Credentialing Specialist
About The Position
The Credentialing Specialist is responsible for ensuring all providers and facilities are credentialed. The role also supports administrative operations, including payer enrollment and revalidation, contract maintenance, meeting preparation, records and communications, surveys, events, training registration, and office supplies. The position requires maintaining confidentiality and following Residents’ Rights rules, facility policies, and the company dress code. The specialist is expected to treat residents, patients, visitors, coworkers, and the public with kindness, dignity, and respect, and to promote teamwork and ongoing learning.
Requirements
- Bachelor’s degree or equivalent experience.
- Ability to read, write, speak, and understand English.
- At least two years of clerical or administrative experience.
- Demonstrated excellence in written and oral communication.
- Ability to perform mathematical functions.
- Ability to evaluate and interpret information and make independent decisions.
- Ability to work independently and cooperatively with others.
- Familiarity with the Microsoft Office software suite.
- Typing or word-processing skills of 50 words per minute.
- Knowledge of general office machines and telephone systems.
- Ability to maintain discretion when handling confidential information.
- Ability and willingness to work as the schedule dictates.
- Positive attitude toward elderly people and coworkers.
- Ability to reach above shoulder height, push and pull, grasp, perform fine hand coordination, bend, sit, stand, and walk.
- Ability to lift and carry 10 pounds.
- Ability to hear.
- Ability to remain calm under stress.
Nice To Haves
- Experience working for a nonprofit organization.
Responsibilities
- Prepare and submit provider payer enrollment and annual all-payer revalidation, as well as Medicare revalidation for providers.
- Prepare paperwork for monthly board meetings and other meetings as requested; attend meetings and take minutes.
- Maintain and update contracts with insurance companies.
- Distribute incoming mail and prepare outgoing mail daily.
- Monitor and maintain mailroom and copier supplies and arrange for service as needed.
- Complete surveys, including those related to compliance with state and federal agencies.
- Maintain board member contact information and act as a liaison between staff and board members as directed.
- Plan and prepare for events as requested, such as the MBH Annual Meeting.
- Order and stock the vending machine.
- Assist with registering facilities and/or staff for conferences or training and arranging accommodations as requested.
- Acknowledge staff birthdays and other life events according to policy.
- Maintain resident, patient, employee, and facility confidentiality.
- Know and comply with Residents’ Rights rules.
- Treat residents, patients, visitors, and coworkers with kindness, dignity, and respect at all times.
- Attend and participate in orientation, training, mandatory education, in-services, staff meetings, and education courses as instructed.
- Promote teamwork and encourage others to work to the best of their ability.
- Maintain a positive attitude, accept change and suggestions for improvement, follow facility rules and job assignments, cooperate with managers, administration, peers, and the public, show respect, and speak well of the company and job.
- Follow the company dress code.
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What This Job Offers
Job Type
Full-time
