Credentialing Specialist

Sea Mar Community Health Centers•Federal Way, WA

2d•Onsite

About The Position

Sea Mar Community Health Centers is seeking an in-person Credentialing Specialist in Federal Way, Washington. The role serves as the Epic access gatekeeper for Sea Mar, submitting access requests for providers and staff. The specialist gathers and verifies account information, manages access files and tickets, and provides timely, professional service to internal teams and external partners. The position requires strong attention to detail, analytical thinking, and the ability to manage large amounts of data and identify opportunities to automate processes. The specialist supports Sea Mar's Credentialing and Central Business Office departments and advances the organization’s mission of providing respectful, culturally aware, client-centered services. The role is in a group office setting with significant distractions and background noise, and requires a professional appearance and demeanor. Employment is subject to background screening, confidentiality requirements, and employee health and infection-control policies.

Requirements

Excellent verbal and written communication skills, including the ability to compile, interpret, and use information and communicate effectively with people from varied backgrounds and educational levels.
Ability to work with minimal supervision, exercise good judgment, meet deadlines, and prioritize workloads.
Ability to maintain confidentiality.
Strong organization and attention to detail.
Fluency in spoken and written English.
Computer literacy and good mathematical skills.
Proficiency in Excel, specifically formulas and VLookup.
Ability to solve problems and reason deductively.
Ability to meet initial hiring screening requirements, including an internal background check.
Ability to comply with confidentiality requirements, including signing a permanent confidentiality oath covering patient-related information.
Ability to comply with Sea Mar employee health screening and infection-control policies, including required pre-hire and annual health screening, annual TB testing, and annual influenza vaccination unless an approved medical or religious exemption applies.

Nice To Haves

Bilingual English/Spanish ability.
Experience with Windows Office programs and data entry.
College education.
Previous work experience in a managed care, hospital, or medical office environment.

Responsibilities

Track internal Epic access requests for provider and non-provider staff, locums, and contractors across the organization.
Gather information needed to create Epic accounts, including identification numbers, credentials, billing and credentialing information, assigned locations, and other user details.
Ensure gathered information is accurate and entered correctly.
Submit and upload appropriate Epic access files and tickets for new employees and employee changes.
Communicate professionally and regularly with stakeholders, including Compliance, the Central Business Office, Operations, providers, and leadership.
Complete and submit tickets daily and on time while meeting other deadlines.
Stay current on relevant UDS, billing, and credentialing rules for setting up Epic profiles.
Develop manuals, tip sheets, and training resources.
Support and assist the Credentialing and Central Business Office departments.
Gather, analyze, and submit rosters and other data to insurance companies.
Manage large amounts of data.
Perform other duties as assigned.