What are the responsibilities and job description for the Credentialing Coordinator, Credentialing position at Cedars-Sinai?
Job Description
Join Cedars-Sinai!
Cedars-Sinai is #1 in California and has been named to the Honor Roll for the tenth consecutive year in U.S. News & World Report's "Best Hospitals 2025-26" rankings.
Cedars-Sinai was awarded the Advisory Board Company’s Workplace of the Year which is an award that recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. We also have a great benefits package and competitive compensation which explains why U.S. News & World Report has named us one of America’s Best Hospitals!
Why work here?
Beyond outstanding employee benefits including health and dental insurance, vacation, and a 403(b) we take pride in hiring the best employees. Our accomplished staff reflects the culturally and ethnically diverse community we serve. They are proof of our dedication to creating a dynamic, inclusive environment that fuels innovation.
A Little More About What You Will Be Doing
With the interest of optimizing payor network participation, the Health Plan Network Coordinator is responsible for the process of ensuring physicians are properly registered with contracted, non-contracted commercial and other payors as needed.
Primary Duties And Responsibilities
Job Qualifications
Education
Join Cedars-Sinai!
Cedars-Sinai is #1 in California and has been named to the Honor Roll for the tenth consecutive year in U.S. News & World Report's "Best Hospitals 2025-26" rankings.
Cedars-Sinai was awarded the Advisory Board Company’s Workplace of the Year which is an award that recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. We also have a great benefits package and competitive compensation which explains why U.S. News & World Report has named us one of America’s Best Hospitals!
Why work here?
Beyond outstanding employee benefits including health and dental insurance, vacation, and a 403(b) we take pride in hiring the best employees. Our accomplished staff reflects the culturally and ethnically diverse community we serve. They are proof of our dedication to creating a dynamic, inclusive environment that fuels innovation.
A Little More About What You Will Be Doing
With the interest of optimizing payor network participation, the Health Plan Network Coordinator is responsible for the process of ensuring physicians are properly registered with contracted, non-contracted commercial and other payors as needed.
Primary Duties And Responsibilities
- Gather needed documents from MNS Credentialing Department or physician clientele.
- Acts as MNS distribution point to report individual provider data to contracted health plans.
- Coordinate and prepare provider applications with contracted payors, as needed.
- Maintain panel status and other payor correspondence records for each physician.
- Assist physicians, secretaries, and other assigned staff with application procedures, as needed.
- Submit applications to payors and track their progress in registering physicians
- Use spreadsheet to track and publish (intranet) provider’s status with forms completion and payor registration
- Periodically audit payor reports and provider listings to ensure accurate and complete participation of MNS-represented physician networks.
- Assist with the proper maintenance of Credentialing database and other internal tracking mechanisms (e.g. Task Roster, PPO Status Grid, etc.)
- Special projects as assigned.
Job Qualifications
Education
- High School Diploma/GED required
- Assoc. Degree/College Diploma preferred
- 2 years billing or provider network management experience preferably in a managed care environment preferred