CREDENTIALING SPECIALIST

About the role

The Team Member we are searching for provides support in the process of obtaining, verifying, and assessing the qualifications of physician and allied health professionals to provide patient care services. Positions allocated to the Department of Health Services report to the Medical Staff Coordinator of a hospital, or a Physician in a Multi-Service Ambulatory Care Center.

Responsibilities

• Receives and processes applications for credentialing and privileging from licensed independent practitioners and allied health professionals applying for membership in the Professional Staff Association (PSA).
• Notifies the respective department chair and the applicant of their status and time frames for completion.
• Reviews applications for required documentation; verifies credentials, education, employment history, licensure, professional references, hospital affiliations and liability claims history by performing on-line queries from a variety of resources, such as the National Practitioner Data Bank, American Medical Association, Drug Enforcement Administration, and Office of the Inspector General.
• Ensures physicians, allied health professionals and other practitioners of a healthcare facility are properly licensed, trained, and certified as mandated by state and federal regulations.
• Reviews requested privileges to ensure that appropriate criteria and training is documented for the privileges sought.
• Maintains application and credentialing files in a confidential manner; regularly enters credentialing information into the database to ensure information on credentialing, privileging, certifications, prerogatives and competencies are current; disseminates data to authorized personnel.
• Prepares summary report of each application for evaluation and review by the Credentials and Medical Executive Committees; identifies any potential adverse information.
• Generates letters to hospital affiliations and other agencies to obtain information of the practitioner's professional competency.
• Responds to inquiries from other agencies requesting employment verification and relevant information on current and past members of the PSA.
• Prepares reports for various committees as requested on a periodic basis.
• Participates in the development and implementation of credentialing processes and procedures.

Requirements

• Three (3) years of recent, full time experience in a Medical Staff Services office at the level of the Los Angeles County class of Intermediate Clerk or higher.
• Successful certification as a Certified Provider Credentialing Specialist issued by the National Association of Medical Staff Services.
• A valid California Class C Driver License or the ability to use an alternative method of transportation when needed to carry out job related functions.

Desirable Qualifications

• Additional credit will be awarded for experience beyond the Selection Requirements.

Special Requirement Information

• Recent experience is deemed to be within the last five (5) years.
• Full time experience is 40 hours per week.
• Part-time experience will be prorated to full-time experience.
• Definition of Medical Staff Services office is primarily accountable for the administrative and credentialing compliance structure of the medical staff organization.
• An Intermediate Clerk performs duties that include, but are not limited to, assisting in processing paperwork, initial credentialing, re-credentialing and ensuring that the database includes detailing the practitioners' education, training, licensing, experience, and other information are accurate and up to date.

Physical Class

This class includes administrative and clerical positions requiring light physical effort that may include occasional light lifting to a 10-pound limit and some bending, stooping, or squatting. Considerable ambulation may be involved.

Withholding Information

No withholding will be allowed. Required experience will need to be fully met at the time of filing, and clearly indicated on the application.

Additional Information

Examination content: This examination will consist of an evaluation of experience based upon application information and desirable qualifications weighted 100%. The passing score for this examination is 70%.

Eligibility and Vacancy Information

Applicants who passed the assessment(s) are placed on a list in the order of their score group for a period of twelve (12) months. Applications will be processed as they are received and added to the list accordingly. We will use this list to fill vacancies in the Department of Health Services as they occur.

Available Shifts

Appointees may be required to work any shift and at any facility, including evenings, nights, weekends and holidays.

Application and Filing Information

We only accept applications filed online. Applications submitted by U.S. mail, fax, or in person are not accepted. Apply online by clicking on the "Apply" green button at the top right of this posting. This website can also be used to get application status updates. Please fill out the application completely. Provide relevant job experience including employer's name and address, job title, beginning and ending dates, number of hours worked per week, and description of work performed. We may verify information included in the application at any point during the examination and hiring process, including after an appointment has been made. Falsification of information could result in refusal of application or rescission of appointment. Copying verbiage from the Requirements or class specification as your work experience will not be sufficient to demonstrate meeting the requirements. Doing so may result in an incomplete application and may lead to disqualification.

Email Verification Information

We will send notifications to the email address provided on the application, so it is important that you provide a valid email address. If you choose to unsubscribe or opt out from receiving our emails, it is possible to view notices by logging into governmentjobs.com and checking the profile inbox. It is every applicant's responsibility to take steps to view correspondence, and we will not consider claims of missing notices to be a valid reason for re-scheduling an exam part. Register the below domains as approved senders to prevent email notifications from being filtered as spam/junk mail. info@governmentjobs.com Ckhodaverdian@dhs.lacounty.gov

Computer and Internet Access at Public Libraries

For applicants who may not have regular access to a computer or the internet, applications can be completed on computers at public libraries throughout Los Angeles County. Please refer to their website for updated information https://lacountylibrary.org/library-locator.

No Sharing of User ID, E-mail, and Password

Applicants will need to file their application online using their own user ID and password. Using a family member or friend's user ID and password may erase a candidate's original application record.

Anti-Racism, Diversity, and Inclusion (ARDI)

The County of Los Angeles recognizes and affirms that all people are created equal and are entitled to all rights afforded by the Constitution of the United States. We are committed to promoting Anti-racism, Diversity, and Inclusion efforts to address the inequalities and disparities amongst races. We support the ARDI Strategic Plan and its goals by improving equality, diversity, and inclusion in recruitment, selection, and employment practices.

Department Contact

Department Contact Name: Caroline Khodaverdian, Exam Analyst
Department Contact Phone: (213) 288-7000
Department Contact Email: Ckhodaverdian@dhs.lacounty.gov

ADA Coordinator Phone

(323) 914-7111
California Relay Services Phone: (800) 735-2922

County of Los Angeles Employment Information

Any language contained in the job posting supersedes any language contained below. This document is intended to provide general information about the recruitment process of the County of Los Angeles. Applicants with questions about a specific job posting should contact the exam analyst listed on the posting.

Equal Employment Opportunity/Non-Discrimination Statement

The County of Los Angeles is an Equal Employment Opportunity Employer and is committed to non-discrimination in the County workforce, regardless of age (40 and over); ancestry; color; ethnicity; religious creed; protected family or medical leave status; disability; marital status; medical condition; genetic information; military and veteran status; national origin; race; sex; gender; sexual orientation; or any other characteristic protected by State or federal law. For more information, please visit: https://employee.hr.lacounty.gov/eeo-programs/.

Testing Accommodations for Applicants

The County of Los Angeles complies with all federal and state disability laws and makes reasonable accommodations for qualified applicants and employees with disabilities. If a reasonable accommodation is needed to participate in the job application process, please contact the testing accommodation coordinator listed on the job posting. Hearing impaired applicants with telephone teletype equipment may leave messages by calling the teletype phone number on the job posting. For more information on accommodations, please visit: https://hr.lacounty.gov/disability-access/.