Credentialing Specialist
About The Position
General Description The primary responsibility of the Credentialing Specialist position is to facilitate the timely credentialing of applicable staff. They will work with Coordinated Care Organizations (CCOs) and private panels for credentialing purposes. Education and/or Experience A minimum of a high school diploma or equivalent education is required for this position. Must have reliable transportation, a valid driver’s license, and automobile insurance which meets Options’ requirements. Proficiency in Microsoft Office Suite (Outlook, Word, and Excel) and internet usage is required. Will be required to learn our Electronic Client Records (ECR) system. Must possess good verbal and written communication skills, including technical writing abilities. Options requires that all staff have respectful, open, unbiased, and accepting attitude toward clients, their families, and other staff.
Requirements
- A minimum of a high school diploma or equivalent education is required for this position.
- Must have reliable transportation, a valid driver’s license, and automobile insurance which meets Options’ requirements.
- Proficiency in Microsoft Office Suite (Outlook, Word, and Excel) and internet usage is required.
- Will be required to learn our Electronic Client Records (ECR) system.
- Must possess good verbal and written communication skills, including technical writing abilities.
- Options requires that all staff have respectful, open, unbiased, and accepting attitude toward clients, their families, and other staff.
- Ability to safeguard client protected health information; maintain confidentiality when applicable
- Demonstrated attention to detail
- Ability to work independently
- Ability to produce accurate work while meeting required deadlines
Nice To Haves
- Knowledge of Behavioral Health credentials and qualifications (OAR 309-019-0125)
- Experience with OHA’s Medicaid ID application process and Medicare enrollment
Responsibilities
- Facilitate credentialing of new hires with all eligible panels
- Facilitate re-Credentialing of applicable staff with CCOs and private panels
- Initiate communication with potential new private panels
- Assist in new panel applications, as needed
- Verify degrees, licenses, school accreditations, exclusions, and certifications for applicable staff
- Maintain staff credentials in ECR
- Maintain a Credentialing Panel Roster for all applicable staff
- Assist applicable staff in set up with a CAQH, NPPES, and DMAP
- Participate in private panel committee teleconferences
Benefits
- company-paid health/vision and dental
- long-term disability
- life insurance
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What This Job Offers
Job Type
Part-time
Career Level
Entry Level
Education Level
High school or GED
