Human Resource and Credentialing Specialist

Job Description

Job Description

Schedule : Mon-Fri, 8 : 00 am-5 : 00 pm

Pay : TBD

Job Location : Russellville, AR

Position Type : Full- Time

Education Level : High School Diploma, GED or Equivalent. Two years related experience and / or training; or equivalent combination of education and experience. Degree preferred but not required. Experience in Credentialing databases such as, CAQH, Modio, MMIS, NOVITASPHERE, NPPES, PECOS is a plus.

SUMMARY : Human Resource and Credentialing Specialist will assist the Human Resources Department with gathering, collecting, and maintaining employee-related documents and records. Credentialing will include onboarding and offboarding of all credentialed staff with our payer sources.

ESSENTIAL DUTIES AND RESPONSIBILITIES :

Essential duties include the following but not considered an inclusive list.

• Coordinate streamlined onboarding processes for all credentialed providers.
• Ensure new clinical / credentialed staff have completed all required new hire credentialing applications for payers, facilities, insurance, and regulatory, policy & health compliance process requirements through approval to successfully meet their identified start date.
• Escalate any issues to ensure deadlines are met.
• Serve as the main point of contact for providers answering in a timely manner any questions about the credentialing process.
• Track credentialing applications in process and expirations to ensure accuracy.
• Utilize designated credentialing software for tracking and reporting on credentialing software.
• Complete monthly LEIE and DHS monthly checks on all active employees and file in HRIS / payroll system.
• Assist with and process requests received in all HR email boxes as needed.
• Assist with new hire drug screens as needed.
• Assist with ensuring multi-facility bulletin boards are up-to-date and in compliance with current state and federal laws.
• Maintain compliance with federal and state regulations while performing all HR activities.
• Provide customer service to all employees by ensuring trust and a positive attitude.
• Ability to work with minimal supervision.
• Customer service driven with the ability to work as a team member.
• This is a safety sensitive position.

Maintains confidentiality of all information received regarding Friendship Community Care, Inc., and our clients. Conditions of confidentiality shall follow Friendship Community Care Non-Disclosure Policy and HIPAA Policies.

This job description is not intended to be all inclusive, and employee will also perform other reasonable related business duties as assigned by immediate supervisor and other management as required.

This organization reserves the right to revise or change job duties as the need arises. This job description does not constitute a written or implied contract of employment.

QUALIFICATION REQUIREMENTS :

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and / or ability required.

EDUCATION and / or EXPERIENCE :

LANGUAGE SKILLS :

Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental relations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of employees and managers.

MATHEMATICAL SKILLS :

Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Extensive knowledge of computer software including Windows Word, Excel, PowerPoint.

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. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to use hands to finger, handle, or feel objects, tools, or controls and talk or hear. The employee frequently is required to stand, walk, and reach with hands and arms. The employee is occasionally required to sit; climb or balance; stoop, kneel, crouch, or crawl; and taste or smell.

The employee must occasionally lift and / or move up to 50 pounds. Specific vision abilities required by this job include close vision, color vision, depth perception, and the ability to adjust focus.

QUALITY ASSURANCE & COMPLIANCE :

To adhere to the following and comply with all Quality Assurance's & HIPAA procedures :

The Code of Conduct and Compliance Investigation Procedures as read and discussed in the new employee training must always be followed.

WORK ENVIRONMENT :

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually moderate.

Please note that this job description is not designed to cover or contain a comprehensive list of activities, duties, or responsibilities required for this job. Duties, responsibilities, and activities may change at any time, with or without notice. A team member should perform all duties as assigned by his / her supervisor.

Why Friendship Community Care :

Friendship Community Care strives to offer highly competitive benefits package, and a family work environment!

If you think you would thrive in this position, please apply with us today!

Friendship Community Care is proud to be an Equal Opportunity Employer. We are committed to creating a diverse and inclusive environment for all employees and do not discriminate on the basis of race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. All qualified applicants will receive consideration for employment without regard to these or any other characteristics protected by law.

Friendship Community Care is a drug-free workplace and an E-Verify participant.