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Credentialing Specialist
$46k-58k (estimate)
Full Time | Social & Legal Services 1 Day Ago
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Lutheran Community Services Northwest is Hiring a Credentialing Specialist Near Portland, OR

Our Mission: Lutheran Community Services Northwest partners with individuals, families and communities for health, justice and hope.
About Us Lutheran Community Services Northwest is a non-profit human services agency that improves lives of people in communities throughout Washington, Oregon and Idaho. We provide a wide variety of services to adults, adolescents, children, families, schools and communities. We are privileged to touch lives of all ages, cultures and faiths.
THE ROLE: All LCSNW team members will contribute to our mission of partnering with individuals, families and communities for health, justice and hope. This position is responsible for supporting the credentialing and re-credentialing for behavioral health and medication management providers for Lutheran Community Services Northwest (LCSNW). Supports facilities with credentialing and contracting with relevant bodies, which would include but not be limited to health insurance programs and the Health Care Authority.
RESPONSIBILITIES:
  • Serves as a hub for communication and reporting about credentialing between the Human Resources, Finance and Contracting departments, the local Districts, and other stakeholders.
  • Compiles and maintains current and accurate credentialing data for all providers and facilities, and online provider directory information.
  • Verifies existing and tracks pending provider credentials/licenses required for positions
  • Maintains credentialing files, which includes NPDB, education verification, credentialing application completion, DEA certificates, state license, NPI verification, Medicaid verification as applicable.
  • Assists providers with National Provider Identifier enrollment.
  • Maintains copies of current state licenses, malpractice coverage and any other required credentialing documents for all providers and facilities.
  • Ensures information is maintained current in relevant LCSNW databases, such as the Electronic Health Record, and designated credentialing tracking systems.
REQUIREMENTS:
  • Detail-oriented
  • HS diploma or equivalent
  • Fluency in English, both spoken and written
  • Basic mastery of business applications and productivity suites
  • Demonstrates resilience, awareness and self-regulation in navigating challenges, conflict and obstacles/barriers.
  • Thrives in a diverse and multicultural environment; works with cross-functional teams to develop and implement strategies to enhance end-user experiences throughout the service lifecycle
  • Demonstrates exceptional commitment to serving and advocating for diverse and marginalized populations
  • Successfully completes tasks in a moderately noisy environment
  • Interacts with others and performs tasks in-person and through the use of technology, with long periods of stationary activity and minimal periods of increased physical activity including and not limited to sitting, standing, walking, and writing/typing.
  • Moves equipment/materials weighing up to 25 pounds
  • Travels between worksites occasionally
  • Works in a variety of settings, including and not limited to LCSNW office locations, partner agency and community-based settings, and faith-based settings such as churches
  • Meets LCSNW criminal background clearance requirements and other job-relevant clearances as required by the State or program
THE PERKS: We offer a full benefits package with options for medical, dental, prescription and vision coverage; employer-paid short and long-term disability, as well as life insurance. Vacation includes up to 2 weeks in the first year. Up to 2 weeks of Sick leave for you or to take care of your immediate family (based on hours worked). 12 Paid Holidays plus 2 Floating Holidays each year. A 403(b) Retirement plan, with employer matching after meeting eligibility requirements. Our Employee Assistance Program (EAP) is designed to help and support you. Staff potentially eligible for Student Loan Forgiveness program as a 501(c) 3 employer.
We thank all candidates in advance for their interest in joining the Lutheran Community Services Northwest team. Only those selected for an interview will be contacted.
LUTHERAN COMMUNITY SERVICES NORTHWEST IS AN EQUAL OPPORTUNITY EMPLOYER AND COMMITTED TO CULTURAL COMPETENCY.

Job Summary

JOB TYPE

Full Time

INDUSTRY

Social & Legal Services

SALARY

$46k-58k (estimate)

POST DATE

05/03/2024

EXPIRATION DATE

07/01/2024

WEBSITE

lcsnw.org

HEADQUARTERS

SEATAC, WA

SIZE

500 - 1,000

FOUNDED

1920

TYPE

Private

CEO

ROBERTA NESTAAS

REVENUE

$10M - $50M

INDUSTRY

Social & Legal Services

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The following is the career advancement route for Credentialing Specialist positions, which can be used as a reference in future career path planning. As a Credentialing Specialist, it can be promoted into senior positions as a Compliance Manager - Healthcare that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Credentialing Specialist. You can explore the career advancement for a Credentialing Specialist below and select your interested title to get hiring information.

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If you are interested in becoming a Credentialing Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Credentialing Specialist for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on Credentialing Specialist job description and responsibilities

A certified professional credentialing specialist ensures that staff members of a facility maintain licenses, training, and certifications based on federal and state law.

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A credentialing specialist can have certificates that will prove useful to their field.

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Credentialing specialists also ensure that any services provided by medical facilities meet the required standards as set by state and federal government agencies.

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Credentialing specialists will also ensure that their employer meets state, federal and other regulations for quality of care.

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Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Credentialing Specialist jobs

Credentialing specialists can often find work with a high school diploma or the equivalent.

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Make Use Of Advanced Software For Monitoring.

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Stay Updated with the Coalition for Affordable Quality Healthcare's Credentialing Program.

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