Credentialing Specialist - #1408297
Catholic Charities Serving Central Washington
Date: 2 days ago
City: Yakima, WA
Salary:
$27
-
$33
per hour
Contract type: Full time
Job Details
Job Location
Yakima - West - Yakima, WA
Secondary Job Location(s)
Richland - Richland, WA
Position Type
Full Time
Education Level
High School
Salary Range
$27.00 - $33.00 Hourly
Travel Percentage
Up to 25%
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:The following requirements are those that are normally required for performance of this position. Any disabled applicant or incumbent who does not meet one or more of the requirements, but who can perform the essential function of the job (with or without reasonable accommodations) shall be deemed to meet these requirements.
Physical Requirements:This position normally requires the physical demands of standing, walking, bending, lifting or performing other work requiring low physical exertion, as well as keyboard fingering, talking, hearing and adequate vision on a regular basis to perform the job requirements. These physical demands are required up to 90% of the time.
Non-Physical Requirements
Education
High school diplomaor GED required
Experience
3 years' experience in medical or behavioral health administration, credentialing, or an equivalent combination of formal education, related skills, and administrative experience required
Familiarity with clinical licenses and licensing requirements with the Washington State Department of Health preferred
Special Skills
Ability to relate to individuals at all levels within an organization
Strong research and analytical skills
Ability to research and follow other applicable states' licensing processes
Proficient with Microsoft Office suite, particularly Excel
Ability to meet strict deadlines and prioritize
Effective time management skills and ability to prioritize work
Ability to think critically and solve problems
Advanced organization skills
High attention to detail and document editing
Strong interpersonal and verbal and written commun
Job Location
Yakima - West - Yakima, WA
Secondary Job Location(s)
Richland - Richland, WA
Position Type
Full Time
Education Level
High School
Salary Range
$27.00 - $33.00 Hourly
Travel Percentage
Up to 25%
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:The following requirements are those that are normally required for performance of this position. Any disabled applicant or incumbent who does not meet one or more of the requirements, but who can perform the essential function of the job (with or without reasonable accommodations) shall be deemed to meet these requirements.
Physical Requirements:This position normally requires the physical demands of standing, walking, bending, lifting or performing other work requiring low physical exertion, as well as keyboard fingering, talking, hearing and adequate vision on a regular basis to perform the job requirements. These physical demands are required up to 90% of the time.
Non-Physical Requirements
Education
High school diplomaor GED required
Experience
3 years' experience in medical or behavioral health administration, credentialing, or an equivalent combination of formal education, related skills, and administrative experience required
Familiarity with clinical licenses and licensing requirements with the Washington State Department of Health preferred
Special Skills
Ability to relate to individuals at all levels within an organization
Strong research and analytical skills
Ability to research and follow other applicable states' licensing processes
Proficient with Microsoft Office suite, particularly Excel
Ability to meet strict deadlines and prioritize
Effective time management skills and ability to prioritize work
Ability to think critically and solve problems
Advanced organization skills
High attention to detail and document editing
Strong interpersonal and verbal and written commun
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