CREDENTIALING SPECIALIST
The County of Los Angeles
CREDENTIALING SPECIALIST
Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3476028)
Apply
CREDENTIALING SPECIALIST
Salary
$65,911.68 - $88,823.04 Annually
Location
Los Angeles County, CA
Job Type
Full time
Job Number
Y0927E
Department
HEALTH SERVICES
Opening Date
06/01/2022
+ Description
+ Benefits
+ Questions
Position/Program Information
TYPE OF RECRUITMENT
OPEN COMPETITIVE JOB OPPORTUNITY
EXAM NUMBER
Y0927E
FILING START DATE
June 2, 2022 at 8:00 a.m. (PT)
Until the needs of the service are met and is subject to closure without notice.
ABOUT LOS ANGELES COUNTY DEPARTMENT OF HEALTH SERVICES:
The Los Angeles County Department of Health Services (DHS) is the second largest municipal health system in the nation. DHS operates as an integrated health system, operating 25 health centers and four acute care hospitals, in addition to providing health care to youth in the juvenile justice system and inmates in the LA County jails. Across the network of DHS' directly operated clinical sites and through partnerships with community-based clinics, DHS cares for about 600,000 unique patients each year, employs over 23,000 staff, and has an annual operating budget of 6.9 billion. For additional information regarding DHS please visit www.dhs.lacounty.gov .
Through academic affiliations with the University of California, Los Angeles (UCLA), the University of Southern California (USC), and the Charles R. Drew University of Medicine and Sciences (CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In addition, to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the County's 911 emergency response system, as well as Housing for Health and the Office of Diversion and Re-entry, each with a critical role in connecting vulnerable populations, including those released from correctional and institutional settings, to supportive housing.
THE MISSION:
“To advance the health of our patients and our communities by providing extraordinary care.”
DEFINITION:
Provides support in the process of obtaining, verifying and assessing the qualifications of physician and allied health professionals to provide patient care services.
CLASSIFICATION STANDARDS:
Under general supervision, positions allocable to this class are responsible for collecting, reviewing, monitoring, and updating credentialing documentation for existing and the appointment of new medical providers. Incumbents follow policies and procedures, established by departmental by-laws and regulatory agencies, to evaluate and verify professional licensure, education, training, experience, competencies and hospital affiliations to ensure that medical providers are appropriately qualified and privileged. Incumbents in this class are required to serve a one-year probationary period.
Positions allocated to the Department of Health Services report to the Medical Staff Coordinator of a hospital, or a Physician in a Multi-Service Ambulatory Care Center.
Positions allocated to the Department of Mental Health typically report to a higher-level manager and are responsible for processing and maintaining credentialing documentation for review by the credentialing review committee.
Essential Job Functions
Receives and processes applications for credentialing and privileging from licensed independent practitioners and allied health professionals applying for membership in the Professional Staff Association (PSA); notifies the respective department chair and the applicant of their status and time frames for completion.
Reviews applications for required documentation; verifies credentials, education, employment history, licensure, professional references, hospital affiliations and liability claims history by performing on-line queries from a variety of resources, such as the National Practitioner Data Bank, American Medical Association, Drug Enforcement Administration, and Office of the Inspector General.
Ensures physicians, allied health professionals and other practitioners of a healthcare facility are properly licensed, trained, and certified as mandated by state and federal regulations.
Reviews requested privileges to ensure that appropriate criteria and training is documented for the privileges sought.
Monitors documentation of provisional applications for completion of proctoring; notifies the respective department chair and provisional members regarding their status and time frames for completion of proctoring.
Prepares summary report of each application for evaluation and review by the Credentials and Medical Executive Committees; identifies any potential adverse information.
Maintains application and credentialing files in a confidential manner; regularly enters credentialing information into the database to ensure information on credentialing, privileging, certifications, prerogatives and competencies are current; disseminates data to authorized personnel.
