CREDENTIALING SPECIALIST

Job Title

Provides support in the process of obtaining, verifying and assessing the qualifications of physician and allied health professionals to provide patient care services.

Essential Job Functions

What You'll be Doing:

• 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.
• 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.
• Monitors documentation of provisional applications for completion of proctoring; notifies the respective department chair and provisional members regarding their status and time frames for completion of proctoring.
• Prepares summary report of each application for evaluation and review by the Credentials and Medical Executive Committees; identifies any potential adverse information.
• 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 reports or credential files for periodic audits by Consolidated Accreditation and Licensure Survey and Office of Managed Care as requested; conducts internal reviews; and completes required tasks as necessary.
• 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

Requirements to Qualify:

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.

Certification: Successful certification as a Certified Provider Credentialing Specialist issued by the National Association of Medical Staff Services will be required before final appointment.

License: 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.

WITHHOLD INFORMATION: NO WITHHOLD WILL BE ALLOWED. REQUIRED EXPERIENCE WILL NEED TO BE FULLY MET AT THE TIME OF FILING, AND CLEARLY INDICATED ON THE APPLICATION.

Physical class 2- Light:

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.

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.

****For this examination, 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.

Additional Information

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.

NO PERSON MAY COMPETE IN THIS EXAMINATION MORE THAN ONCE EVERY TWELVE (12) MONTHS.

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.

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Social Security Number: Federal law requires that all employed persons have a Social Security Number, so include yours when applying.

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

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

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ADA Coordinator Phone: View phone number on click.appcast.io

California Relay Services Phone: View phone number on click.appcast.io

Benefits

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