Offer summary

Qualifications:

High school diploma or GED is required., At least 2 years of relevant experience in credentialing or related field., Knowledge of medical provider credentialing, accreditation principles, and healthcare industry standards., Proficiency in MS Word, Excel, Access, and data management skills..

Key responsibilities:

Coordinate and manage all aspects of the medical staff credentialing process.

Maintain and update physician data across multiple databases and communicate changes.

Monitor expirations of licenses, certifications, and insurance coverage, ensuring timely renewal and verification.

Liaise with departments, hospital staff, and external entities to facilitate credentialing activities.

Job description

We are so glad you are interested in joining Sutter Health!

Organization:

PAMF-Palo Alto Medical Foundation PAD

Position Overview:

Responsible for completion of credentialing functions. Ensures program integrity and compliance with standards, federal/state requirements, and health plan credentialing requirements. Maintains relationships with health plan auditors, communicates and works with physician leaders on credentialing issues, works with other departments in multiple areas that relate to credentialing issues. Audits Credentialing Verification Organization's released files to ensure it obtains primary source verification of required physician information. Maintains database of current and accurate information concerning licensure, board certification, professional liability coverage and claims for physicians, contracted providers and Allied Health Professionals.

Candidate selected must live in one of the following Palo Alto Medical Foundation approved states: California, Nevada, Texas.

Job Description:

These Principal Accountabilities, Requirements and Qualifications are not exhaustive, but are merely the most descriptive of the current job. Management reserves the right to revise the job description or require that other tasks be performed when the circumstances of the job change (for example, emergencies, staff changes, workload, or technical development).

JOB ACCOUNTABILITIES:

Coordinates, administers, and provides quality control for all aspects of the medical staff membership and credentialing process.
Maintains physician data on multiple databases and communicates changes to entities.
Interacts with various departments and hospital staffs to ensure efficient and timely processing of credentialing files and applications. Acts as a liaison between various Medical Group Credentialing Committees and clinicians.
Monitors expirations of licensure, DEA Certificates, Professional Liability Coverage and other appropriate certificates and licenses each month and ensures that data is collected and verified prior to expiration. Maintains the Medical Staff database to ensure that the data on all practitioners is accurate and up to date.
Keeps informed of changes in the health care industry related to medical staff peer review, medical/surgical technique and confidentiality; changes in medical staff case law, regulations, and/or standards related to accreditation and outside review bodies.
Implements changes in office procedures. Keeps informed of both internal and external information resources available to be used in supplementing medical staff activities.

EDUCATION:
HS Diploma or General Education Diploma (GED)

TYPICAL EXPERIENCE:
2 years recent relevant experience.

SKILLS AND KNOWLEDGE:
Knowledge of medical provider credentialing and accreditation principles, processes, procedures, and documentation.

Knowledge of computer spreadsheets and other related applications.

Ability to use independent judgment and to manage and impart confidential information.

PC skills (MS Word, MS Excel, and MS Access) and proficiency regarding data entry skills.

Organizational skills with ability to prioritize, problem solve and meet deadlines.

Ability to analyze, interpret, and draw inferences from research findings, and prepare reports.

Able to use independent judgment and to manage and impart confidential information.

Ability to analyze data/reports and to make recommendations.

Job Shift:

Days

Schedule:

Full Time

Shift Hours:

Days of the Week:

Monday - Friday

Weekend Requirements:

None

Benefits:

Yes

Unions:

Position Status:

Non-Exempt

Weekly Hours:

Employee Status:

Regular

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $36.15 to $52.42 / hour. Nevada, Texas Pay Range is $28.29 to $41.03 / hour.

The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.

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