Credentialing Specialist FT Days Job at PIH Health, Whittier, CA

dkl5Si9iNVJ1TVY1TkNWTm9KZktQMklXVXc9PQ==
  • PIH Health
  • Whittier, CA

Job Description

The Credentialing Specialist is a professional specialized in credentialing activities, coordinates the credentialing functions, performs analytical and utilizes critical thinking skills when credentialing an applicant, and acts as a liaison between the medical staff, nursing staff and administration within the parameters established by the System Director, Administration, and the officers of the Medical Staff.

PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook, Twitter, or Instagram.

Required Skills

  • Writing ability
  • Medical terminology (preferred)
  • Computer proficiencies in WORD, EXCEL, and working in PDF documents, MDStaff
  • Excellent and effective communication skills
  • Organized
  • Dependable
  • Positive professional appearance and attitude
  • Regularly demonstrates the ability to exercise independent judgment in times of need and emergency situations
  • Familiarity with standards and requirements set forth by CIHQ and Health plans (Medical Group)
  • Critical thinking skills
  • Analytical skills

Required Experience

Required:

  • High school diploma and 5-7 years’ experience as a Credentials Coordinator or credentialing capacity, in a medium to large size medical center with knowledge of medical staff function, credentialing, preparation of meeting minutes, CIHQ, Title XXII, NCQA, health plans and CMA.
  • CPCS certified within 1 year of employment
  • Knowledgeable with ASM MDStaff software
  • Must obtain LA City Fire Card within 6 months of employment (PHGSH Only)

Preferred:

  • Bachelor’s degree
  • ASM MDStaff Super user certified

Qualifications:

  • Writing ability
  • Medical terminology (preferred)
  • Computer proficiencies in WORD, EXCEL, and working in PDF documents, MDStaff
  • Excellent and effective communication skills
  • Organized
  • Dependable
  • Positive professional appearance and attitude
  • Regularly demonstrates the ability to exercise independent judgment in times of need and emergency situations
  • Familiarity with standards and requirements set forth by CIHQ and Health plans (Medical Group)
  • Critical thinking skills
  • Analytical skills

Job Tags

Work at office,

Similar Jobs

Planet Fitness

Planet Fitness Operations Manager Job at Planet Fitness

 ...Responsive recruiter Overview Who We Are: At Planet Fitness, our mission has always been to enhance peoples lives by providing a high-quality fitness experience in a welcoming, judgement free environment. We are proud to be one of the largest and fastest... 

KBP Brands

KFC Assistant General Manager Job at KBP Brands

 ...If you're passionate about the fast-paced world of restaurant management, we want you. At KFC, you'll thrive in an environment where teamwork, exceptional service, and operational excellence are paramount. As an Assistant General Manager, you'll not only contribute to... 

Triage Staffing

Travel Medical Lab Technician Job at Triage Staffing

Job Description Triage Staffing is seeking a travel Medical Lab Technician for a travel job in Newton Lower Falls, Massachusetts. Job Description & Requirements ~ Specialty: Medical Lab Technician ~ Discipline: Allied Health Professional ~ Start Date: 12/...

Kenan Advantage Group

CDL- A Company Driver - Regional Job at Kenan Advantage Group

 ...referral program~ Health Insurance Plans (Medical, Dental & Vision) available to support your overall quality of life~401(k) with company match~ Paid Training on product handling and incentives for safe driving~ Hiring Owner Operators - call for more information!... 

McMillan Pazdan Smith Architecture

Design Professional - Charlotte Job at McMillan Pazdan Smith Architecture

 ...McMillan Pazdan Smith is an award-winning architecture, interior design, and advisory services firm with eleven studios located in the...  ...reasonable accommodation to access the information provided on this web site, please contact Human Resources at: ****@*****.***....