Credentialing Specialist Job at TEKsystems, Northridge, CA

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  • TEKsystems
  • Northridge, CA

Job Description

Job Title: Credentialing Coordinator - Northridge, CA (100% Onsite)Job Overview The Credentialing Coordinator plays a vital role in ensuring that healthcare providers meet the necessary qualifications and standards to deliver high-quality care. This position involves managing the credentialing process for medical staff, ensuring compliance with regulatory requirements, and maintaining accurate records. The ideal candidate will possess a strong understanding of medical terminology, managed care, and medical office operations. Location: Northridge, CA 91324 CA Pay: $25/hr Schedule: + Monday - Friday + 8am - 5pm (1 hour lunch) + 8 HR Shift + No Weekends + Full Time Work Enviroment: + Office Setting + Team enviroment + Physcian Led Medical Group Responsibilities + Oversee the credentialing process for healthcare providers, including gathering and verifying documentation. + Credential all new providers and re-credential existing providers according to Regal Medical Group policies and procedures. + Submit credentialing information as requested by contracted HMOs. + Ensure compliance with all regulatory standards and managed care requirements. + Maintain up-to-date records of provider credentials and licensure status. + Collaborate with medical staff, network managers, providers, health plans, and administrative teams to facilitate timely credentialing. + Conduct regular audits of credentialing files to ensure accuracy and completeness. + Respond to inquiries regarding provider credentials from internal departments and external agencies. + Work with credentialing applications, data entry, file maintenance, and assist in training and supporting other staff. + Stay informed about changes in regulations and standards related to healthcare credentialing. Requirements + One year or more of experience with credentialing. + Proficiency in medical terminology and understanding of healthcare standards. + Experience in managed care environments is preferred. + Previous experience in a medical office setting is advantageous. + Strong organizational skills with attention to detail. + Excellent communication skills, both written and verbal. + Ability to work independently as well as part of a team. + Familiarity with credentialing software and electronic health records is a plus. + Knowledge of Windows-based computer systems preferred. + Proficient in Microsoft Excel. + Ability to work well under pressure and stay organized. Skills + NCQA + Data management + Credentialing + Provider relations + Project coordination + Data entry + Process documentation Experience Level + Intermediate Level Job Types + Full-time + Contract + Temporary Benefits + 401(k) + Dental insurance + Health insurance + Health savings account + Vision insurance If you have 6 months - 2 years of medical credentialing experience and are interested in this opportunity, we'd love to hear from you! Please apply directly, or feel free to reach out to the recruiter for more information: 310/800/9048 jgarrolini @ teksystems.com Pay and Benefits The pay range for this position is $25.00 - $25.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: - Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully onsite position in Northridge,CA 91324. Application Deadline This position is anticipated to close on Jun 4, 2025. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Job Tags

Full time, Contract work, Temporary work, Work at office, Shift work, Monday to Friday,

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