Temporary Credentialing Specialist

Credentialing Specialist

Petaluma Health Center's mission is to provide high quality health care with access for all in Southern Sonoma County & West Marin. We pride ourselves on our Patient-Centered care while maintaining an engaging environment for our staff. The Center accomplishes this mission through collaborative, innovative programs, services and referral resources that meet the economic needs of the entire community.

FULL TIME EMPLOYEE BENEFITS:

• 21 Days of Paid Time Off
• 10 Observed Holidays
• Medical Insurance (Entire deductible paid by us!)
• 30 Chiropractor and Acupuncture visits per year included with enrollment in our health insurance plans (Kaiser and WHA)
• Dental Insurance
• Vision Insurance
• Gym Membership Discounts at Active Wellness Center and 24-Hour Fitness!
• 401K Matching after 1 year of employment
• Flexible Spending Account, Dependent Care FSA
• Life Insurance (included at no cost to the employee)
• Long Term Disability (included at no cost to the employee)
• Employee Assistance Program (included at no cost to the employee)

Summary: The Credentialing Specialist is responsible for monitoring the verification process for medical staff at PHC. This includes obtaining and/or verifying required information for certified staff / providers necessary for compliance with our credentialing, re-credentialing and privileging process, and for maintaining the credentialing files and preserving their confidentiality. The Credentialing Specialist also coordinates other employment-related functions for providers, including the administration of the Provider Loan program and the tracking and updating of provider and Independent Contractor contracts and agreements.

The Credentialing Specialist works in collaboration with the Human Resources Department and hiring manager for newly hired staff, and collaborates extensively with the Compliance Officer, clinical staff members, the Medical Director, and Occupational Health staff.

Areas of Responsibility:

• Overall coordination and administration of the credentialing process for certified staff and providers at PHC. This includes, but is not limited to, obtaining and/or verifying required information for certified staff / providers necessary for compliance with our credentialing, re-credentialing and privileging process
• Administrative duties such as ensuring state medical licenses are up to date, checking statuses on new applications, running background checks on clinical applicants
• Maintain credentialing and employment files for each provider and licensed medical professional
• Develop a system to efficiently track credentialing activities so that PHC is continually in compliance with all applicable policies. This may include implementing and administering a credentialing software program
• Coordinate with the provider scheduler for privileging and scheduling purposes
• Partner with recruiting coordinator for on-boarding providers and medical staff: At the point of hire of licensed and credentialed clinical staff, will coordinate the information gathering process and review concerns with Human Resources and the Compliance Officer prior to presenting the file to the IRMC
• Coordinating the re-credentialing process: Licensed and certified clinical staff are re-credentialed for continuation of clinical privileges on a two-year cycle. Responsible for gathering the necessary information and submitting the information to the Compliance Officer for presentation to the Internal Risk Management Committee
• Coordinate the Provider Loan Program, including the acquisition and tracking of all required documentation needed to support the application and eligibility of the provider recipients
• Monitor and track all provider contracts, including Independent Contractors, to ensure their contracts are current and that renewals are communicated to their managers in a timely basis
• Act as the HR point of contact for providers in the areas of contracts, loans, and credentialing needs and issues. Partner with the HR team for information or guidance order to effectively address the needs of the providers in these specific areas

Education/Experience:

• Bachelor's Degree preferred

Desired Skills:

• Strong attention to detail
• Ability to multi-task and manage multiple projects simultaneously

Language Skills: Ability to read, analyze and interpret common technical journals, financial reports and legal documents. Ability to communicate with customers, regulatory agencies or members of the business community.

Petaluma health Center is an Equal Opportunity Employer. Petaluma health Center does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.