Prepares reports or credential files for periodic audits by Consolidated Accreditation and Licensure Survey and Office of Managed Care as requested; conducts internal reviews; and completes required tasks as necessary.
Generates letters to hospital affiliations and other agencies to obtain information of the practitioner's professional competency. Responds to inquiries from other agencies requesting employment verification and relevant information on current and past members of the PSA.
Prepares reports for various committees as requested on a periodic basis.
Participates in the development and implementation of credentialing processes and procedures.
Requirements
SELECTION REQUIREMENTS:
TRAINING AND EXPERIENCE:
Three (3) years of recent*, full time** experience in a Medical Staff Services office*** at the level of the Los Angeles County class of Intermediate Typist Clerk**** or higher.
LICENSE:
A valid California Class C Driver License or the ability to utilize an alternative method of transportation when needed to carry out job-related essential functions.
CERTIFICATION:
Successful certification as a Certified Provider Credentialing Specialist issued by the National Association of Medical Staff Services will be required before final appointment.
PHYSICAL CLASS: 2 - Light
Light physical effort which may include occasional light lifting to a 10-pound limit, and some bending, stooping or squatting. Considerable walking may be involved.
SPECIAL REQUIREMENT INFORMATION:
*Recent experience is deemed to be within the last five (5) years.
**Full time experience is 40 hours per week. Part-time experience will be prorated to full-time experience.
***Definition of Medical Staff Services office is primarily accountable for the administrative and credentialing compliance structure of the medical staff organization.
****For this examination, an Intermediate Typist Clerk performs duties that include, but are not limited to, assisting in processing paperwork, initial credentialing, re-credentialing and ensuring that the database includes detailing the practitioners' education, training, licensing, experience, and other information are accurate and up to date.
Additional Information
tional Information:
EXAMINATION CONTENT:
This examination will consist of an evaluation of experience based upon application information, desirable qualifications and supplemental questionnaire, weighted 100%.
Candidates must achieve a passing score of 70% or higher on this examination to be added to the eligible register.
DESIRABLE QUALIFICATIONS:
Additional credit will be awarded for experience beyond the Selection Requirements.
ELIGIBILITY INFORMATION:
Applications will be processed on an "as received" basis and those receiving a passing score will be promulgated to the eligible register accordingly. The names of candidates receiving a passing grade on the examination will be placed on the eligible register and will appear in the order of their score group for a period of twelve (12) months following the date of eligibility.
NO PERSON MAY COMPETE IN THIS EXAMINATION MORE THAN ONCE EVERY TWELVE (12) MONTHS.
VACANCY INFORMATION:
The eligible register resulting from this examination will be used to fill vacancies throughout the Department of Health Services as they occur.
AVAILABLE SHIFT:
Appointees may be required to work any shift, including evenings, nights, weekends and holidays.
NO OUT-OF-CLASS EXPERIENCE WILL BE ALLOWED.
APPLICATION AND FILING INFORMATION:
APPLICATIONS MUST BE FILED ONLINE ONLY.APPLICATIONS SUBMITTED BY U.S. MAIL, FAX OR IN PERSON WILL NOT BE ACCEPTED.
Apply online by clicking on the green "Apply" button at the top right of this posting. You can also track the status of your application using this website.
All information is subject to verification. We may reject your application at any time during the examination and hiring process, including after appointment has been made. Falsification of any information may result in disqualification or rescission of appointment.
UtilizingVERBIAGEfrom Class Specification and Selection Requirements serving as your description of dutiesWILL NOTbe sufficient to demonstrate that you meet the requirements. Doing so may result in anINCOMPLETE APPLICATIONand you may beDISQUALIFIED.
This examination will remain open until the needs of the service are met. Application filing may be suspended at any time with or without advance notice.
Fill out your application completely. The acceptance of your application depends on whether you have clearly shown that you meet theREQUIREMENTS. Provide any relevant education, training, and experience in the spaces provided so we can evaluate your qualifications for the job. For each job held, give the name and address of your employer, your job title, beginning and ending dates, number of hours worked per week, and description of work performed.If your application is incomplete, it will be rejected.
