Credentialing Coordinator at MEMORIAL HEALTH SERVICES in Fountain Valley, California

Job Description:

Primary responsibility for obtaining timely physician credentials with third party payers including, but not limited to, PPOs, Medicare, Medi-Cal, Railroad Retirement, TriCare and others. In addition, this position is responsible for maintaining and renewing credentials for physician clients monitoring expiration dates and renewal dates. This position assists the Director in obtaining payer contracts from PPOs for client practices.

• 2 years experience in physician credentialing or 3 years experience in patient accounts with some experience in provider/payer credentialing.
• Proficient in MS Word and Excel plus ability to learn proprietary credentialing software.
• Experience and knowledge of IntelliApp is preferred.
• Proven and excellent customer relations skills, and the ability to communicate effectively with physicians and executives.
• Ability to use tools to maintain organization of critical physician information for credentialing purposes.