What are the responsibilities and job description for the Credentialing Specialist position at Native American Mental Health Services Corporation?
SUMMARY:
NAMHS is looking for a professional individual that takes initiative and is eager to learn, to join our expanding Credentialing team. The Credentialing Specialist is responsible for all aspects of the credentialing, credentialing renewal, and privileging processes for all medical providers and therapists who provide patient care at NAMHS. They are in charge of maintaining up-to-date data for each provider in a credentialing database and online systems to ensure timely renewal of licenses & certifications.
DUTIES AND RESPONSIBILITIES:
- Complies and maintains current and accurate data for all providers.
- Completes provider credentialing and credential renewal applications, and monitors applications closely.
- Maintains copies of current state licenses, DEA Certificates, malpractice coverage, and any other required credentialing documentation for all providers.
- Maintains knowledge of current health plan and contract requirements for credentialing providers.
- Set up and maintain provider information in the credentialing database.
- Track license and Certification expiration dates for all providers to ensure timely renewals.
- Updating Practice information with Insurances as needed.
- Process applications for Privileges at contracted sites.
- Regularly Audits health plan directories for current and accurate provider and practice information.
- Maintains confidentiality of provider information.
QUALIFICATIONS:
- Knowledge and understanding of the credentialing process (not required but, preferred).
- Ability to organize and prioritize work.
- Ability to manage multiple priorities.
- Excellent verbal and written communication skills including letters, memos, and emails.
- Excellent attention to detail.
- Ability to research and analyze data.
- Ability to work independently with minimal supervision.
- Ability to establish and maintain effective working relationships with providers, management, staff, and contacts outside the organization.
- Proficient use of Microsoft Office applications (Word, Excel, Outlook) and Internet resources.
Job Type: Full-time
Pay: $18.00 - $24.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- Dental insurance
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
- No nights
- No weekends
Work Location: In person
Salary : $18 - $24
