Credentialing Analyst Apply
Job Title: Credentialing Analyst II
Location: San Francisco, CA 94143
Duration: 6 month(s)
Pay Rate: $30/hr - $35/hr on W2.
Shift: M-F, 8:00 AM - 5:00 PM PST
Hybrid (2-3x/per month)
Job Description:
Applies credentialing policy knowledge to follow processes for maintaining department credentialing and licensure. Serves as day-to-day administrative support for the medical services office.
Key Responsibilities:
- Within a high volume, goal-driven environment (estimated target: process 25 files per week), initiates and cultivates partnerships with department management, medical staff and hospital/health plan leadership to ensure compliance and optimal efficiency for appropriate membership, privileges and health plan enrollments
- Advanced Health Professionals and CVO contracted facilities (LPPH&C, School of Dentistry and others, as applicable).
- First responder to onboarding and revenue channel disruptions as well as performs auditing functions under facility Bylaws, Rules and Regulations; Credentialing Policy and Procedures; and other applicable accreditation/payor standards (e.g. NCQA, TJC, DHS, DMHC, CMS, delegated credentialing agreements, etc.).
- Facilitates and supports committees and continuous performance improvement efforts to achieve department and organization goals/workplans.
- Implements policy and procedures, provides training and orientations to a variety of constituents and supports efforts to sustain best practices.
Additional Details:
- Bachelors degree in related are and/or equivalent training.
- Knowledge of TJC, NCQA, CMS, DHS, DMHC, ACGME and other applicable accreditation/regulatory requirements.
- Competency in a paperless computer environment and understanding of provider data integrity standards (credentialing software, MS Office suite, Adobe Professional, document scanning/storage, web based applications and tools, etc.)
To know more about current opportunities at LeadStack, please visit us at https://leadstackinc.com/careers/
Should you have any questions, feel free to call me on (510) 500-5003 or send an email on akarsh.yathiraj@leadstackinc.com
Job Types: Full-time, Contract
Salary: $30.00 - $35.00 per hour
Schedule:
- 8 hour shift
Ability to Relocate:
- San Francisco, CA 94143: Relocate before starting work (Required)
Work Location: In person
