Internal Audit Credentialing Specialist

 Posted 4 hours ago
     
 $24 - $28 per hour
  
⭐ 2-5 years experience
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AI Summary

Conduct internal audits of credentialing files to ensure regulatory compliance and verify healthcare provider credentials. Maintain accurate databases and collaborate with teams to improve operational efficiency and reporting.
Benefits:
  • 401(k)
  • 401(k) matching
  • Company parties
  • Dental insurance
  • Employee discounts
  • Free food & snacks
  • Health insurance
  • Opportunity for advancement
  • Paid time off
  • Parental leave
  • Savings bank
  • Training & development
  • Vision insurance
  • Wellness resources
About the Role:
Join MedPOINT Management as a Credentialing Specialist, Internal Auditor, where you'll play a vital role in ensuring compliance and accuracy in our credentialing processes. This dynamic position is perfect for detail-oriented professionals looking to contribute to a leading healthcare management company in Sherman Oaks, CA.


Responsibilities:
  • Conduct thorough internal audits of credentialing files to ensure compliance with regulatory standards.
  • Review and verify the credentials of healthcare providers and facilities.
  • Maintain accurate and up-to-date records in the credentialing database.
  • Collaborate with cross-functional teams to streamline the credentialing process.
  • Identify areas for improvement and recommend solutions to enhance operational efficiency.
  • Prepare detailed reports on audit findings and present to management.
  • Assist in training staff on credentialing policies and procedures.
  • Stay current with industry trends and regulatory changes affecting credentialing.
Requirements:
  • Bachelor's degree in healthcare administration, business, or related field.
  • 2+ years of experience in credentialing or auditing within the healthcare industry.
  • Strong understanding of credentialing standards and regulatory requirements.
  • Excellent attention to detail and organizational skills.
  • Proficient in Microsoft Office Suite and credentialing software.
  • Ability to work independently and manage multiple tasks effectively.
  • Strong communication skills, both written and verbal.
  • Professional certification in credentialing (CPCS or CPMSM) is a plus.
About Us:
MedPOINT Management has been a trusted partner in healthcare management for over a decade, providing exceptional services to our clients. Our commitment to quality and compliance has earned us a reputation for excellence, making us a favorite among healthcare providers and employees alike. Join our team and be part of a supportive work environment that values your growth and contributions.

This is a remote position.

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