Credentialing Specialist, Healthcare
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Job Location:
Fresno, CA - USA
Monthly Salary:
Not Disclosed
Posted on:
23 hours ago
Vacancies:
1 Vacancy
Job Summary
Overview
*All positions located in Fresno/Clovis CA*
- Consecutively recognized as a top employer by Forbes and in 2025 by Newsweek
- Free Continuing Education and certification
- Tuition reimbursement educationprogramsand scholarships
- Vacation time starts building on Day 1 and builds with your seniority
- Free money toward retirement with a 403(b) and matching contributions
- Great food options with on-demand ordering
- Free parking and electric charging
Responsibilities
The Credentialing Specialist CCH coordinates monitors and performs the credentials verification process for initial appointments temporary privileges provisional reviews and reappointments of physicians and allied health professionals. Through formal and on-the-job training incumbents will develop their skills in all aspects of initial comprehensive credentialing and privileging to include reappointment process and temporary privilege requests in accordance with the Department of Managed Healthcare (DMHC) and NCQA accreditation standards state and federal regulatory requirements bylaws rules and regulations policies and procedures aligned with the Knox-Keene Act.
Qualifications
Education
High School Diploma High School Equivalency (HSE) or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required
Associates Degree preferred
Experience
1 year previous Medical Staff experience preferred
Licenses and Certifications
CPCS - Certified Provider Credentialing Specialist preferred
Disclaimers
Pay ranges listed are an estimate and subject to change.
If any bonuses are noted they are only applicable to external hires meeting criteria.
Required Experience:
IC
Key Skills
- Revenue Cycle Management
- HIPAA
- Healthcare Management
- PMBOK
- Microsoft Outlook
- Project Leadership
- Data Management
- Project Management
- Affiliate Marketing
- Project Management Software
- Supervising Experience
- Workday
About Company
Community Health System provides a world of opportunities for professional growth and personal advancement. You love what you do, now love where you do it!
