LeadStack
Credentialing Analyst 2
LeadStack, San Francisco, California, United States, 94199
LeadStack Inc. is an award-winning, one of the nation's fastest-growing, certified minority-owned (MBE) staffing services provider of contingent workforce. As a recognized industry leader in contingent workforce solutions and Certified as a Great Place to Work, we're proud to partner with some of the most admired Fortune 500 brands in the world.
Job Title: Credentialing Analyst II
Location:
San Francisco, CA 94143Duration:
6 month(s)Pay Rate:
$30/hr - $35/hr on W2.Shift:
M-F, 8:00 AM - 5:00 PM PSTHybrid:
2-3x/per month
Job Description:
Applies credentialing policy knowledge to follow processes for maintaining department credentialing and licensure. Serves as day-to-day administrative support for medical services office.
Key Responsibilities:
Within a high volume, goal driven environment (estimated target: process 25 files per week), initiates and cultivates partnerships with department management, medical staff and hospital/health plan leadership to ensure compliance and optimal efficiency for appropriate membership, privileges and health plan enrollments.Advanced Health Professionals and CVO contracted facilities (LPPH&C, School of Dentistry and others, as applicable).First responder to onboarding and revenue channel disruptions as well as performs auditing functions pursuant to facility Bylaws, Rules and Regulations; Credentialing Policy and Procedures; and other applicable accreditation/payor standards (e.g. NCQA, TJC, DHS, DMHC, CMS, delegated credentialing agreements, etc.).Facilitates and supports committees and continuous performance improvement efforts to achieve department and organization goals/workplans.Implements policy and procedures, provides training and orientations to a variety of constituents and supports efforts to sustain best practices.
Minimum Requirements:
Bachelor's degree in related area and/or equivalent training.Knowledge of TJC, NCQA, CMS, DHS, DMHC, ACGME and other applicable accreditation/regulatory requirements.Competency in a paperless computer environment and understanding of provider data integrity standards (credentialing software, MS Office suite, Adobe Professional, document scanning/storage, web based applications and tools, etc.).
To know more about current opportunities at LeadStack, please visit us at
https://leadstackinc.com/careers/ .Should you have any questions, feel free to call me on (510) 500-5003 or send an email on
akarsh.yathiraj@leadstackinc.com .
Thanks and RegardsAkarsh YathirajSenior RecruiterC. (510) 500-5003D. (510) 500-5003A. 611 Gateway Blvd, Ste 120South San Francisco, CA 94080W.
www.leadstackinc.com
#J-18808-Ljbffr
Job Title: Credentialing Analyst II
Location:
San Francisco, CA 94143Duration:
6 month(s)Pay Rate:
$30/hr - $35/hr on W2.Shift:
M-F, 8:00 AM - 5:00 PM PSTHybrid:
2-3x/per month
Job Description:
Applies credentialing policy knowledge to follow processes for maintaining department credentialing and licensure. Serves as day-to-day administrative support for medical services office.
Key Responsibilities:
Within a high volume, goal driven environment (estimated target: process 25 files per week), initiates and cultivates partnerships with department management, medical staff and hospital/health plan leadership to ensure compliance and optimal efficiency for appropriate membership, privileges and health plan enrollments.Advanced Health Professionals and CVO contracted facilities (LPPH&C, School of Dentistry and others, as applicable).First responder to onboarding and revenue channel disruptions as well as performs auditing functions pursuant to facility Bylaws, Rules and Regulations; Credentialing Policy and Procedures; and other applicable accreditation/payor standards (e.g. NCQA, TJC, DHS, DMHC, CMS, delegated credentialing agreements, etc.).Facilitates and supports committees and continuous performance improvement efforts to achieve department and organization goals/workplans.Implements policy and procedures, provides training and orientations to a variety of constituents and supports efforts to sustain best practices.
Minimum Requirements:
Bachelor's degree in related area and/or equivalent training.Knowledge of TJC, NCQA, CMS, DHS, DMHC, ACGME and other applicable accreditation/regulatory requirements.Competency in a paperless computer environment and understanding of provider data integrity standards (credentialing software, MS Office suite, Adobe Professional, document scanning/storage, web based applications and tools, etc.).
To know more about current opportunities at LeadStack, please visit us at
https://leadstackinc.com/careers/ .Should you have any questions, feel free to call me on (510) 500-5003 or send an email on
akarsh.yathiraj@leadstackinc.com .
Thanks and RegardsAkarsh YathirajSenior RecruiterC. (510) 500-5003D. (510) 500-5003A. 611 Gateway Blvd, Ste 120South San Francisco, CA 94080W.
www.leadstackinc.com
#J-18808-Ljbffr