The Petaluma Health Center’s mission is to provide high quality health care, with access for all, in Southern Sonoma County. The Center accomplishes this mission through collaborative, innovative programs, services and referral resources that meet the economic needs of the entire community.
The Petaluma Health Center is an eight-time award winner in the North Bay Business Journal’s Best Places to Work for 2017, 2016, 2015, 2014, 2013, 2012, 2011 and 2009 and we were named as one of '2015 Healthiest Companies in the North Bay' by the North Bay Business Journal.
We are a Federally Qualified Health Center (FQHC) that provides primary medical care and mental health services to residents of Petaluma, Rohnert Park, Cotati, Penngrove and surrounding areas. We are organized as a private, non-profit corporation and governed by a consumer and community led Board of Directors.
For more information about us, please visit us at www.phealthcenter.org.
Position Title: Credentialing Specialist
Summary: The Credentialing Specialist is responsible for monitoring the verification process for medical staff at PHC. This includes obtaining and/or verifying required information for certified staff / providers necessary for compliance with our credentialing, re-credentialing and privileging process, and for maintaining the credentialing files and preserving their confidentiality. The Credentialing Specialist also coordinates other employment-related functions for providers, including the administration of the Provider Loan program and the tracking and updating of provider and Independent Contractor contracts and agreements.
The Credentialing Specialist works in collaboration with the Human Resources Department and hiring manager for newly hired staff, and collaborates extensively with the Compliance Officer, clinical staff members, the Medical Director, and Occupational Health staff.
Areas of Responsibility:
- Overall coordination and administration of the credentialing process for certified staff and providers at PHC. This includes, but is not limited to, obtaining and/or verifying required information for certified staff / providers necessary for compliance with our credentialing, re-credentialing and privileging process
- Administrative duties such as ensuring state medical licenses are up to date, checking statuses on new applications, running background checks on clinical applicants
- Maintain credentialing and employment files for each provider and licensed medical professional
- Develop a system to efficiently track credentialing activities so that PHC is continually in compliance with all applicable policies. This may include implementing and administering a credentialing software program
- Coordinate with the provider scheduler for privileging and scheduling purposes
- Partner with recruiting coordinator for on-boarding providers and medical staff: At the point of hire of licensed and credentialed clinical staff, will coordinate the information gathering process and review concerns with Human Resources and the Compliance Officer prior to presenting the file to the IRMC
- Coordinating the re-credentialing process: Licensed and certified clinical staff are re-credentialed for continuation of clinical privileges on a two-year cycle. Responsible for gathering the necessary information and submitting the information to the Compliance Officer for presentation to the Internal Risk Management Committee
- Coordinate the Provider Loan Program, including the acquisition and tracking of all required documentation needed to support the application and eligibility of the provider recipients
- Monitor and track all provider contracts, including Independent Contractors, to ensure their contracts are current and that renewals are communicated to their managers in a timely basis
- Act as the HR point of contact for providers in the areas of contracts, loans, and credentialing needs and issues. Partner with the HR team for information or guidance order to effectively address the needs of the providers in these specific areas