Jobs
>
Los Angeles

    Credentialing Coordinator - Los Angeles, United States - Regal Medical Group

    Default job background
    Description
    Job Description


    Position Summary:
    Credential all new providers, Re-credential existing Providers according to Regal Medical Group credentialing policies and procedures. Submit credentialing information as requested by contracted HMOs. Maintain and update files on all credentialed Providers. Provide credentialing information on a Provider when requested by other RMG.Maintain and update Provider files in credentialing database.

    Essential Duties and Responsibilities include the following:


    Process Initial and Reappointment applications for ADOC, GCMG, LMG and RMG.Process Initial and Reappointment applications for Health Delivery Organizations (HDO)Assist with the gathering of information required to complete credentialing/re-credentialing cycles for our contracted/credentialed providers.

    Verifies all pertinent required information and follows up as needed.
    Data entry for credentialing database with current information.
    Prepare and review practitioner files for Credentialing Committee review and decisions.
    Assist Management in training and teaching Credentialing Assistants in their assigned tasks.
    All other duties as directed by management.

    The pay range for this position at commencement of employment is expected to be between $ $27.00 per hour; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience.


    The total compensation package for this position may also include other elements, including a sign-on bonus and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered.

    Details of participation in these benefit plans will be provided if an employee receives an offer of employment.


    If hired, employee will be in an "at-will position" and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.


    As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment.

    Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.


    Full Time Position Benefits:
    The success of any company depends on its employees.

    For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members.

    As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life.

    Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options.


    Health and Wellness:
    Employer-paid comprehensive medical, pharmacy, and dental for employeesVision insuranceZero co-payments for employed physician office visitsFlexible Spending Account (FSA)

    Employer-Paid Life InsuranceEmployee Assistance Program (EAP)Behavioral Health ServicesSavings and Retirement:

    401k Retirement Savings PlanIncome Protection Insurance

    Other Benefits:


    Vacation TimeCompany celebrationsEmployee Assistance ProgramEmployee Referral BonusTuition ReimbursementLicense Renewal CEU Cost Reimbursement ProgramBusiness-casual working environmentSick daysPaid holidaysMileageEmployer will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the LA City Fair Chance Initiative for Hiring Ordinance.

    Requirements


    Education and/or Experience:
    High School graduate or equivalent.
    One year or more of experience with credentialing.
    Health Care Industry Knowledge.
    Excellent written and verbal communication skills.
    Knowledge of Windows-based computer.
    Proficient in Microsoft Excel.
    Attention to detail.
    Ability to work well under pressure.
    Strong planning and organization skills to cope and manage multiple competing priorities.

    #J-18808-Ljbffr


  • Pacifica Hospital of the Valley Los Angeles, United States

    Job Description · Job DescriptionGENERAL DESCRIPTION: · The Medical Staff / CME Coordinator is a professional who coordinates a myriad of medical staff activities and serves as a liaison between the medical staff, ancillary departments and administration. Assists the Director in ...


  • Pacifica Hospital of the Valley Los Angeles, United States

    Job Description Job Description GENERAL DESCRIPTION:The Medical Staff / CME Coordinator is a professional who coordinates a myriad of medical staff activities and serves as a liaison between the medical staff, ancillary departments and administration. Assists the Director in plan ...


  • LifeStance Health Los Angeles, United States

    At LifeStance Health, we strive to help individuals, families, and communities with their mental health needs. Everywhere. Every day. It's a lofty goal; we know. But we make it happen with the best team in mental healthcare. · Thank you for taking the time to explore a career wi ...


  • Cedars-Sinai Los Angeles, United States

    Job Description · Grow your career at Cedars-Sinai · Cedars-Sinai Medical Center has been ranked the #1 hospital in California by U.S. News & World Report, Beyond an outstanding benefit package and competitive salaries. · We take pride in hiring the best, most passionate employ ...


  • Pacifica Hospital of the Valley Los Angeles, United States

    Job Description · Job Description · GENERAL DESCRIPTION: · The Medical Staff / CME Coordinator is a professional who coordinates a myriad of medical staff activities and serves as a liaison between the medical staff, ancillary departments and administration. Assists the Direct ...


