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Credentialing Specialist- Torrance *FT DAYS*

Company: Providence Health & Services
Location: Torrance
Posted on: August 5, 2022

Job Description:

Description Credentialing Specialist - Administration at Providence Medical Institute The Credentialing Specialist is accountable for data collection, organization and submission of enrollment and credentialing applications required by health plans, hospitals and governmental and other regulatory agencies. Works closely with individual practitioners, clinic leadership, physician billing office and Epic analysts to facilitate timely payor enrollment for new practitioners and re-enrollment for established practitioners. Further, the Credentialing Specialist is also responsible for the tracking and reporting of pertinent data to monitor the credentialing activities of the physician/providers providing professional medical services for Providence Medical Institute. Performs all duties in a manner that promotes Providence mission, values, and philosophy. Required qualifications:

  • Two (2) years of experience in a medical credentialing or provider enrollment environment (payer, IPA, medical group, or institutional privileging)
  • Two (2) years of experience in a medical credentialing environment (payer, IPA, medical group, or institutional privileging) Preferred qualification:
    • Provider credentialing, healthcare or general office experience Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. About the location you will serve: Providence Health & Services Southern California is further developing its physician integration strategy. Historically, the largest asset has been Providence Medical Institute, a medical foundation that provides administrative and other support services to affiliated medical groups. Providence Medical Institute is expected to grow significantly in the next several years, bringing with it facilities, staff and physician growth to support that objective. We offer a full comprehensive range of benefits - see our website for details - About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Requsition ID: P359106 Company: Providence Jobs Job Category: Clinical Administration Job Function: Clinical Support Schedule: Full time Shift: Day Career Track: Clinical Support Department: 7010 OUTPATIENT SURGERY CA TORRANCE Address: CA Torrance 21311 Madrona Ave Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Keywords: Providence Health & Services, Torrance , Credentialing Specialist- Torrance *FT DAYS*, Other , Torrance, California

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