Credentialing Coordinator Job at Borrego Health
Borrego Health is now the second largest health center in the country and the largest health center in the State of California! Join our team and make a difference today!
Summary:
Administers credentialing process, works independently to coordinate, develop, monitor and maintain the credentialing process under the supervision of the Medical Staff Office.
Essential Duties and Responsibilities:
1. Provides credentialing application packet to providers joining Borrego Health.
2. Provides recredentialing application packet to providers when applicable.
3. Tracks the providers’ application to ensure a timely submission for credentialing/credentialing.
4. Responsible for all primary source verification.
5. Analyzes and resolves provider file issues.
6. Responds to Provider inquiries received by letter, phone, email, faxes and other internal departments.
7. Processes credentialing applications in accordance with accreditation standards, regulatory requirements, and policies and procedures.
8. Organizes the monthly Credentialing Committee.
9. Maintains provider files to ensure current licenses, insurances, privileges, and all other required certifications and develops rosters to track dates of expirations.
10. Responsible for the organization, maintenance, and accuracy of medical staff data on hard copy files and electronic employee credentialing files (scanning all documents into Share/ Provider Management folder).
11. Works closely with the Director of Managed Care Operations to ensure provider information and files are up to date for managed care contracts.
12. Provide weekly/monthly reports as needed.
13. Performs other assigned duties.
You may also mail or fax your application and resume to the following address and telephone number:
Borrego Health
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