What are the responsibilities and job description for the Credentialing Assistant I position at El Centro Family Health?
As a Federally Qualified Health Center, 501c3, our mission is to provide affordable, accessible, quality health care to the people of Northern New Mexico. El Centro Family Health is seeking a Full-time (40 hours per week) Credentialing Assistant dedicated to serving the needs of our community.
An Ideal Candidate Should Possess The Following Qualities
Under supervision of the Chief Operations Officer, the Credentialing Assistant I supports the credentialing process for clinical practitioners as required for practice in ECFH clinics and/or programs. The Credentialing Assistant I coordinate the assigned aspects of credentialing and primary source verification for practitioners and affiliate health delivery organizations adhering to ECFH policy and procedure. Monitor and update all appropriate information maintaining complete data for practitioners CAQH profiles and ECFH documentation. Track internal and affiliate credentialing stages, verifying all effective dates for practitioners by contacting insurance affiliates and external entities for updates; documenting detailed status updates in the practitioner credentialing binder. Obtain written notification of effective dates from affiliates via email, fax or postal delivery. Adhere to all credentialing process and procedures in accordance with established regulatory and policy requirements. Review all internal and externally-distributed rosters verifying accuracy of all details and information. Track expiration/renewal dates for all practitioners required compliance licensing; notify practitioner in a timely manner when action is required. Actively initiate cross-training for baseline proficiency of all Credentialing Department duties.
Minimum Requirements
Education: High school diploma or GED.
Experience: Six (6) months of customer service and/or office administrative support experience.
Preferred Experience
Associate degree with minimum of six (6) months of customer service and/or office management or
administrative support experience.
Minimum of two (2) years' experience directly related to the areas of customer service and/or office
management or administrative support in a credentialing or health care insurance office setting.
Other Requirements
An Ideal Candidate Should Possess The Following Qualities
- Strong interpersonal communication skills and the ability to work effectively with a wide range of constituencies in a diverse community.
- Attention to detail.
- Willing to travel to outlying clinics as needed.
- Excellent communication skills.
- Knowledge and fluent skills of Microsoft Office Excel and Word applications, internet explorer usage, and Outlook.
Under supervision of the Chief Operations Officer, the Credentialing Assistant I supports the credentialing process for clinical practitioners as required for practice in ECFH clinics and/or programs. The Credentialing Assistant I coordinate the assigned aspects of credentialing and primary source verification for practitioners and affiliate health delivery organizations adhering to ECFH policy and procedure. Monitor and update all appropriate information maintaining complete data for practitioners CAQH profiles and ECFH documentation. Track internal and affiliate credentialing stages, verifying all effective dates for practitioners by contacting insurance affiliates and external entities for updates; documenting detailed status updates in the practitioner credentialing binder. Obtain written notification of effective dates from affiliates via email, fax or postal delivery. Adhere to all credentialing process and procedures in accordance with established regulatory and policy requirements. Review all internal and externally-distributed rosters verifying accuracy of all details and information. Track expiration/renewal dates for all practitioners required compliance licensing; notify practitioner in a timely manner when action is required. Actively initiate cross-training for baseline proficiency of all Credentialing Department duties.
Minimum Requirements
Education: High school diploma or GED.
Experience: Six (6) months of customer service and/or office administrative support experience.
Preferred Experience
Associate degree with minimum of six (6) months of customer service and/or office management or
administrative support experience.
Minimum of two (2) years' experience directly related to the areas of customer service and/or office
management or administrative support in a credentialing or health care insurance office setting.
Other Requirements
- Tuberculin Skin Test (TST).
- 401 k Retirement
- 7 Paid Holidays
- Medical, Dental, Vision Insurance
- 100% Employer Paid Basic Life Insurance
- Employee Voluntary Supplemental Benefits
- Employee Assistance Program
- Flexible Spending Account (FSA)
Dental Assistant
International SOS Government Medical Services -
Santa Fe, NM
Dental Assistant
Riverwalk Dental LLC -
Santa Fe, NM
Assistant Manager
Loves Travel Stops & Country Store -
Santa Rosa, NM