Applications electronically received after 4:59 p.m., PT, on the last day of filing will not be accepted.
NOTE: If you are unable to attach required documents, you must email the documents to the exam analyst, Gabriela Caudillo, at gacaudillo1@dhs.lacounty.govwithin fifteen (15) calendar days of filing online. Please include the exam number and the exam title.
For the foreseeable future, all notices including invitation letters, result letters and notices of non-acceptance will be sent electronically to the email address provided on the application. It is important that applicant provide a valid email address. Please add gacaudillo1 @dhs.lacounty.gov as well as noreply@govermentjobs.com and info@governmentjobs.com to your email address and to the list of approved senders to prevent email notifications from being filtered asSPAM/JUNKmail.
Applicants have the ability to opt out of emails from LA County. If you unsubscribe, you will not receive any email notification for any examination for which you apply with Los Angeles County. Regardless of whether you choose to unsubscribe, you can always check for notifications by logging into governmentjobs.com and viewing your profile inbox, which saves a copy of all emailed notices. It is your responsibility to take the above steps to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be a valid reason for late test administration or rescheduling of a test component.
SOCIAL SECURITY NUMBER:
Please include your Social Security Number for record control purposes. Federal law requires that all employed persons have a Social Security Number.
NO SHARING OF USER ID AND PASSWORD: All applicants must file their application online using their own user ID and password. Using a family member's or friend's user ID and password may erase a candidate's original application record.
COMPUTER AND INTERNET ACCESS AT PUBLIC LIBRARIES: LA County Public Library has announced they are reopening some libraries with limited hours access throughout LA County. Refer to their website at https://lacountylibrary.org/reopening/ for more information.
For candidates who may not have regular access to a computer or the internet, applications can be completed on computers at public libraries throughout Los Angeles County.
FAIR CHANCE INITIATIVE: The County of Los Angeles is a Fair Chance employer. Except for a very limited number of positions, you will not be asked to provide information about a conviction history unless you receive a contingent offer of employment. The County will make an individual assessment of whether your conviction history has a direct or adverse relationship with the specific duties of the job, and consider potential mitigating factors, including, but not limited to, evidence and extent of rehabilitation, recency of the offense(s), and age at the time of the offense(s). If asked to provide information about a conviction history, any convictions or court records which are exempted by a valid court order do not have to be disclosed.
ADA COORDINATOR PHONE: (323) 914-7111
TELETYPE PHONE: (800) 899-4099
CALIFORNIA RELAY SERVICES PHONE: (800) 735-2922
DEPARTMENT CONTACT
Gabriela Caudillo, Exam Analyst
gacaudillo1@dhs.lacounty.gov
(213) 288-7000
COUNTY OF LOS ANGELES
Employment Information
Any language contained in the job posting supersedes any language contained below.
Your Responsibilities:
1.Completing Your Application:
a. Before submission of the application, it is your responsibility to ensure that all information provided is correct and complete on the application. Incomplete applications cannot be accepted.
b. List each payroll title separately for each job. Do not group your experience. Specify the beginning and ending dates for each job. If you are a Los Angeles County employee and have held multiple positions, do NOT list all of your time with the County under your present payroll title.
c. Please include your Social Security Number for record control purposes. Federal law requires that all employed persons have a Social Security Number.
d. To receive credit, include required documents (e.g., copy of your diploma, transcript, certificate, or license) as directed on the job posting. International degrees in a foreign language must be translated to English and evaluated for equivalency to U.S. standards. Refer to the job posting for specific deadlines for supporting documentation.
2.Requirements on Job Posting:
a. Your application will only be accepted if it clearly shows you meet the requirements. The information you give will determine your eligibility and is subject to verification at any time.
b. You must be at least 16 years of age at the time of appointment unless other age limits are stated on the job posting. The Federal Age Discrimination in Employment Act (ADEA) of 1967, as amended, prohibits discrimination on the basis of age for any individual age 40 or older.
c. Experience is evaluated on the basis of a verifiable 40- hour week, unless specified otherwise. Prorated part-time experience may be acceptable.
