LeadStack Inc. is an award-winning, one of the nation's fastest-growing, certified minority-owned (MBE) staffing services provider of contingent workforce. As a recognized industry leader in contingent workforce solutions and Certified as a Great Place to Work, we're proud to partner with some of the most admired Fortune 500 brands in the world.
Job Title: Credentialing Analyst II
Location: San Francisco, CA 94143
Duration: 6 month(s)
Pay Rate: $30/hr - $35/hr on W2.
Shift: M-F, 8:00 AM - 5:00 PM PST
Hybrid: 2-3x/per month
Job Description:
Applies credentialing policy knowledge to follow processes for maintaining department credentialing and licensure. Serves as day-to-day administrative support for medical services office.
Key Responsibilities:
- Within a high volume, goal driven environment (estimated target: process 25 files per week), initiates and cultivates partnerships with department management, medical staff and hospital/health plan leadership to ensure compliance and optimal efficiency for appropriate membership, privileges and health plan enrollments.
- Advanced Health Professionals and CVO contracted facilities (LPPH&C, School of Dentistry and others, as applicable).
- First responder to onboarding and revenue channel disruptions as well as performs auditing functions pursuant to facility Bylaws, Rules and Regulations; Credentialing Policy and Procedures; and other applicable accreditation/payor standards (e.g. NCQA, TJC, DHS, DMHC, CMS, delegated credentialing agreements, etc.).
- Facilitates and supports committees and continuous performance improvement efforts to achieve department and organization goals/workplans.
- Implements policy and procedures, provides training and orientations to a variety of constituents and supports efforts to sustain best practices.
Minimum Requirements:
- Bachelor's degree in related area and/or equivalent training.
- Knowledge of TJC, NCQA, CMS, DHS, DMHC, ACGME and other applicable accreditation/regulatory requirements.
- Competency in a paperless computer environment and understanding of provider data integrity standards (credentialing software, MS Office suite, Adobe Professional, document scanning/storage, web based applications and tools, etc.).
To know more about current opportunities at LeadStack, please visit us at .
Should you have any questions, feel free to call me on (510) 500-5003 or send an email on .
Thanks and Regards
Akarsh Yathiraj
Senior Recruiter
C. (510) 500-5003
D. (510) 500-5003
A. 611 Gateway Blvd, Ste 120
South San Francisco, CA 94080
W.