Credentials Administrator, Kaiser Permanente, Modesto, CA
Posted on April 27th, 2022
When you join Kaiser Permanente, you’ll be part of an organization dedicated to total health. At every level and in every department, it’s what we stand for. By using your innovation and your creativity, you can play a role in the health of communities across town and around the country by serving 12.5 million of our members. No matter your background, your ideas can help drive a health care pioneer. You can play a role in the future of health.
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 directly related field required.
- High School Diploma or General Education Development (GED) required.
Preferred Qualifications:
- Minimum one (1) year of office and customer service experience in a health care setting preferred.
- Credentialing experience preferred.
- Bachelor's degree preferred.
- Certified Provider Credentialing Specialist preferred.
For immediate consideration, please visit http://kp.org/careers for complete qualifications and job submission details, referencing job number 998439.
Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.
External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.
This position supports Kaiser Permanente’s code of conduct and compliance by adhering to all laws and regulations, accreditation and licensure requirements, and internal policies and procedures.
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