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Find Credentialing Analyst Job in San Francisco, Capellen
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Credentialing Analyst

  • ... San Francisco, Capellen, United States
  • ... Full time
  • ... Salary: 35 per hour
  • Posted on: Mar 07, 2024       Expires on: Apr 21, 2024

Credentialing Analyst   

JOB TITLE:

Credentialing Analyst

JOB TYPE:

Full-time

JOB LOCATION:

San Francisco Capellen United States

JOB DESCRIPTION:

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

Position Details

POSTED:

Mar 07, 2024

EMPLOYMENT:

Full-time

SALARY:

35 per year

SNAPRECRUIT ID:

S-1710203680-ee05d5a6d3967e29aaef0ef191c6f62d

LOCATION:

Capellen United States

CITY:

San Francisco

Job Origin:

jpick2

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In Dallas Fort Worth
Aug 19, 2017 9am-6pm
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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

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