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Credentialing Associate (Outpatient)

Company: Adventist Health NW
Location: Roseville
Posted on: May 3, 2021

Job Description:

Adventist Health is more than an award-winning health system. We provide whole-person care to our communities and champion the greater good - from the operating room to the boardroom, we are driven by our unique passion to live God's love through health, wholeness and hope. From Oregon to Oahu, we have a calling to always do more. Now is your chance to apply your passion to our mission.

We're looking for someone to join our team as a Credentialing Associate (Outpatient) who:

Assists with processing applications for medical staff appointments. Verifies licensing and certification to ensure compliance with National Committee for Quality Assurance (NCQA). Receives, processes and verifies for accuracy and completeness, all elements for initial and reappointment applications according to credentialing practices and policies.

Essential Functions:

  • Assists with the coordination of physician initial application appointment processes for the organization in accordance with the Joint Commission on the Accreditation of Health care Organizations (JCAHO) standards and medical bylaws. Processes initial applications. Reviews applications and other documents for completeness and initiates verification of all information. Manages all incoming communication, including prioritization and sorting of communication, processing, follow-up and tracking.
  • Assists in maintaining current roster of medical staff. Coordinates meeting materials, takes/transcribes minutes and assists medical staff leadership, as assigned. Maintains and updates information in the physician data base. Assists in maintaining credential files on all medical staff.
  • Assists with medical staff organization processes and prepares reports. Orders department supplies and forms as needed. Distributes incoming mail and handles storage for resigned medical staff and specified professional personnel members. Tracks license and certification expirations for all providers to ensure timely renewals. Composes, edits, and/or proofreads all correspondence, reports, forms, and other documentation as required.
  • Performs primary source verification of all necessary elements through letters or faxes, websites, telephone verifications or equivalent sources. Sets-up and maintains provider information in online credentialing databases and system.
  • Performs other job-related duties as assigned.

You'll be successful with the following qualifications:


  • High School Education/GED or equivalent: Preferred
  • Associate's/Technical Degree or equivalent combination of education/related experience: Preferred

Required Licenses/Certifications:

  • Certified Provider Credentialing Specialist (CPCS): Preferred

Keywords: Adventist Health NW, Roseville , Credentialing Associate (Outpatient), Other , Roseville, California

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