Credentialing Coordinator in Santa Ana, CA at Quest Diagnostics

Date Posted: 2/18/2021

Job Snapshot

Job Description

Credentialing Coordinator - Santa Ana, California - Monday to Friday 8AM-5PM 

Look for more than answers.  Patients and Physicians rely on our diagnostic testing, information and services to help them make better healthcare decisions. These are often serious decisions with far reaching consequences, and require sensitivity, tact and a clear dedication to service. It’s about providing clarity and hope.

You will work for the world leader in the industry, with a career where you can expand your skills and knowledge. You’ll have a role where you can act with professionalism, you can inspire colleagues, and you can care about the work we do and the people we serve.

At Quest, we are on a continuous journey of discovery and development. It’s this attitude that has made us an industry leader and the #1 Diagnostic Lab in the US. For those joining us, we offer exciting and fast moving career opportunities where you can affect change at a rate unheard of in many organizations of our size and scope. While we invest in and develop technology to drive our innovations, our ongoing success relies on our people.


Under the direct supervision of the Credentialing Manager, the Credentialing Coordinator must be able to work independently and complete tasks within designated timeframe according to MedXM’s Credentialing/Re-credentialing policy & procedures, CMS guidelines and NCQA requirements. Must be detail oriented and able to perform other duties and complete projects as assigned.  Take appropriate action to ensure compliance with company policies and procedures, standards of conduct, and with state and federal rules, regulations and laws

Essential Job Duties:

The following tasks are essential for this position. Incumbents in this classification may not perform all of these tasks, or may perform similar related tasks not listed here.

Ensure that practitioners have the minimum credentials and performance standards to meet the Centers for Medicare and Medicaid Services (CMS) as well as National Committee for Quality Assurance (NCQA).

Knowledge of:
Office procedures, methods, and equipment, including computers and applicable software applications, such as word processing, spreadsheets, and databases.
Functions, policies, and procedures of relevant departments and/or operations.
English usage, spelling, grammar, and punctuation.
Professional writing techniques.

Skill and Ability to:
Plan, organize, prioritize, and perform duties as assigned with minimal supervision.
Operate standard office equipment, a personal computer, and relevant software in a PCenvironment.
Interpret and apply department policies and procedures.
Communicate clearly and concisely, both orally and in writing.
Research and compile information.
Maintain extensive records.
Establish and maintain effective working relationships with the public and all levels of staff and management.
Successfully adapt in a high-volume, fast-paced working atmosphere with multiple activities.
Prepare clear, concise and comprehensive summary reports and written materials.

Training and Experience:

2 years of work experience preferably in a healthcare environment.

Credentialing experience

Proficient in Microsoft Excel

Licenses and Certificates:

High School Diploma with some college preferred

Physical Requirements and Working Conditions:
Requires vision (which may be corrected) to read small print.
Requires mobility of arms to reach and dexterity of hands to grasp and manipulate small objects.
Performs lifting,  pushing  and/or pulling  which  does not  exceed  25pounds  and  is an infrequent aspect of the job.
Subject to inside environmental conditions.
May be required to work at a video display terminal for prolonged periods.

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