Credentialing / Operations Coordinator

$63,000 - $68,000/Yr

California Advanced Imaging Medical Associates - Novato, CA

Full-time - Entry Level

Novato, CA

Ambulatory Health Care Services

About the position

The Credentialing / Operations Coordinator at California Advanced Imaging Medical Associates (CAIMA) plays a crucial role in supporting the administrative team and ensuring the smooth operation of credentialing processes for medical group clients. This position involves managing licensing and credentialing applications, maintaining accurate records, and communicating with various stakeholders to uphold compliance and operational efficiency.

Responsibilities

• Assist in the licensing and credentialing processes for medical group clients by completing state license and medical staff privilege applications.
• Maintain accurate and complete files on each physician and ensure that all licenses and credentials are current.
• Communicate with physicians, licensing authorities, hospitals, and other agencies while maintaining confidentiality.
• Complete payer enrollment applications for physicians and medical groups through various web portals to ensure timely provider number acquisition.
• Perform credentialing and privileging duties, including processing applications for appointment and reappointment, and preparing files for review by medical staff.
• Manage expiration and renewal of licenses, permits, certifications, and health records, ensuring accuracy of all information collected.
• Maintain electronic credentials files and databases to ensure information is accurate and current.
• Conduct queries to agencies for primary source information regarding malpractice claims, licenses, and certifications.
• Participate in facility/credentialing preparation for site visits and licensing/accreditation surveys.
• Support the Operations Manager in coordinating project tasks and deliverables, and assist in developing operational policies and procedures.

Requirements

• Bachelor's degree in business or a related field preferred, or 3-5 years of related experience, or equivalent combination of education and experience.
• Strong business acumen and interpersonal skills.
• Exceptional customer service skills to all stakeholders.
• Effective written and oral communication skills.
• Ability to adapt to changing priorities and work independently with minimal guidance.
• Attention to detail and accuracy in work.
• Proficiency in Microsoft Office applications including Outlook, Word, and Excel.
• Experience with credentialing software preferred (MD-App, Verity Hub, RLDatix).

Nice-to-haves

• Experience with credentialing software (MD-App, Verity Hub, RLDatix) preferred.

Benefits

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid holidays
• Pet insurance
• Vision insurance