Lead Credentialing Coordinator, City of Hope, Duarte, CA

Posted on September 24th, 2019

About City of Hope

City of Hope, an innovative biomedical research, treatment and educational institution with over 6000 employees, is dedicated to the prevention and cure of cancer and other life-threatening diseases and guided by a compassionate, patient-centered philosophy.

Founded in 1913 and headquartered in Duarte, California, City of Hope is a remarkable non-profit institution, where compassion and advanced care go hand-in-hand with excellence in clinical and scientific research.  City of Hope is a National Cancer Institute designated Comprehensive Cancer Center and a founding member of the National Comprehensive Cancer Network, an alliance of the nation’s leading cancer centers that develops and institutes standards of care for cancer treatment.

Position Summary:

To provide advice and guidance to the credentialing coordinators. Use tracking system to ensure all payer/facility enrollment and reenrollment are done accurately and completed in accordance with the timelines set forth by the department. Furthermore, the lead credentialing coordinator is responsible to act on behalf of the Credentialing Manager during his/her absence.

Key Responsibilities include:

Lead Functions:

  • Assist the manager to develop, implement and enforce policies and procedures to ensure quality of credentialing function
  • Works closely with staff to resolve any provider enrollment matters.
  • Ensures staff is working in adherence to internal policies and procedures.
  • Demonstrates teamwork and provides assistants with special projects when assigned.
  • Conducts random work audits for the purposes of assessing proper standard work is being followed. 

Credentialing Functions: 

  • Ensures that all provider files are complete with current licensing and certification documents.
  • When appropriate, works cooperatively with administrative staff at the City of Hope National Medical Center in order to obtain pertinent information necessary for credentialing.
  • Manages provider profiles in practice management system.
  • Completes credentialing, re-credentialing and medical staff applications for clinical staff and submits information to hospitals, commercial and government payers in a timely manner, as needed.
  • Maintains a positive image when dealing with departmental personnel and other City of Hope employees.

Basic education, experience and skills required for consideration: 

  • High School diploma.
  • Five (5) or more years of experience in a hospital, medical group or Independent Practice Association (IPA) with specific knowledge of third party payer and/or medical staff credentialing. 

Required Certification/Licensure: 

  • Current CPCS certification or CPMSM certification. 

City of Hope is committed to creating a diverse environment and is proud to be an equal opportunity employer.  All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, or status as a qualified individual with disability.

Apply online at: https://aa067.taleo.net/careersection/ex/jobdetail.ftl?job=10003912&lang=en


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