Stanford Health Care · 23 hours ago
Credentialing Assistant (Remote)
United States
Full-time
Remote
Entry Level
$39.71/hr - $51.62/hr
4+ years expStanford Health Care is seeking a Credentialing Assistant to provide essential clerical and administrative support to the Management team of the department. The role involves maintaining filing systems, assisting with enrollment processing, and ensuring compliance with regulatory requirements.
Health CareHealth DiagnosticsHospitalMedicalPrimary and Urgent Care
Responsibilities
Assists credentialing staff as needed, i.e., intake and uploading of new credentialing documents, input of data into database, sending and receiving of application packets links, filing, etc
Monitors, on an ongoing basis, all expirables, such as physician medical licenses, DEA certificates, Furnishing license, Fluoroscopy certificate, board certification and malpractice insurance, BLS, etc. to ensure that current documentation is present in credentials files, expiry dates are updated and in compliance with policies, comments are maintained in the database, Coordinators are kept informed, and appropriate follow-up and documentation is maintained. Other expirables may be included as per policy
Supports ongoing monitoring activities for delegated credentialing and enrollment
Answers departmental main phone line and refers calls to appropriate staff. Attempts to problem solve customer’s issue before forwarding on
Processes medical staff verification requests from other health care entities and runs activity reports as needed
Maintains departmental correspondence files
Provides general clerical assistance as required by Director and assistant Director including special project requests, such as maintenance of the Hospital Staff, PA Students, and School of Medicine, MedHub Reports and Assistance, Stanford Risk Claims requests, WHW Clearance requests, and monitoring LPCH Ongoing Professional Practice Evaluation alerts
Maintains confidentiality of documents and information
Provides backup support for Medical Staff Assistant as needed
Receive and distribute departmental mail
Scan and upload images to credentialing database as appropriate
Provide support to customers concerning paperless credentialing database
Primary source for ordering and maintaining department office/computer supplies
Maintains database tables in accordance with policy, such as Address Standardization and Updates – Office/Hospital/Insurance
Ensures email and fax accounts are managed and up to date daily. This includes but is not limited to the following: MedStaff Account Monitoring (general questions), Provider Updates Account Monitoring, Find a Physician emails, MSSD Fax, Expirables, and personal email account. Reply to PreCheck emails
Maintains the accounting for the department and ensures the information is kept up to date, follow up is handled appropriately, and staff notified of the status on an ongoing basis. Accounting may include but is not limited to balancing P-Card, maintaining balances on needed verification websites, application fees, late fees, dues and fees check deposits, credit card deposits, etc
May establish a system of committee support for all assigned Medical Staff committees, ensuring appropriate clerical support, development of consistent formats, maintenance of committee materials, etc. Ensures that meeting minutes accurately reflect the discussion and action at meetings. Completes meeting minutes upon completion of meeting in a timely manner
Has knowledge of Medicare, Medi-Cal, Medicaid, and CCS payor enrollment requirements
Processes applications and other documents for completeness and complies with defined enrollment processes via the electronic system and any other method as defined within the department
Verifies that requests for enrollment are appropriate based on set criteria
Expected to analyze and problem solve while considering regulations, policies, procedures, and guidelines
Closely monitors collection of all information. Reviews the quality of information received; tracks and acquires additional information in an organized fashion, when necessary, per established policies, procedures, guidelines, and regulations
Initiates and/or completes or participates in enrollment expirables as outlined in policies, procedures, and guidelines. May initiate and/or complete for reverifications and deferral processes
Proactively initiates and facilitates the Provider Enrollment process (new providers, provider changes, renewals, and locations), and identifies areas for improvements to the process
Performs other related and incidental duties as needed or assigned
Qualification
Required
High school diploma, or GED
Four (4) or more years of clerical, secretarial or office support work
Two (2) years of experience in healthcare setting (Physician practice, outpatient or clinic setting), health maintenance organization (HMO), or insurance company may meet the requirement depending on work performed
Ability to type minimum 65 wpm
Knowledge of computer applications and word processing required
Excellent organizational, inter-personal, and communication skills (both oral and written) are essential, including the ability to prepare accurate, and timely reports, meeting minutes, policies, etc
Ability to interact with all levels of management and able to set priorities and manage multiple demands effectively
Ability to function independently with excellent judgment and minimal supervision as well as the ability to function in a team capacity
Ability to demonstrate discretion, confidentiality, tact, and the ability to deal with sensitive
Preferred
College degree preferred
One (1) year of credentialing related and/or provider enrollment and/or billing experience preferred
Knowledge of Microsoft Word and Excel preferred
Company
Stanford Health Care
Stanford Health Care is a healthcare center that treats cancer, heart disease, brain disorders, and primary care issues.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Aditya Bhasin
VP Software Design & Development
Jay Shah
Chief of Staff
Recent News
Android Headlines
2026-01-16
2026-01-16
HealthCareIT News
2026-01-06
Company data provided by crunchbase