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Credentialing Specialist
Achieve Beyond New York, NY
$52k-65k (estimate)
Full Time | Social & Legal Services 4 Days Ago
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Achieve Beyond is Hiring a Credentialing Specialist Near New York, NY

Our Ideal Credentialing SpecialistAre you detail-oriented and enjoy meeting deadlines? Love solving problems? Can you communicate well with people in person, by email, or on the phone easily? Want to work for a company with a strong mission of helping children with special needs?
Interested?
If this sounds like you, please apply today!
Founded in 1995, Achieve Beyond nationally meets the needs of children by providing the highest quality of pediatric therapy and autism services. Our providers and administrative staff are dedicated to our mission of helping children and families and we are looking for smart, innovative, and driven candidates to join our team. Achieve Beyond is centered around our culture of collaboration and support to ensure our services are of the highest quality and adhere to our strong ethical standards.
Job Summary: We are looking for a dynamic, detail-oriented Credentialing Specialist to join our team. The Credentialing Specialist will be responsible for the full credentialing cycle of Achieve Beyond providers for New York State-sponsored Early Intervention and special education programs.
Essential Duties And Responsibilities
  • Process new hire packets and follow up with providers to obtain all needed documentation for program compliance
  • Follow up with providers for expiring and expired documentation to ensure providers remain in compliance
  • Update provider information in databases, including status, program, name, address changes, etc.
  • Process submitted provider documentation and training
  • Partake in internal and external credentialing audits and special projects
  • Maintain mailboxes and internal database for document processing
  • Assist in the processing and issuing of training certificates and hours
  • Maintain strong relationships with internal departments, such as Recruiting and Provider Relations
  • Other duties as assigned by the manager
Our MissionAt Achieve Beyond: We believe that all children have potential. We are guided by the mission to support children with special needs to Achieve Beyond their current abilities. We are always striving for continuous improvement by setting goals and measuring performance. It is the reason we will succeed together.
Requirements Education Or Work Experience Requirements:
  • Bachelor's Degree required.
  • Minimum of one year experience working in an office (preferably in a healthcare setting).
  • Team player who readily adapts to change and can switch tasks and priorities seamlessly.
  • Ability to work effectively in a fast-paced environment and handle a large volume of emails/phone calls
  • Ability to maintain multiple projects simultaneously
  • Strong organizational skills and attention to detail
  • Ability to work well under pressure and meet timelines
  • Strong interpersonal and customer service skills
  • Excellent verbal, written, and interpersonal communication skills
  • Bilingual Spanish/English a plus
Physical Requirements
  • Must be able to travel to and from assigned work events including but not limited to driving a personal vehicle, walking, and/or use of public transportation such as a bus or train.
  • Occasionally ascends/descends stairs going to, while at, or leaving work location or facilities traveled to for work events.
  • Must be able to remain in a stationary position for prolonged periods up to 90% of the workday working on a computer/electronic device.
  • The ability to observe details at close range (within a few feet of the observer).
  • The ability to communicate information and ideas so others will understand. Must be able to exchange accurate information in these situations.
Benefits Benefits Include:
  • Comprehensive medical, dental, and vision coverage, and 401 with employer match
  • Short- and long-term disability coverage as well as life, flex spending, and commuter benefits
  • Paid time off, sick time, and holiday pay
  • Various Employee Discounts on Entertainment and Equipment
  • Educational reimbursement and referral bonuses
  • Structured initial training.
  • Monthly administrative events and so much more!
  • Compensation: Full-time hourly non-exempt $20-21 per hour
  • Hours: Monday-Friday 9am-5:30 pm Must Be Willing To Work Overtime As Needed. This position is in office.
This job description is subject to change at any time. Achieve Beyond provides equal employment opportunities to all employees and applicants and prohibits discrimination and harassment of any type regarding race, color, religion, age, sex, national origin, disability status, genetics, caregiver status, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. If you are an individual with a disability requesting accommodation for the application process, please contact us for assistance.

Job Summary

JOB TYPE

Full Time

INDUSTRY

Social & Legal Services

SALARY

$52k-65k (estimate)

POST DATE

06/24/2024

EXPIRATION DATE

07/21/2024

WEBSITE

achievebeyondusa.com

HEADQUARTERS

QUEENS, NY

SIZE

500 - 1,000

FOUNDED

1995

CEO

TRUDY FONT-PADRON

REVENUE

$10M - $50M

INDUSTRY

Social & Legal Services

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The job skills required for Credentialing Specialist include Customer Service, Attention to Detail, Organizational Skills, Collaboration, etc. Having related job skills and expertise will give you an advantage when applying to be a Credentialing Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Credentialing Specialist. Select any job title you are interested in and start to search job requirements.

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The following is the career advancement route for Credentialing Specialist positions, which can be used as a reference in future career path planning. As a Credentialing Specialist, it can be promoted into senior positions as a Compliance Manager - Healthcare that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Credentialing Specialist. You can explore the career advancement for a Credentialing Specialist below and select your interested title to get hiring information.

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If you are interested in becoming a Credentialing Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Credentialing Specialist for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on Credentialing Specialist job description and responsibilities

A certified professional credentialing specialist ensures that staff members of a facility maintain licenses, training, and certifications based on federal and state law.

03/14/2022: Des Moines, IA

A credentialing specialist can have certificates that will prove useful to their field.

02/01/2022: Newark, NJ

Credentialing specialists also ensure that any services provided by medical facilities meet the required standards as set by state and federal government agencies.

02/21/2022: Evansville, IN

Credentialing specialists are part of an organization's administrative staff; they review medical policies, process contracts, and facilitate audit reports to validate that certified medical professionals comply with credentialing procedures.

02/01/2022: Las Cruces, NM

Credentialing specialists will also ensure that their employer meets state, federal and other regulations for quality of care.

01/18/2022: Pueblo, CO

Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Credentialing Specialist jobs

Credentialing specialists can often find work with a high school diploma or the equivalent.

01/25/2022: Kingsport, TN

Some employers strongly prefer credentialing specialists who have a Certified Provider Credentialing Specialist (CPCS) credential.

03/01/2022: Parkersburg, WV

While an associate degree may not be required for a position as a credentialing specialist, some employers may prefer applicants with a two-year degree.

12/25/2021: Little Rock, AR

Make Use Of Advanced Software For Monitoring.

01/18/2022: New London, CT

Stay Updated with the Coalition for Affordable Quality Healthcare's Credentialing Program.

01/31/2022: Portsmouth, OH

Step 3: View the best colleges and universities for Credentialing Specialist.

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