Location:
San Francisco,
California
Employment Type:
Consulting
Recruiter:
Alex Pashkowski
REQUIREMENTS
Proven ability to apply external regulatory guidelines and internal accounting and administrative policies knowledge and skills to assess and monitor compliance and effectiveness of processes.
Solid skills to evaluate issues and identify solutions. Demonstrated ability to solve problems and suggest solutions through critical thinking processes.
Ability to independently set and meet deadlines while multi-tasking and assigning precedence to competing priorities. Ability to see multiple assignments through to completion on deadline.
Skills to work collaboratively coordinate and integrate with others throughout the department, hospital and campus. Ability to communicate through all mediums and with all groups and work under pressure of constantly changing deadlines and priorities.
Ability to perform all commonly applicable functions in Microsoft Office Suite (Word, Excel, PowerPoint) and medical credentialing database application.
Thorough knowledge of data management and documentation methods used in medical credentialing.
Minimum of three years relevant work experience in a similar environment (i.e.: audit, credentialing, compliance, healthcare, quality, process improvement).
Advanced 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.)
Role models and promotes best practices to maintain confidentiality and discretion to preserve
HIPAA/Peer review protections as well as attorney-client privilege, as warranted.
Experience working in a community hospital environment.
Expert knowledge of TJC, NCQA, CMS, DHS, DMHC, ACCME and other applicable accreditation/regulatory requirements
Education
Bachelor's degree in related area and / or equivalent experience / training
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