- Identifying discrepancies or inaccuracies in information
- Effectively communicating processes and documentation requirements
- Educating stakeholders about credentialing policies and procedures
- Tracking incoming and outgoing communications with a goal of first touch resolution
- Aiding in overseeing database accuracy including the building of provider records according to specifications and process standards
- Coordinating the maintenance of the provider data standards across multiple business functions
- Processing and screening credentialing applications and supporting information to determine eligibility
- Ensuring compliance with regulations, accreditation standards, laws, procedures and policies
- Bachelor's degree or equivalent to (4)-year university degree, preferably in healthcare related field of study.
- 2 or more years professional experience working in credentialing, provider data management or provider relations, preferably in a managed care setting required.
- Independently researches and resolves issues
- High level of organizational skills and attention to detail
- Provider data management experience
- Knowledge of medical credentialing and privileging procedures and standard
- Excellent communication skills, both written and verbal, as well as strong organizational and administrative abilities
- Strong ability to multitask and meet or exceed turnaround time standards
- Ability to handle sensitive information with discretion and confidentiality
- You are passionate about improving the healthcare experience and want to be part of the Altais mission.
- You are bold and curious- willing to take risks, try new things and be creative.
- You take pride in your work and are accountable for the quality of everything you do, holding yourself and others to a high standard.
- You are compassionate and are known as someone who demonstrates emotional intelligence, considers others when making decisions and always tries to do the right thing.
- You co-create, knowing that we can be better as a team than individuals. You work well with others, collaborating and valuing diversity of thought and perspective.
- You build trust with your colleagues and customers by demonstrating that you are someone who values honesty and transparency.
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Credentialing Coordinator - Oakland, United States - Altais
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Description
Job Description
Job DescriptionAbout Our Company
At Altais, we're looking for bold and curious clinicians and innovators who share our passion for enabling better health care experiences and revolutionizing the healthcare system for physicians, advanced care providers, patients, and the clinical community. At Altais, we're building breakthrough clinical support tools, technology, and services to let doctors do what they do best: care for people. We invite you to join our growing passionate team as we change the game for the future of healthcare and enable the experience that people need and deserve. Altais family of companies include Brown & Toland Physicians, Family Care Specialists and Altais Medical Groups.
About Your Team
Are you looking to work with a high performing, fast growing and dynamic Credentialing team? We are 4,000+ physicians, working in over 40 cities throughout California, caring for more than 500,000 patients. If you are passionate about reshaping healthcare and want to work for a mission driven organization where new ideas and innovation are valued, then we would like to meet you.
About Your Work
Join our high performing Credentialing Team as a Credentialing Coordinator where you'll be responsible for supporting the processes, applications and individual team members of the credentialing department. You will work closely with internal teams and providers to identify data gaps and support the accuracy of provider databases. We seek individuals with a strong commitment to patient-centered care and a passion for promoting health and wellness
As our new Credentialing Coordinator, you will work hybrid in anywhere in the continental United States, we will also that you are willing to work California hours from approximately 9:00am to 5:00pm Pacific Time.
You will focus on:
The Skills, Experience & Education You Bring
You Share Our Mission & Values:
Altais values the contribution each Team Member brings to our organization. Final determination of a successful candidate's starting pay will vary based on several factors, including, but not limited to education and experience within the job or the industry. The pay scale listed for this position is generally for candidates that meet the specified qualifications and requirements listed on this job description. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. We provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs.
The anticipated pay range for this role is listed in our salary posting for transparency but may vary based on factors including the candidate's qualifications, skills, experience, and geographic location. This base pay range is specific to California and can vary based on Bay Area, Metro LA, and Greater California regions which may not be applicable to other locations.
Altais and its subsidiaries and affiliates are committed to protecting the privacy and security of the personal information you provide to us. Please refer to our 'CPRA Privacy Notice for California Employees and Applicants' to learn how we collect and process your personal information when you apply for a role with us.
Physical Requirements: Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork – Activity level: Sedentary, frequency most of workday.
External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.