Credentialing Coordinator - 2 Openings (Monrovia, CA)
The Credentialing Coordinator is responsible for provider and payor enrollment for all new City of Hope Medical Group faculty. This will include re-enrollment/re-credentialing as necessary and serving as liaison for completion and submission of medical staff applications. The Credentialing Coordinator will also be responsible for ensuring that all provider files are complete with current licensing and certification documents.
In addition to medical staff credentialing, the Credentialing Coordinator will also be responsible for completing payor (insurance) enrollment applications and preparation, submission and follow up of facility application for provider privileges. Other duties will include: CAQH registration and updates/maintenance and PECOS for Medicare enrollment and updates. The person in this role will work closely with payors to resolve any provider enrollment matters. This will include following-up with governmental payors regarding application status.
Minimum Education and Skills Required for Consideration:
- High School Diploma or equivalent required.
- Two (2) to five (5) years experience in a hospital, medical group or Independent Practice Association (IPA) with specific knowledge of third party payor and medical staff credentialing.
- Previous experience with completing payor (insurance) enrollment applications is strongly desired.
About City of Hope
City of Hope, an innovative biomedical research, treatment and educational institution with over 4000 employees, is dedicated to the prevention and cure of cancer and other life-threatening diseases and guided by a compassionate, patient-centered philosophy. Founded in 1913 and headquartered in Duarte, California, City of Hope is a remarkable non-profit institution, where compassion and advanced care go hand-in-hand with excellence in clinical and scientific research. City of Hope is a National Cancer Institute designated Comprehensive Cancer Center and a founding member of the National Comprehensive Cancer Network, an alliance of the nation’s 20 leading cancer centers that develops and institutes standards of care for cancer treatment.
City of Hope is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, or status as a qualified individual with disability.
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