Clinica Sierra Vista
Location
Bakersfield, California
Salary
$24 - $30 / HOUR
The specialist will initiate, coordinate, monitor, and maintain the credentialing and re-credentialing processes for all employed and contracted practitioners and allied health staff, while also assisting with managed-care activities. Essential functions include completing applications, performing primary source verification, identifying red flags, conducting compliance reporting, preparing committee materials, and managing credential database data.
Candidates need an associate’s degree combined with one year of credentialing experience in a managed care setting or equivalent medical field experience with a strong understanding of credentialing. Desired qualifications include CPCS certification and knowledge of accreditation standards like Joint Commission, NCQA, HRSA, and CMS.
As we grow our team, we are looking for individuals who believe the patient is always #1.
Intrigued? We’d love to hear from you! Please review the job details below and then click “apply.”
Initiate, coordinate, monitor and maintain the credentialing and re-credentialing of all practitioners and allied health staff employed and/or contracted with Clinica Sierra Vista. Will also assist to perform duties regarding various managed-care activities.
An associate’s degree AND one year of credentialing experience in a managed care setting or experience in the medical field with a thorough understanding of credentialing and privileging. Background of strong administrative skills will also be considered. 2. Certified Provider Credentialing Special (CPCS) desired. 3. Working knowledge of accreditation standards, including Joint Commission, NCQA, HRSA and CMS preferred. 4. Knowledge of MD Staff (ASM) preferred. 5. Proven ability to function independently with minimal direct supervision required. 6. Strong organizational and communication skills required. 7. Excellent oral and written communication, interpersonal and computer skills required. 8. Proficient in Microsoft Office Suite (Outlook, Word, Excel). 9. Comfortable extracting and formatting data for ad hoc report requests. 10. Attention to detail a must. 11. Confidentiality required.
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Clinica Sierra Vista values human rights, goodwill, respect, inclusivity, equality, and recognizes that the organization derives its strength from a rich diversity of thoughts, ideas, and contributions. As leaders in healthcare industry, we aspire to be an employer of choice by promoting an organizational culture that reflects these core values. We seek to attract, develop, and retain a talented and dedicated workforce where people of diverse races, genders, religions, cultures, political affiliations and lifestyles thrive. Our goal is to create a welcoming and inclusive environment that empowers our employees to provide the highest level of service to our community of residents and businesses; they’re counting on us.
Clinica Sierra Vista is an equal opportunity employer and strives to attract qualified applicants from all walks of life without regard to race, color, ethnicity, religion, national origin, age, sex, sexual orientation, gender identity, gender expression, marital status, ancestry, physical disability, mental disability, medical condition, genetic information, military and veteran status, or any other status protected under federal, state and/or local law. We aim to create an environment that celebrates and embraces the diversity of our workforce. We welcome you to join our team!
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