What are the responsibilities and job description for the Credentialing Specialist position at National Seating & Mobility?
Company Description:
At all levels, working at National Seating & Mobility provides the opportunity to directly impact our client’s lives by giving them self-reliance and independence. Our teams are comprised of passionate individuals, dedicated to providing the best care to each client. We focus on abilities by leveraging technology and creating mobility solutions that are as unique as our client’s needs.
Working at National Seating & Mobility is an opportunity to build a meaningful career, while leaving a lasting impact on the lives of those we serve. Located in more than 40 states, we strive for diversity and offer an array of benefits including 401k, company paid Long Term Disability, and tuition reimbursement.
We are looking to grow our enthusiastic and engaged team at NSM. Submit your resume and join a group of enthusiastic professionals dedicated to changing lives.
Duties and Responsibilities / Essential Functions:
Responsible for managing all of the Credentialing Department’s daily activities including license, permits and credentialing status with government and commercial payers.
Communicate directly with payers via phone, email, or any other means necessary to ensure the proper understanding of payer’s guidelines and contractual terms while remaining in compliance with payer and state regulations as well as NSM’s policies and procedures.
Complete enrollment and re-enrollment applications for commercial payers, attaching required documentation, securing appropriate signatures and dates before submitting.
Initiate, track and complete New Branch Requests and Branch Relocation Requests – informing payers of the branch’s move and performing follow-up steps until completed.
Work with the Contracting Specialist and Regional Manager to supply necessary applications with new contracts.
Track and document all requests in KACE System using the appropriate nomenclature (classification) for reporting purposes.
Helps maintain accuracy and integrity of data on the company intranet.
Work one on one with users in all areas of the company to resolve any issues with license, permits and credentialing status with government and commercial payers that may arise.
Must maintain regular and predictable attendance.
Assume other duties and responsibilities as assigned.
Physical Demands:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk or hear. The employee is regularly required to sit; use hands repetitively to operate standard office equipment. The employee is frequently required to reach with hands and arms.
Required Education, Experience & Competencies:
High School Diploma or equivalency certificate.
2 years related credentialing experience desired – preferably DME experience.
Proficient in Microsoft Excel, Word, and Outlook. Adobe Acrobat is a plus.
Strong data entry skills- keyboarding/accuracy/speed.
Working knowledge of Microsoft suite of products (i.e. Outlook, Word and Excel) and Adobe Acrobat.
This job description in no way states or implies that these are the only duties to be performed by this employee. He/She will be required to follow any other instructions and to perform any other duties requested by his/her supervisor.
