Credentialing Specialist

Description

At Catholic Charities, our mission is to bring hope to life, especially for those most in need. Our work is meaningful and impactful in our communities. Working at Catholic Charities isn’t just a job; it’s making a difference every day. Join us in making that difference!

The Credentialing Specialist is the subject matter expert in our organization for clinical staff licensing and enrolling providers with commercial insurance, managed care organizations, and other identified plans, in addition to supporting internship programs throughout the organization. If you are organized with strong interpersonal and written communication skills and thrive in a self-directed position, this could be the role for you!

Job Responsibilities Overview:

• Creates, maintains, monitors, and verifies all licenses and credentials, provider enrollments, and credentialing websites including the CAQH Provider Data Portal
• Assists clinical staff with obtaining required credentials and then enrolls clinicians in Medicaid, Medicare, and other insurances as appropriate based on license type
• Leads the application and/or renewal process for participation in HRSA, Washington Health Corps, and other student loan repayment programs
• Completes and submits required reports, including the National Practitioner Data Bank, and provides updated information to agency departments as enrollment or credential statuses change
• Maintains compliance with state and federal regulations, policies, and procedures regarding licensure or credentials and updates agency processes as needed when changes occur
• Implements and monitors agency internship programs, including working with university departments to understand their internship requirements, matching interns with appropriate opportunities within our agency, and promoting internship opportunities with universities and other partners

Qualifications

Job Requirements:
Education & Experience

• High school diploma or GED and three years of experience in medical or behavioral health administration or credentialing required. An equivalent combination of education and experience may also be considered.
• Prior human resources experience and associate’s degree in healthcare, business, or related field preferred

Licenses or Credentials

• Valid WA driver’s license and minimum liability insurance required by WA State
• Must be deemed insurable as determined by Catholic Charities’ liability insurance provider
• Certified Professional Credentialing Specialist (CPCS) certified preferred but not required

Special Skills

• Knowledge of Washington State Department of Health licensing process
• Strong computer skills including proficiency in Microsoft Office suite, databases, and navigation of the internet
• High attention to detail while meeting strict deadlines
• Ability to represent the organization in a professional manner in the community

Physical Requirements

• Standing, walking, bending, lifting or performing other work requiring medium physical exertion; talking, hearing, and adequate vision to operate standard office equipment

Other Requirements

• Employment offers are contingent upon satisfactory criminal background check, including fingerprinting where required

Work Schedule & Location: Monday-Friday 8am-5pm, with the option to be on-site in either our Yakima or Richland offices

Wage Range: $27.00 - $33.00 per hour depending on experience

Benefits:

• 13 paid holidays, 12 days of vacation, 12 days of sick leave per year
• Health insurance including medical & prescription coverage, with optional dental and vision insurance plans. Majority of premiums paid by Catholic Charities
• Retirement 403(b) Plan: employee contributions commence upon employment; Catholic Charities contributes 2% of monthly income and matches up to 4% of employee contributions following 6 months of employment
• Basic Life Insurance paid 100% by Catholic Charities
• Flexible Spending Account eligibility following 6 months of employment
• Education Assistance Program reimbursing up to $5,250 per year for approved continuing education after 6 months of employment
• Additional voluntary insurances including supplemental life, accidental death & dismemberment (AD&D), critical illness, long term disability, accident, and ID theft
• Employee Assistance Program includes 3 counseling sessions per year, legal consultations, financial coaching, and other wellbeing tools
• Annual longevity awards begin at 5 years of employment

It is the practice of Catholic Charities to ensure equal employment opportunity without discrimination or harassment on the basis of race, color, national origin, sex, age, disability, citizenship status, marital status, creed, genetic predisposition or carrier status, sexual orientation, gender expression, or any other characteristic protected by applicable law. Applicants from underrepresented backgrounds are encouraged to apply. We gladly offer reasonable accommodations to individuals with disabilities to support participation in the hiring process and employment.

Salary : $5,250