Credentials Administrator I

Full Time | Roseville, CALIFORNIA | 13 days

Job Summary

Full Time
Roseville
Kaiser Permanente

Job Description


Description:

Initiates verification of practitioner education and experience through the use of on-line systems, written correspondence, telephone inquiries and printed reference guides and reports.  Maintains current verification information in credentialing database. Ensures consistent documentation and complete verification of practitioner credentials in accordance with Federal, State, Accreditation, Program and Regional requirements.


Essential Functions:
- Ensures consistent documentation and complete verification of practitioner credentials in accordance with Federal, State, Accreditation, Program and Regional requirements.
- Initiates verification of practitioner education and experience through the use of on-line systems, written correspondence, telephone inquiries and printed reference guides and reports.
- Maintains current verification information in credentialing database.
- Work is assigned from within the department.
- Contracting or Recruitment request initiation of credentialing for new hires or new contracts.
- Sr. Credentialers set up the file in the database to meet Federal, State, Accreditation, Program and Regional requirements.
- Credentials Administrator I sends letters, performs online verifications based on Sr. Credentialer instructions.
- Credentials Administrator II evaluates information obtained by Credentials Administrator I and completes the file in accordance with Federal, State, Accreditation, Program and Regional requirements.
- Supports the processing of credentialing and recredentialing of practitioners for the Region and the Centralized Verification Service.

Basic Qualifications:
Experience
- Minimum one (1) year of office and customer service experience required.
Education
- AA degree required, OR two (2) years of experience in a direclty related field required.
- High School Diploma or General Education Development (GED) required.
Licenses, Certifications, Registrations
- N/A.


Additional Requirements:
- N/A.


Preferred Qualifications:
- Minimum one (1) year of office and customer service experience in a health care setting preferred.
- Bachelor's degree preferred.
- Certified Provider Credentialing Specialist preferred.

- Must possess experience in a credentialing environment. 

- Have knowledge of privileging and proctoring. 

- Intermediate computer skills.


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