Senior Credentialing & Contracting Specialist

Community Health Centers of the Rutland Region • Rutland, VT

55d

About The Position

The Senior Credentialing & Contracting Specialist is responsible for providing oversight for provider insurance contract development, obtaining provider insurance credentialing and all aspects of the credentialing, re-credentialing and privileging processes for medical providers who provide patient care at the Community Health Centers of the Rutland Region. In addition will assist with billing projects as assigned.

Requirements

• Highschool Diploma or GED
• Two years of relevant credentialing experience.

Nice To Haves

• Associates Degree preferred.

Responsibilities

• Credentials all CHCRR providers including medical, behavioral health, and dental with insurance companies. Monitors applications and follows- up as needed.
• Sets up new CHCRR sites with insurance companies as required.
• Updates and re-attests CAQH for providers as needed.
• Re-credentials providers as needed with insurance companies.
• Maintains National Provider Data Bank for mid-levels.
• Maintains malpractice insurance updates.
• Coordinates provider privileges with local medical center.
• Coordinates the Board of Directors Privileging and Credentialing for Providers and other licensed care givers at CHCRR.
• Provides administrative support in development of new service lines.
• Assists in insurance projects as assigned.
• Complete and maintain clinical staff professional credentialing and privileging.
• Maintain Verity Software.
• Processes incoming email, EMR messages and other mail as needed.
• Attends and participates in meetings or read minutes if unavailable.
• Maintains confidentiality of provider information.
• Other duties as assigned

Benefits

• Work Life Balance
• Generous Time Off
• Medical, dental, and vision insurance.
• Health savings account option.
• Robust 403 (b) retirement savings plan, with employer match and 100% vesting schedule.
• Comprehensive Wellness Program.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: High school or GED
• Number of Employees: 101-250 employees