Clinical Onboarding and Credentialing Specialist

Centria Autism•Farmington Hills, MI

12d•Onsite

About The Position

This role is responsible for facilitating all aspects of onboarding and credentialing for clinical and field-based personnel. The Clinical Onboarding and Credentialing Specialist will organize, maintain, and verify all aspects of the process and maintain current clinical and field-based staff files. Additionally, they will provide a positive customer service experience to team members, including clinical and field staff and payors, by being the point of contact and assisting them with related inquiries.

Requirements

Associate Degree
1+ years of administrative or customer service experience
Data entry experience, preferred
Basic computer skills
Working knowledge of laptop/desktop PC
Proficiency in Microsoft Suite
Proficiency in G Suite
Ability to follow written instructions
Ability to use computers and computer/software programs
Ability to communicate expressively and receptively
Proficiency in PC software, especially spreadsheet programs
Effective communication skills, both written and verbal, with internal and external stakeholders
Ability to build rapport with team members, including clinical and field staff, explain complicated information in an approachable and easily understood manner, effectively handle challenging phone conversations, and represent the Centria brand
Ability to organize, prioritize, and handle multiple tasks, adhere to established deadlines, and produce work that consistently meets or exceeds team benchmarks
Proven adaptability with a willingness to work both collaboratively and individually to achieve desired business outcomes
Excellent interpersonal and listening skills
Demonstrated strong work ethic with attention to detail, accuracy, and quality
Established track record of generating error-free

Nice To Haves

Bachelor's Degree
Data entry experience

Responsibilities

Manage candidate applications, associated pre-hire requirements, and maintain detailed records in CareConnect and the HRIS platform.
Communicate regulations, policies, and procedures to team members, including clinical and field.
Engage candidates and assist with setting schedules and expectations, enrolling them in required courses, and tracking activity completion.
Track the candidate's daily progress against their schedule for onboarding and escalate any delay concerns to the appropriate party.
Partner with the Recruiting and Operations teams regarding candidate and team member.
Assist clinical and field staff in applying/registering for certifications, licensure, needed for credentialing.
Obtain and review certifications, licenses, and other required credentialing documents to maintain up-to-date personnel files.
Submit and follow up with payor credentialing applications via phone, email, or proprietary.
Partner with the Family Financial Navigation (FFNT) and Billing teams to resolve any potential or outstanding claim issues related to credentialing.
Set up new service location addresses or markets in collaboration with the Contracting team.
Create applicable internal and external accounts, as needed.
Serve as a resource for team members with questions regarding Centria guidelines, payor requirements, etc.
Follow-up via email or service desk with team members within 24 hours and maintain a customer satisfaction rating above 90%.
Participate in major projects and the implementation of new initiatives.
Assist with ad hoc reports as needed.