Job Discription
PRINCIPAL RESPONSIBILITIES:
The Credentialing Coordinator works under the supervision of the Manager, Peer Review and Credentialing and assists in all aspects of the Credentialing department functions. The Credentialing Coordinator is responsible for coordinating, monitoring and maintaining the credentialing and recredentialing processes of health care providers and practitioners to ensure they meet the requirements of the Alliance credentialing policies and regulatory agencies (i.e., Title 22, NCQA, DHCS, DMHC, and CMS).
Principal responsibilities include:
Application Maintenance
Credentialing Database Maintenance
Peer Review and Credentialing Committee Maintenance
Credentialing Requirements Maintenance
ESSENTIAL FUNCTIONS OF THE JOB
PHYSICAL REQUIREMENTS
MINIMUM QUALIFICATIONS:
EDUCATION OR TRAINING EQUIVALENT TO:
MINIMUM YEARS OF ADDITIONAL RELATED EXPERIENCE:
SPECIAL QUALIFICATIONS (SKILLS, ABILITIES, LICENSE):
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