Medical Credentialing Specialist

  • location: Redwood City, CA
  • type: Temporary
  • salary: $30 per hour
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job description

Medical Credentialing Specialist

This is a great opportunity to work for a Fortune 500 healthcare company that truly values its employees, customers and community.
I am seeking a strong Credentialing Specialist in Redwood City, CA.
Job Description:
--Initiates the credentialing protocol as well as and processes data in compliance with Federal, State, Program, and Regional requirements.
--Ensures thorough and timely verification of physicians credentials according to regional Credentialing Policies and Procedures.
--Acts as liaison between medical centers and medical offices credentials and privileges coordinators and the regional office.

--Ensures consistent documentation and complete verification of physicians??? credentials.
--Provides required documentation to appropriate physician???s managers and committees in the practice sites.
--Processes all credentials applications and/or applications for employment with TPMG.
--Initiates extensive investigation into the applicants background, education and experience through the use of on-line systems, written correspondence, telephone inquiries and printed reference guides and reports.
--Partners with the practice site Credentials & Privileges Coordinators to ensure an integrated, timely, consistent product.
--Collaborates with professional physician recruiters to monitor recruitment status of candidates to ensure timely credentialing prior to employment.
--Develops and maintains a computerized data base of physician data for use in the credentialing and appointment process.
--Maintains files of current Scopes of Practice for all specialties, Professional Staff by-laws for all medical center and current Federal, State, Program and Regional requirements.
--Implements efficient and effective combinations systems for transmission of credentials information to practice sites to facilitate timely approval to participate and professional staff appointment.
--Keeps abreast of changes in laws and regulatory requirements.
--Writes and implements new procedures as necessary to remain in compliance.
--Works with practice site Credentials and Privileges Coordinators to share and implement best practices whenever feasible

Working hours: 9:00 AM - 5:30 PM

--Minimum three (3) years of experience with credentialing in a hospital or medical setting.
--Experience with Med Staff or Medical Information Data Analysis System preferred.
--Certification as Certified Provider Credentialing Specialist (CPCS) preferred.
Additional Preferred Requirements:
--Proficient with IBM PC, dBase, WordPerfect and Lotus 1-2-3.
--Proficient with Medical Terminology.
--Significant knowledge of Federal and State regulatory requirements and accreditation standards e.g., The Joint Commission, TITLE 22, NCQA, NPDB, and certifying agencies.
--Strong organization and communication skills and attention to details required.
--Proven ability to function independently with minimal direct supervision.

--Associate's degree required.
--Shift Required: Monday ??? Friday 9am to 5:30pm.
--Duration: 2 month contract that could extend further.
--Pay Rate: $30.00 per hour.
For immediate consideration, please email your resume to

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