3.Application Deadline: All job applications must be completed and submitted before the closing time on the last day of the filing period as indicated on the job posting unless other instructions are provided. Job postings with an open continuous filing period are subject to closure without prior notice. It is to your advantage to file your application early and not wait until the last allowable date and time as you will not be able to apply once the filing period has closed.
4.Change of Name or Address: To change personal information such as your name or address, log into your profile onwww.governmentjobs.comand make the necessary change. This can be done at any time.
5.Equal Employment Opportunity/Non-Discrimination Policy:
a. It is the policy of the County of Los Angeles to provide equal employment opportunity for all qualified persons, regardless of race, color, religion, sex, national origin, age, sexual orientation, disability, or any other characteristic protected by state or federal law. b. If you are an individual requesting reasonable accommodation(s) in the examination process, please contact the testing accommodation coordinator listed on the job posting. The provision of accommodation(s) may be subject to verification, consistent with state and federal law. All accommodation-related information will remain confidential.
Disclaimer: The County of Los Angeles is not responsible or in any way liable for any computer hardware or software malfunction that may affect the employment application or the application selection process.
You assume all responsibility and risk for the use of this system and the Internet generally. This system and the information provided on it are provided on an "as is" and "as available" basis without warranties of any kind, either express or implied. No advice or information given by the County of Los Angeles or its respective employees shall modify the foregoing or create any warranty.
The County of Los Angeles expressly disclaims any warranty that the information on this system or on the Internet generally will be uninterruptible or error free or that any information, software or other material accessible from the system is free of viruses or other harmful components. You shall have no recourse against the County of Los Angeles as the system provider for any alleged or actual infringement of any proprietary rights a user may have in anything posted or retrieved on our system.
The County of Los Angeles shall not be liable for any direct, indirect, punitive, incidental, special or consequential damages arising out of or in any way connected with the use of this system or with the delay or inability to use it (or any linked sites), or for any information obtained through this system, or otherwise arising out of the use of this system, the Internet generally or on any other basis.
NOTE: Your application is submitted using Secure Encryption to ensure the privacy of all information you transmit over the Internet.
By accepting the Use Disclaimer set forth herein, you agree to all of the above terms and further agree to use this Online Job Employment Application System only for the submission of bona fide employment applications to the County of Los Angeles. Any other use of this Online Job Employment Application System, including without limitation any copying, downloading, translating, decompiling, or reverse engineering of the system, data, or related software, shall be a violation of the Use Disclaimer.
Test Preparation: Study Guides and other resources are available to help candidates prepare for employment tests. An interactive system for taking practice tests may be accessed on the Department of Human Resources website athttps://hr.lacounty.gov/. Additional resources may be listed on the job posting.
Veteran’s Credit: In all open competitive examinations, a veteran’s credit of 10 percent of the total credits specified for such examinations will be added to the final passing grade of an honorably discharged veteran who served in the Armed Forces of the United States under any of the following conditions: During a declared war; -or- During the period April 28, 1952 through July 1, 1955; -or- For more than 180 consecutive days, other than for training, any part of which occurred after January 31, 1955, and before October 15, 1976; -or- During the Gulf War from August 2, 1990 through January 2, 1992; -or- For more than 180 consecutive days, other than for training, any part of which occurred during the period beginning September 11, 2001, and ending on August 31, 2010 the last day of Operation Iraqi Freedom; -or- In a campaign or expedition for which a campaign medal or expeditionary medal has been authorized and awarded. Any Armed Forces Expeditionary medal or campaign badge, including El Salvador, Lebanon, Grenada, Panama, Southwest Asia, Somalia, and Haiti qualifies for credit.
