Credentialing Coordinator, Credentialing

Cedars-Sinai

4d

About The Position

Join Cedars-Sinai!

Cedars-Sinai is #1 in California and has been named to the Honor Roll for the
tenth consecutive year in U.S. News & World Report's "Best Hospitals 2025-26"
rankings.

Cedars-Sinai was awarded the Advisory Board Company’s Workplace of the Year
which is an award that recognizes hospitals and health systems nationwide that
have outstanding levels of employee engagement. We also have a great benefits
package and competitive compensation which explains why U.S. News & World Report
has named us one of America’s Best Hospitals!

Why work here?

Beyond outstanding employee benefits including health and dental insurance,
vacation, and a 403(b) we take pride in hiring the best employees. Our
accomplished staff reflects the culturally and ethnically diverse community we
serve. They are proof of our dedication to creating a dynamic, inclusive
environment that fuels innovation.

A Little More About What You Will be Doing

With the interest of optimizing payor network participation, the Health Plan
Network Coordinator is responsible for the process of ensuring physicians are
properly registered with contracted, non-contracted commercial and other payors
as needed.

Cedars-Sinai is a leader in providing high-quality healthcare encompassing
primary care, specialized medicine and research. Since 1902, Cedars-Sinai has
evolved to meet the needs of one of the most diverse regions in the nation,
setting standards in quality and innovative patient care, research, teaching and
community service. Today, Cedars- Sinai is known for its national leadership in
transforming healthcare for the benefit of patients. Cedars-Sinai impacts the
future of healthcare by developing new approaches to treatment and educating
tomorrow's health professionals. Additionally, Cedars-Sinai demonstrates a
commitment to the community through programs that improve the health of its most
vulnerable residents.
With a growing number of primary urgent and specialty care locations across
Southern California, Cedars-Sinai’s medical network serves people near where
they live. Delivering coordinated, compassionate healthcare you can join our
network of clinicians and physicians to improve the healthcare people throughout
Los Angeles and beyond.

Responsibilities

• Gather needed documents from MNS Credentialing Department or physician clientele.
• Acts as MNS distribution point to report individual provider data to contracted health plans.
• Coordinate and prepare provider applications with contracted payors, as needed.
• Maintain panel status and other payor correspondence records for each physician.
• Assist physicians, secretaries, and other assigned staff with application procedures, as needed.
• Submit applications to payors and track their progress in registering physicians
• Use spreadsheet to track and publish (intranet) provider’s status with forms completion and payor registration
• Periodically audit payor reports and provider listings to ensure accurate and complete participation of MNS-represented physician networks.
• Assist with the proper maintenance of Credentialing database and other internal tracking mechanisms (e.g. Task Roster, PPO Status Grid, etc.)
• Special projects as assigned.

Benefits

• health and dental insurance
• vacation
• 403(b)

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed