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Community Health System - CA is Hiring a Credentialing Specialist, Insurance Services Near Fresno, CA
Overview:
All positions are located in Fresno/Clovis CA*
We got our start 125 years ago as a boarding house and medical facility for people traveling in Central California. If people then could see us now... Today, Community Health System is the region's largest healthcare provider and includes three divisions: Community Medical Centers hospitals, Community Care Health and Community Provider Network. These three pillars of healthcare - hospitals, health insurance and physicians - work best when they work together. Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community. We know that our ability to provide the highest level of care begins with taking care of our incredible teams. Want to learn more? Click here. Your Career at Community | Opportunity. Challenge. Growth. Responsibilities: The Credentialing Specialist CCH coordinates, monitors and performs the credentials verification process for initial appointments, temporary privileges, provisional reviews and reappointments of physicians and allied health professionals. Through formal and on-the-job training, incumbents will develop their skills in all aspects of initial comprehensive credentialing and privileging to include reappointment process, and temporary privilege requests in accordance with the Department of Managed Healthcare (DMHC) and NCQA accreditation standards, state and federal regulatory requirements, bylaws, rules and regulations, policies and procedures aligned with the Knox-Keene Act. Qualifications: Education
High School Diploma, High School Equivalency (HSE) or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required
Associate's Degree preferred
Experience
1 year previous Medical Staff experience preferred