A campaign medal holder or Gulf War veteran who originally enlisted after September 7, 1980 (or began active duty on or after October 14, 1982, and has not previously completed 24 months of continuous active duty) must have served continuously for 24 months or the full period called or ordered to active duty.
This also applies to the spouse of such person who, while engaged in such service was wounded, disabled or crippled and thereby permanently prevented from engaging in any remunerative occupation, and also to the widow or widower of any such person who died or was killed while in such service. A DD214, Certificate of Discharge or Separation from Active Duty, or other official documents issued by the branch of service are required as verification of eligibility for Veterans preference. Applicants must submit the documentation for each open competitive exam to qualify for veteran’s credit. More information available at:https://www.opm.gov/policy-data-oversight/veterans-services/vet-guide-for-hr-professionals/
Accreditation Information: Accredited institutions are those listed in the publications of regional, national or international accrediting agencies that are accepted by the Department of Human Resources. Publications such as American Universities and Colleges and International Handbook of Universities are acceptable references. Also acceptable, if appropriate, are degrees that have been evaluated and deemed to be equivalent to degrees from United States accredited institutions by an academic credential evaluation agency recognized by The National Association of Credential Evaluation Services or the Association of International Credential Evaluators, Inc. (AICE). More information is available at:http://file.lacounty.gov/SDSInter/dhr/070812\_PPG123.pdfandhttp://file.lacounty.gov/SDSInter/dhr/205105\_PPG\_123\_AC E_Resource_Guide.pdf (https://file.lacounty.gov/SDSInter/dhr/205105\_PPG\_123\_ACE\_Resource\_Guide.pdf)
Background Check: The County of Los Angeles is a Fair Chance employer. Except as otherwise permissible under applicable laws, you will not be asked to provide information about a conviction history unless you receive a conditional offer of employment. The County will make an individualized assessment of whether your conviction history has a direct or adverse relationship with the specific duties of the job, and will also consider potential mitigating factors, including, but not limited to, evidence and extent of rehabilitation, recency of the offense(s), and age at the time of the offense(s). If asked to provide information about a conviction history, any convictions or court records which are exempted by a valid court order do not have to be disclosed.
Career Planning: Resources to help current and prospective employees plan a career with Los Angeles County are available. To explore career paths to and from nearly all job titles, please visit our interactive Career PathFinder application athttps://career-pathfinder.hr.lacounty.gov/#/.
Benefit Information: Depending on the position, the successful candidate will enroll in a contributory defined benefit pension plan if the candidate is a “new member” of the County’s defined benefit plan (LACERA) on or after January 1, 2013 (first employed by the County on or after December 1, 2012) – unless she or he established reciprocity with another public retirement system in which she or he was a member before January 1, 2013. It should be noted that County employees do not pay into Social Security, but do pay the Medical Hospital Insurance Tax portion of Social Security at a rate of 1.45%. The Los Angeles County Employees Retirement Association (LACERA) has reciprocal agreements with several public retirement systems in California.
Americans with Disabilities Act of 1990: All positions are open to qualified men and women. Pursuant to the Americans with Disabilities Act of 1990, persons with disabilities who believe they need reasonable accommodation, or help in order to apply for a position, may contact the ADA/Personnel Services for Disabled Persons Coordinator. Hearing impaired applicants with telephone teletype equipment may leave messages by calling the teletype phone number on the job posting. The County will attempt to meet reasonable accommodation requests whenever possible.
Equal Employment Opportunity: It is the policy of the County of Los Angeles to provide equal employment opportunity for all qualified persons, regardless of race, religion, sex, national origin, age, sexual orientation, disability, or any other characteristic protected by state or federal law. All positions are open to qualified men and women pursuant to the Americans with Disabilities Act of 1990 and the California Fair Employment and Housing Act. The County will comply with all of its obligations under State and Federal laws regarding the provision of reasonable accommodations to applicants.
