Credentialing Coordinator

Salary: $23 - $28 per hour

Families Together of Orange County, an FQHC Look-alike, is hiring a Credentialing Coordinator. The primary responsibility of the Credentialing Coordinator will be to assist with credentialing and privileging of the medical staff and related activities, including, the initial collection of documents, renewals, and processing initial appointments, and reappointments. Ensure thorough and timely verification of Clinical Providers credentialing and privileges according to the medical staff credentialing and privileging policies and procedures. The Credentialing Coordinator will work with the Credentialing Specialist and assist in achieving the department’s goal to maintain compliance with all contracted payers, agencies, and other regulatory agencies as appropriate.

The ideal candidate will have the qualities and basic knowledge of the duties listed below:

Core Duties:

• Co-manage the credentialing process for healthcare providers with the Credentialing Specialist.
• Maintain accurate and up-to-date provider information in credentialing databases, including AQH, PECOS, and NPPES.
• Verify provider credentials, including education, licensure, and certifications via third party vendors.
• Monitor expiring credentials such as License, DEA, CPR/BLS, privileges, ID’s, etc.
• Communicate with providers and external organizations to obtain necessary documentation.
• Collaborate with internal team members to resolve any credentialing discrepancies.
• Assist with internal audits to ensure ongoing credentialing compliance.
• Ability to adapt to changing priorities, deadlines, and workloads.
• Other duties as assigned and within scope.

Experience:

• 2 years of experience in healthcare credentialing, but willing to train the proper candidate with less experience.
• Knowledgeable in the credentialing process with medical groups and insurance companies required, including Medical, Dental, or Behavioral Health.
• Basic knowledge on navigating CAQH, PECOS systems.
• Knowledge of medical practice operations preferred

Skills:

• Strong attention to detail and accuracy in data entry and record keeping.
• Excellent organizational and time management skills.
• Effective communication skills, both written and verbal.
• Ability to work independently and as part of a team
• Adept at communication and organization
• Proficiency with Microsoft Office products (Word, Excel)

Teamwork and Interpersonal Skills:

1. Displays an awareness of others' needs and consistently acts in their best interests.
2. Exhibits courtesy, mutual respect, and compassion in all interactions with others.
3. Takes the initiative to propose constructive solutions to challenges.
4. Recognizes and respects differences while actively seeking more effective communication approaches.
5. Demonstrates a positive and professional response to changes and challenges.
6. Nurtures positive working relationships and contributes to a collaborative work environment.
7. Exhibits effective teamwork, working cohesively to support the organization in achieving its goals and objectives.
8. Adapts smoothly to shifting workplace priorities.
9. Attends and actively participates in scheduled meetings, whether weekly, bi-weekly, or monthly.

 

Work Schedule:

• General work hours are Monday to Friday 9 a.m. to 6 p.m., however, start times will vary, depending on organizational, staffing, community, and patient needs.
• Work schedules are subject to change based on organizational, staffing, community, and patient needs. As such, FTOC may need to modify work schedules to meet such needs.
• Saturday work schedules will also be effected or implemented due to organizational, staffing, community, and patient needs as FTOC continues to grow and expand work days and hours.
• Overtime may also occur due to organizational, staffing, community, and patient needs.

Work Location:

• While staff may be assigned a primary site (Tustin, Garden Grove, Fountain Valley, Wellness Center, Mobile Units, or Telehealth, etc.), you may be required to temporarily fill in at another site based on organizational, staffing, community, and patient needs.

Travel Requirements:

• Occasional travel will be required for this position. Must be able to travel to FTOC sites as needed, including short notice.

Physical Demands and Working Conditions:

• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• While performing the duties of this job, the employee may be required to drive to FTOC facilities as needed. The ability to sit for extended periods of time. The employee must occasionally lift and/or move up to 25 pounds.

*This job description in no way states or implies that these are the only duties to be performed by the employee. He or she will be required to follow any other instructions and to perform other duties, within scope, as assigned by his or her supervisor.

FTOC’s Expectations of all Employees

• Adheres to all FTOC Policies and Procedures.
• Conducts self in a manner that always represents FTOC’s core values.
• Maintains a positive and respectful attitude with all work-related contacts.
• Communicates regularly with immediate supervisor about Departmental and FTOC concerns.
• Consistently reports to work as scheduled and in a timely manner prepared to perform the duties of the position.
• Meets productivity standards and performs duties as workload necessitates.
• To train on all Learning Management Systems (LMS) by self-learning models from FTOC’s EMR.

Families Together of Orange County (FTOC) is proud to be an equal opportunity employer.  FTOC does not discriminate based on race, color, creed, sex, sexual orientation, gender identity or expression, age, religion, national origin, disability, ancestry, marital status, veteran status, medical condition, or any protected category prohibited by local, state or federal laws.