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Credentialing Specialist - 28257-1

San Francisco, California 94105 | Contract

Job ID: 56057 Position: Healthcare Branch: Rancho Cordova

Day to Day Responsibilities of this Position and Description of Project:

Responsible for all activities associated with credentialing or re-credentialing providers for the HMO and PPO network. Duties may include processing provider applications, research, verifications and preparation of files for Credentialing Committee review. Communicates with internal departments and external sources to exchange information and verify data.
  • Gathers data, reviews for completeness and accuracy, analyzes potential problems and recommends appropriate actions. Monitors timeliness and receipt of information and follow up as needed.
  • Identifies any issues in the files and refers for further research.
  • Enters credentialing data into system and tracks and maintains provider information.
  • Performs general office duties such as filing, duplicating, sorting, mail distribution, etc.
  • Works with internal department to exchange provider information and follows up on inconsistencies.
  • Identifies procedural and systems problems and brings them to Supervisor' s attention; makes recommendations where appropriate.
  • Assists with expirables updates licenses and specialty boards.

Alana Klingman

Alana is a native Huntington Beach resident making the move to Sacramento just a few years ago. She comes with over 15 years of experience in full cycle healthcare recruiting and thoroughly enjoys every aspect of her job. Receiving a new client order and placing a qualified applicant is truly an excitement each and every time. Her goal at the end of every day is to leave a positive impression with everyone she works with including letting the candidates know that she is on their side. She strives to fill every client need that comes across her desk with a candidate that can call that place of business HOME. When she is not hard at work Recruiting, Alana spends her free time attending local family events, trying new eateries and perfecting DIY home projects she found on Pinterest.

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