Enterprise Credentialing Specialist:

Enterprise Credentialing Hoag Health System - 4.0 Newport Beach, CA Job Details Full-time 6 hours ago Qualifications Microsoft Excel Word embeddings Productivity software Full Job Description Primary Duties And Responsibilities Maintain regular cooperation and compliance with all regulatory, accrediting, and membership-based organizations. Create and carry out credentialing processes for physicians, other healthcare professionals, and sites. Assist the Supervisor in ensuring that all personnel and services adhere to facility and staff policies, department guidelines, regulations, and government laws. Process applications and reappointment paperwork, verifying completeness and accuracy. Collect and process significant amounts of verification and accreditation information. Maintain and update accurate databases for practitioners and facilities, including education, training, experience, and licensure information. Prepare records for regular auditing. Maintain close communication with practitioners to ensure records are up to date and consistent. Demonstrate behaviors consistent with core values and comply with all required standards. Education and Experience High School diploma, GED, California High Proficiency or equivalent work experience Proficiency with Microsoft Office Products (Word, Excel, PowerPoint) Experience specific to NCQA standards preferred MD Staff experience preferred Proficiency with medical terminology preferred

License Required:

N/A License Preferred:

N/A Certifications Required N/A Certifications Preferred Certified Professional Credentialing Analyst (CPCS) Certified Professional Medical Services Professional (CPMSM)