FT Credentialing Specialist - Remote

Overview

PURPOSE STATEMENT:

The primary duty of the Credentialing Specialist is to manage the credentialing portion of the internal credentialing and provider enrollment process for individual providers/clinicians. They will partner with facilities, providers/clinicians, and field leadership to prepare the proper documentation for initial and re-credentialing application submissions to meet required deadlines, assist in the completion of Medicaid enrollments, and will be responsible for completing enrollment for any other payors as needed. The Credentialing Coordinator maintains the department workflow to ensure accuracy and completion of tasks in a timely manner.

Responsibilities

ESSENTIAL FUNCTIONS:

OTHER FUNCTIONS:

· Performs other duties as assigned.

STANDARD EXPECTATIONS:

• Complies with organizational policies, procedures, performance improvement initiatives and maintains organizational and industry policies regarding confidentiality.
• Communicate clearly and effectively to person(s) receiving services and their family members, guests and other members of the health care team.
• Develops constructive and cooperative working relationships with others and maintains them over time.
• Encourages and builds mutual trust, respect and cooperation among team members.
• Maintains regular and predictable attendance.

Qualifications

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

· BA/BS degree preferred.

· 1 – 3 years of healthcare related experience required.

· 1 – 3 years healthcare credentialing experience preferred.

· Basic to working knowledge of contracting concepts.

· Must be proficient in Microsoft Word and Excel.

· Documentation, proficiency, attention to detail, and organization skills are essential.

· Ability to multi-task is a must

LICENSES/DESIGNATIONS/CERTIFICATIONS:

· Not Applicable

SUPERVISORY REQUIREMENTS: This position is an Individual Contributor

While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances (e.g. emergencies, changes in workload, rush jobs or technological developments) dictate.

We are committed to providing equal  employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.