Job Details

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

Job Summary

Our client is looking for a Credentialing Coordinator responsible for facilitating, coordinating, and implementing all credentialing functions for medical staff and advanced practice professionals. The role involves managing processes such as managed care credentialing applications, re-credentialing with health plans, and ensuring all credentials are up-to-date.

Key Responsibilities

• Facilitate, coordinate, prepare, monitor, maintain, and implement credentialing functions for medical staff and advanced practice professionals.
• Ensure all expirables are reviewed, obtained, maintained, and managed by tracking and documenting necessary licensures, certifications, specialty certification, and malpractice insurance information prior to expiration dates.
• Originate or collect and maintain all required documentation and records in managed care medical staff credentialing software databases.
• Assist with delegation rosters, follow-ups, and confirmation with Payors.
• Maintain reporting and communication with Hospital leadership regarding credentialing status of hospital, physician staff, and advanced practice professionals.
• Monitor payer websites to ensure accuracy and address any deficiencies, interacting when necessary with payers for corrections.
• Develop, maintain, and apply working knowledge of federal/state laws and regulations, accreditation standards, and other regulatory requirements.
• Interact with the office of General Counsel on credentialing matters.
• Provide professional support to management staff and participate in meetings as requested.
• Assist with miscellaneous duties and special projects as assigned.

Qualifications

• High School Diploma Required
• 3-5 Years of Medical Staff or Managed Care Credentialing experience in a hospital, clinic, or health plan setting is preferred.
• Experience with Medicare/Medicaid and Commercial Payors.
• Proficient in computer applications such as Windows, Microsoft Office, Internet browsers, and medical staff/credentialing software databases.
• Knowledge of standards in managed care credentialing practices, health plan credentialing requirements, and data management.
• Bachelor's Degree Preferred
• Certification through the National Association of Medical Staff Services (NAMSS) as a Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Staff Management (CPMSM) is preferred.

Experience

• 3-5 Years of Medical Staff or Managed Care Credentialing experience required.

Additional Requirements

• Hybrid Schedule
• Monday - Thursday 7am - 4:30pm
• Friday 8am - 12pm

Benefits

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
• Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
• 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
• Short Term Disability Insurance.
• Term Life Insurance Plan.

Required Employment / Compliance Language

Medix is an equal opportunity employer in Texas. All qualified individuals will receive consideration for employment without regard to race, color, religious creed, sex, national origin, disability, or veteran status.

* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

Medix Overview:

With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we're dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.

* This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.

* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

* As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.