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

dWRLMjl1OE1XWWRyU3NVTnpwVUdEYXBna0E9PQ==
  • 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

Metro Stars Gymnastics

Party and Event Staff Job at Metro Stars Gymnastics

 ...children and guests during the party activities, ensuring everyone has a fantastic time. Lead organized games and activities, promoting safety while maximizing enjoyment. Help manage the flow of the party, from arrival to cake time, ensuring everything runs smoothly... 

AAJA25

Executive Editor: Shape the Magazines Vision & Strategy (New York) Job at AAJA25

A progressive magazine in New York City is seeking a full-time Editor-in-Chief to lead its editorial team. The role involves guiding content strategy, mentoring editors and writers, and overseeing editorial quality across various formats. Candidates should have over 5 ...

Staff Management SMX

Gig / Flex Warehouse Associate (Nike) Job at Staff Management SMX

 ...environment. Looking for a job that lets you pick your own hours? Staff Management | SMX is now offering flexible shifts at the Nike Distribution Center in Byhalia, MS. This is an excellent opportunity for individuals seeking gig or part-time work! Earn $16.50-18.0... 

OneOncology

Hematologist Oncologist - Pennsylvania Cancer Specialists & Research Institute Job at OneOncology

 ...Hematologist Oncologist Opportunity Pennsylvania Cancer Specialists & Research Institute Gettysburg, PA Job Details: Occupation: Physician Specialty: Hematology/Oncology Clinic Location: Gettysburg, PA Employment: Full-Time Opportunity... 

Excel Hotel Group

Corporate HR Coordinator Hospitality Ops & Onboarding Job at Excel Hotel Group

 ...A leading hospitality company in San Diego is seeking an HR Coordinator to efficiently manage corporate HR operations across hotel locations. This role involves coordinating recruitment efforts, maintaining employee records, and ensuring compliance with company policies...