, including proficiency in multiple software applications includingMicrosoft Office. Strong organizational and multi-tasking skills.Excellent interpersonal and customer service skills. Detail orientedwith ability to recognize vital information. Ability to consistentlymaintain quality and production standards. Ability to use goodjudgement in making decisions and handle sensitive issues withdiplomacy and tact.

     

     

    Performance Based Competencies

    Ability to work in a fast paced environment with multiple competingdeadlines. Ability to function effectively with frequent interruptions.

     

     

     

    Work Environment And Physical Demands

    More than 70% of work time is spent using a computer. Ability to lift,carry, or move objects of varying size, weighing up to 25 lbs.

     

     

     

     

     

     

    All HealthPlan employees are expected to:

     

    • Provide the highest possible level of service to clients;
    • Promote teamwork and cooperative effort among employees;
    • Maintain safe practices; and
    • Abide by the HealthPlan’s policies and procedures, as they may from time to time be updated.

    HIRING RANGE:

     

    $ 27.62 - $ 33.84

     

    IMPORTANT DISCLAIMER NOTICE

     

    The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.

     

  • 21 Days Ago

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Medical Staff and Credentialing Manager
  • Clinical Management Consultants
  • Clayton, CA FULL_TIME
  • A San Francisco Bay Area Medical Center is seeking a Medical Staff and Credentialing Services Manager to join their team. The Manager Medical Staff Credentialing Services will have administrative over...
  • 3 Days Ago

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Specialist
  • Ecovyst
  • Martinez, CA FULL_TIME
  • This position actively analyzes the work environment, local culture, and policies to continuously improve Health and Safety performance on site. This position inspects the workplace for adherence to r...
  • 22 Days Ago

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Deductions Specialist
  • Mezzetta
  • American Canyon, CA FULL_TIME
  • The Role The Deductions Specialist role ensures the timely and accurate resolution of valid customer deductions, providing the Sales Team with information and visibility on their trade investments by ...
  • 18 Days Ago

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Inventory Specialist
  • Captor Retail Group Inc
  • Antioch, CA PART_TIME
  • Job Title: Inventory Specialist Location: One Plant Dispensary, Antioch Salary: $18 per hour Job Description: As an Inventory Specialist at One Plant Dispensary in Antioch, you will play a crucial rol...
  • 18 Days Ago

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Contracts Specialist
  • Partnership HealthPlan of California
  • Fairfield, CA FULL_TIME
  • Overview To assist in the negotiation, development, implementation, and maintenance of new and existing professional, facility, and ancillary contracts for the PHC provider network. The Contract Speci...
  • 19 Days Ago

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0 Credentialing Specialist jobs found in Antioch, CA area

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Implementation Support Specialist- Part Time
  • Curriculum Associates LLC
  • Stockton, CA
  • At Curriculum Associates (CA), we believe a diverse team leads to diversity in thinking, making our products better for ...
  • 3/28/2024 12:00:00 AM

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Head/ Sr Director of Global Regulatory Affairs
  • Predicine, Inc
  • Hayward, CA
  • Job Description Job Description Predicine is a Silicon Valley-based global precision medicine company that is committed ...
  • 3/27/2024 12:00:00 AM

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Provider Services Specialist
  • Epic Care
  • Antioch, CA
  • Overview: ANNUAL SALARY (DEPENDING ON SKILLS/EXPERIENCE): $75,000.00 SCOPE: The Provider Services Specialist is a dual r...
  • 3/27/2024 12:00:00 AM

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Resource Specialist - Elementary - 1.0 FTE - Special Education - 2023-2024 School Year
  • California Department of Education
  • Vallejo, CA
  • About the Employer Our mission is to support district stakeholders by providing excellent customer service through timel...
  • 3/26/2024 12:00:00 AM

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STEM/Math Specialist
  • Ronald C. Wornick Jewish Day School
  • Foster City, CA
  • Located in Foster City, Ronald C Wornick Jewish Day School is a pluralistic community day school for students from TK th...
  • 3/25/2024 12:00:00 AM

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Education Specialists -Preschool, Early Childhood Special Education ESCE - (5,000 Hiring Bonus w/2 year commitment)
  • Pittsburg Unified School District
  • Pittsburg, CA
  • About the Employer Pittsburg Unified School District (PUSD) is a K-12 district that serves the community of Pittsburg, C...
  • 3/24/2024 12:00:00 AM

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Deaf and Hard of Hearing Specialist - 1.0 FTE - Special Education / 2023-24 School Year
  • Dublin Unified School District
  • Dublin, CA
  • About the Employer About Dublin Dublin is a suburban city in the East (San Francisco) Bay Area and Tri-Valley regions of...
  • 3/24/2024 12:00:00 AM

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Language, Speech, and Hearing Specialist, Special Education ($10,000 one-time sign on bonus)
  • San Joaquin County Office of Education
  • Stockton, CA
  • About the Employer Educate, Innovate and Inspire! San Joaquin County Office of Education located in Stockton, CA is a re...
  • 3/24/2024 12:00:00 AM

Antioch (formerly, East Antioch, Smith's Landing, and Marshs Landing) is the second largest city in Contra Costa County, California, United States. Located in the East Bay region of the San Francisco Bay Area along the San Joaquin-Sacramento River Delta, it is a suburb of San Francisco and Oakland. The city's population was 102,372 at the 2010 census and estimated to be 110,542 in 2015. Antioch is located at 38°00′18″N 121°48′21″W / 38.00500°N 121.80583°W / 38.00500; -121.80583, along the San Joaquin River at the western end of the San Joaquin-Sacramento River Delta. According to the United...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Credentialing Specialist jobs
$47,335 to $59,941
Antioch, California area prices
were up 2.5% from a year ago

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