Los Angeles County Child Support Compliance Program: In an effort to improve compliance with court ordered child, family and spousal support obligations, certain employment and identification information (i.e., name, address, Social Security number and date of hire) is regularly reported to the State Directory of New Hires which may assist in locating persons who owe these obligations. Family Code Section 17512 permits under certain circumstances for additional employment and identifying information to be requested. Applicants will not be disqualified from employment based on this information.
Social Security Act of 2004: Section 419 (c) of Public Law 108-203, the Social Security Protection Act of 2004, requires State and local government employers to disclose the effect of the Windfall Elimination Provision and the Government Pension Offset Provision to employees hired on or after January 1, 2005, in jobs not covered by Social Security. The County of Los Angeles does not participate in the Social Security System. All newly hired County of Los Angeles employees must sign a statement (Form SSA-1945) prior to the start of employment indicating that they are aware of a possible reduction in their future Social Security benefit entitlement. For more information on Social Security and about each provision, you may visit the websitewww.socialsecurity.gov, or call toll free 1-800-772- 1213. Persons who are deaf or hard of hearing may call the TTY number 1-800-325-0778 or contact a local Social Security office.
Employment Eligibility Information: Final appointment is contingent upon verification of U.S. citizenship or the right to work in the United States. Immigration law provides that all persons hired after November 6, 1986, are required to present original documents to the County, within three (3) business days of hiring, which show satisfactory proof of 1) identity and 2) U.S. employment eligibility.
The California Fair Employment and Housing Act(Part 2.8 commencing with Section 12900 of Division 3 of Title 2 of the Government Code) the Regulations of the Fair Employment and Housing Commission (California Code of Regulations, Title 2, Division 4, Sections 7285.0 through 8504) and other applicable laws prohibit employment discrimination based on an applicant's protected characteristics, including race, color, religion, national origin, ancestry, physical disability, mental disability, medical condition, marital status, sex, sexual orientation, age, pregnancy, childbirth, and other characteristics.
COVID-19 VACCINATION: Some County workforce members may be required to be fully vaccinated against COVID-19. Successful candidates for those positions/classifications may be required to submit proof of vaccination against COVID-19 or request an exemption for qualifying medical or religious reasons during the onboarding process. Candidates should not present proof of vaccination until instructed to do so by the hiring department.
Updated February 2024
For detailed information, please clickhere (http://hr.lacounty.gov/benefits/)
01
The information you provide on this supplemental questionnaire will be evaluated and used to determine your eligibility to participate in the next phase of the examination process. Please be as specific as possible and include all information as requested. Comments such as "see resume or application" will not be considered as a response. Please note that all information is subject to verification at any time in the examination and hiring process. Falsification of any information may result in disqualification or dismissal.
+ I understand the above information and instructions.
02
Please describe your experience in a Medical Staff Services office*** at the level of the Los Angeles County class of Intermediate Typist Clerk**** or higher.
***Definition of Medical Staff Services office is primarily accountable for the administrative and credentialing compliance structure of the medical staff organization.
****For this examination, an Intermediate Typist Clerk performs duties that include, but are not limited to, assisting in processing paperwork, initial credentialing, re-credentialing and ensuring that the database includes detailing the practitioners' education, training, licensing, experience and other information are accurate and up-to-date.
NOTE: For each experience, indicate the following information:
a) Name and address of employer b) Position/Title held c) Date(s) From: (MM/DD/YYYY), Date(s) To: (MM/DD/YYYY) - (duties actually performed) d) Hours worked per week e) Detailed description of your experience
If you do not have such experience, indicate "No Experience"
03
Do you possess certification as a Certified Provider Credentialing Specialist issued by the National Association of Medical Staff Services (NAMSS)?
Be advised that this certification will be required before final appointment.
+ Yes
+ No
Required Question
Agency
County of Los Angeles
Address
******************
Los Angeles, California, 90010
Website
http://hr.lacounty.gov
Apply
Please verify your email addressVerify Email
Confirm your E-mail: Send Email
All Jobs from The County of Los Angeles