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Credentialing Coordinator

Mercy San Juan Medical Center Carmichael, California
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The posted compensation range of $25.25 - $36.61 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.

Requisition ID 2025-404159 Employment Type Full Time Department Medical Staff Administration Hours/Pay Period 80 Shift Day Weekly Schedule Monday - Friday (8:00 - 5:00) Remote No Category Administrative and Clerical
Overview

Dignity Health Mercy San Juan Medical Center is a 370-bed not-for-profit Level 2 Trauma Center located in Carmichael California serving the areas of north Sacramento County and south Placer County for more than 50 years. It is one of the area’s largest and most comprehensive medical centers. Dedicated to the community’s well-being our staff and volunteers provide excellence in care for our patients each year. Mercy San Juan Medical Center has received recognition for being a Comprehensive Stroke Center and Center of Excellence for Bariatric Surgery along with Certificates of Excellence in Perinatal Care Hip- and Knee- Replacement.  

One Community. One Mission. One California


Responsibilities
This position is responsible for coordination, facilitating, monitoring and maintaining the credentialing and re-credentialing process for the Greater Sacramento San Joaquin Service Area, which includes, but is not limited to, initial applications, re-applications, site transfers , maintenance of MSOW database and expirables. The incumbent ensures credentialing compliance with the accrediting and regulatory agencies, Joint Commission, Title 22, CMS, NCQA), and Medical Staff bylaws, rules and regulations. This position is responsible for the accuracy and integrity of the credentialing and clinical privileging database system and ensuring the timeliness of credentialing/re-credentialing verification processes including the gathering, verification and evaluation of source documents for education/training, professional liability, licensure/certifications, hospital affiliations, work history, professional references and all other primary source verifications as required by the hospital(s), the medical staff(s) and regulatory agencies.

We offer the following benefits to support you and your family:

  • Health/Dental/Vision Insurance
  • Flexible spending accounts
  • Voluntary Protection: Group Accident Critical Illness and Identity Theft
  • Adoption Assistance
  • Free Premium Membership to Care.com with preloaded credits for children and/or dependent adults
  • Employee Assistance Program (EAP) for you and your family
  • Paid Time Off (PTO)
  • Tuition Assistance for career growth and development
  • Retirement Programs
  • Wellness Programs

Qualifications

Experience: 

A minimum of 3 years credentialing experience in an Acute Care setting or 5 years credentialing experience in an Ambulatory setting (required).

Education: 

High School diploma or equivalent (required).

Associate's or Bachelor's degree or some college education preferred.

Licensure: 

CPCS certification is preferred.


Special Skills:

Special skills required include: good data entry skills; excellent verbal and written communication skills; medical terminology; customer service;
organizational skills; team orientation; ability to maintain confidentiality and familiarity with HIPAA regulations.

Training: 

Training in or working knowledge of TJC/CMS/Title 22 /NCQA standards and requirements; advanced Microsoft Office products MSO/MSOW, Excel, Word, Outlook, Access, Internet software; and office equipment including computer, copy machine, fax, and scanner (required).

Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.

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Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible employees may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit https://www.commonspirit.careers/benefits.

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Equal Opportunity

CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here [PDF].

CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.