What are the responsibilities and job description for the Credentialing Specialist position at Charter Oak Health Center, Inc.?
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Job Type
Full-time
Description
Job Summary
Charter Oak Health Center is seeking a Credentialing Specialist to join our team. In this role you will be responsible for credentialing clinical staff, managing enrollment with commercial vendors, and handling clerical tasks and special projects as needed.
Key Responsibilities
Qualifications
Salary Description
$55,000 - $65,000
Job Type
Full-time
Description
Job Summary
Charter Oak Health Center is seeking a Credentialing Specialist to join our team. In this role you will be responsible for credentialing clinical staff, managing enrollment with commercial vendors, and handling clerical tasks and special projects as needed.
Key Responsibilities
- Verify provider credentialing applications and documentation (education, employment, licenses, certifications).
- Perform background checks including NPDB, OIG Exclusion List, and AMA profiles.
- Prepare documentation for initial and reappointment of privileges for the Credentialing Committee.
- Update the credentialing roster and provider carrier enrollment list daily.
- Coordinate provider enrollment and maintenance with Medicaid, Medicare, and commercial insurances.
- Assist with credentialing software implementation and maintenance.
- Maintain confidentiality of credentialing data.
- Perform additional duties as needed and maintain good attendance.
- Follow legal requirements, policies, and procedures, including HIPAA and the Corporate Integrity Agreement.
- Participate in orientation, training, and process improvement activities.
- Report non-compliance issues and cooperate with audits and investigations.
Qualifications
- Proficiency in Microsoft Office and Outlook, strong typing, interpersonal, communication, organizational, and follow-up skills.
- High school diploma required; associate's degree preferred. 1-2 years of credentialing or privileging experience in a healthcare setting is preferred.
- Credentialing Specialist Certification preferred.
- Health Insurance: Comprehensive medical, dental, and vision coverage
- Generous Paid Time Off (PTO): PTO, Personal, and eight paid holidays
- Retirement Plans: 403 B plan with company vesting
- HRSA and Public Service Loan Forgiveness
Salary Description
$55,000 - $65,000
Salary : $55,000 - $65,000