Location
San Francisco, CA | 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:
- Bachelor’s 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
Should you have any questions, feel free to call me on (510) 500-5003 or send an email on [email protected]
Job Types: Full-time, Contract
Salary: $30.00 - $35.00 per hour
Schedule:
Ability to Relocate:
- San Francisco, CA 94143: Relocate before starting work (Required)
Work Location: In person
Job tags
Salary
