Credentialing Specialist - Camino Media

Job Summary

Clinica Sierra Vista is seeking a Credentialing Specialist to join our team. We are a Federally Qualified Health Center committed to serving diverse communities and providing high-quality healthcare.

Why Work Here?

• Competitive pay matching abilities and experience
• Health coverage for you and your family
• Generous number of vacation days per year
• A robust wellness plan and health club discounts
• Continuing education assistance
• 403(B) plan with company matching

Essential Functions

• Initiate, coordinate, monitor, and maintain the credentialing and re-credentialing of all practitioners and allied health staff employed and/or contracted with Clinica Sierra Vista.
• Assist in performing duties regarding various managed-care activities.
• Completion of health care professionals credentialing and re-credentialing applications including the privileging and re-priviling for all Practitioners and allied health staff.
• Primary source verification of practitioner’s background, education/training, and malpractice history.
• Identify and evaluate potential red flags and collaborate with the credentialing manager to determine next steps.
• Perform ongoing compliance reporting and analysis of report data.
• Prepare materials and files for presentation and review by the credentialing committee.
• Manage and report data from the credentials database.
• Collaborate with inter-departmental peers to identify and implement best practices.
• Ensure timely credentialing of new health care professionals prior to employment.
• Coordinate Basic Life Support Trainings for employees.
• Verify HRSA provider verifications timely and accurately.

Qualifications

• An associate’s degree AND one year of credentialing experience in a managed care setting or experience in the medical field with a thorough understanding of credentialing and privileging.
• A background of strong administrative skills will also be considered.
• Certified Provider Credentialing Special (CPCS) desired.
• Working knowledge of accreditation standards, including Joint Commission, NCQA, HRSA, and CMS preferred.
• Knowledge of MD Staff (ASM) preferred.
• Proven ability to function independently with minimal direct supervision required.
• Strong organizational and communication skills required.
• Excellent oral and written communication, interpersonal, and computer skills required.
• Proficient in Microsoft Office Suite (Outlook, Word, Excel).
• Comfortable extracting and formatting data for ad hoc report requests.
• Attention to detail a must.
• Confidentiality required.

About the Organization

Clinica Sierra Vista is an equal opportunity employer committed to diversity and inclusion. We strive to attract, develop, and retain a talented and dedicated workforce that reflects our commitment to these core values.