  • LifeStance Health Los Angeles, United States

    At LifeStance Health, we strive to help individuals, families, and communities with their mental health needs. Everywhere. Every day. It's a lofty goal; we know. But we make it happen with the best team in mental healthcare. · Thank you for taking the time to explore a career wi ...


  • Keck Medical Center of USC Los Angeles, United States

    The Credentialing Coordinator is responsible for assuring that the credentialing of practitioners is conducted in accordance with the Office of Integrated Credentialing/client policies and procedures, entity bylaws/credentialing plan, regulatory agencies, and accrediting bodies. ...


  • Regal Medical Group Los Angeles, United States

    Job DescriptionPosition Summary:Credential all new providers, Re-credential existing Providers according to Regal Medical Group credentialing policies and procedures. Submit credentialing information as requested by contracted HMOs. Maintain and update files on all credentialed P ...


  • LifeStance Health Los Angeles, United States

    At LifeStance Health, we strive to help individuals, families, and communities with their mental health needs. Everywhere. Every day. It's a lofty goal; we know. But we make it happen with the best team in mental healthcare. · Thank you for taking the time to explore a career wi ...


  • AHMC Healthcare Alhambra, United States

    Overview: · Primary Function · Responsible for the effective function and coordination of the credentialing and re-credentialing process and other assigned tasks. Coordinates with physicians, external agencies, administration, nursing department, risk management / performance i ...


  • The Oncology Institute of Hope and Innovation Cerritos, United States

    Job Description · Job DescriptionFounded in 2007, The Oncology Institute of Hope and Innovation (TOI) is advancing oncology by delivering highly specialized, value-based cancer care in the community setting. TOI is dedicated to offering cutting edge, evidence-based cancer care to ...


  • SCAN Long Beach, United States

    About SCAN · SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, ser ...


  • AHMC Healthcare Monterey Park, United States

    Overview: · Monterey Park Hospital, located in San Gabriel Valley of Los Angeles County, and recruiting for a full time **Credentials Coordinator**. Monterey Park Hospital is a 101 bed acute care community hospital and has provided our community with advanced medical and cultural ...


  • AltaMed Health Services Montebello, United States

    Work Boldly. Live Brilliantly. · At AltaMed, we don't just serve our communities, we are part of them. We have raised the expectations of what a community clinic can deliver because we think quality care is for everyone. And, we are determined to provide it no matter the challen ...


  • Cedars-Sinai Beverly Hills, United States

    **Job Description** · **Grow your career at Cedars-Sinai** · Cedars-Sinai Medical Center has been ranked the #1 hospital in California by U.S. News & World Report, 2023? · 2024. Beyond an outstanding benefit package and competitive salaries. · We take pride in hiring the best ...


  • Cedars-Sinai Medical Center Beverly Hills, United States

    Grow your career at Cedars-Sinai Cedars-Sinai Medical Center has been ranked the #1 hospital in California by U.S. News & World Report, Beyond an outstanding benefit package and competitive salaries. We take pride in hiring the best, most Coordinator, Remote, Shift, Processing, T ...


  • Cedars-Sinai Beverly Hills, United States

    Job Description · Grow your career at Cedars-Sinai · Cedars-Sinai Medical Center has been ranked the #1 hospital in California by U.S. News & World Report, 2023‐ · Beyond an outstanding benefit package and competitive salaries. · We take pride in hiring the best, most passionate ...


  • The Oncology Institute of Hope and Innovation Cerritos, United States

    Founded in 2007, The Oncology Institute of Hope and Innovation (TOI) is advancing oncology by delivering highly specialized, value-based cancer care in the community setting. TOI is dedicated to offering cutting edge, evidence-based cancer care to a population of more than 1.7 mi ...


  • Lee Hecht Harrison Nederland B.V. Brea, United States

    LHH is searching for a seasoned Medical Credentialing Specialist · We are seeking a highly motivated and detail-oriented individual to join our team as a Medical Credentialing Specialist. In this role, you will be responsible for facilitating and completing credentialing applicat ...


  • Advanced Medical Management, Inc. Long Beach, United States

    **Credentialing Coordinator** · **Role Insights** · This role of a Credentialing Coordinator is considered an essential position within the organization. This individual is responsible for verifying the credentials of our contracted practitioners and ensuring they meet all requir ...