What are the responsibilities and job description for the Credentialing/ Provider Enrollment Specialist (Full Time) position at Community Care Alliance?
Credentialing/ Provider Enrollment Specialist (Full Time)
POSITION SUMMARY:
Coordinate, administer and maintain credentialing process for all eligible staff. Work with HR team to assist with HR duties as needed, including participation with the agency training committee for processing of CEUs and special trainings.
QUALIFICATIONS:
- Must have at least 3 years of credentialing and office experience in a health care setting.
- Minimum of high school diploma or equivalent.
- Ability to work in a fast-paced environment while remaining organized and handling multiple priorities simultaneously.
- Ability to work with a small but dynamic HR team.
- Excellent communication skills and ability to build strong relationships with employees from new hires to executive management.
- Flexible with strong problem-solving skills.
PRIMARY FUNCTIONS:
- Complete all credentialing and re-credentialing duties and applications for agency.
- Assume full responsibility for maintaining, tracking and following up on any and all forms of licensure, certification, and credentialing documentation as required.
- Meet with all new hires with credentials or in the process of credentialing in order to get paperwork and licensure filed/requested with all insurance and funding sources.
- Work with finance to ensure all specified monetary increases/bonuses for employees with new credential qualifications are processed in a timely manner.
- Adhere to the credentialing requirements of all insurance/funding sources for which they qualify and provide Human Resources with the initial required documentation (licenses, liability insurance policies, DEA numbers etc.) and all renewals of these documents thereafter.
- Act as liaison between staff and insurance companies with regards to all credentialing correspondence.
- Work with billing team to ensure proper reimbursements are in place.
- Maintain up to date copies of staff licenses, certifications, DEAs, malpractice insurance and other provider information for credentialing and licensing.
- Attend Billing Team meetings to discuss any credentialing changes, updates or issues.
- Provide useful reports for management to be able to track where their staff are in the credentialing process
SECONDARY FUNCTIONS:
- Weekly dedicated time for filing of confidential employee documentation into personnel files.
- Assist HR team with tasks and projects possibly including Open Enrollment, career fairs, etc.
- Participate on Training Committee and work to support CEU processing.
- Other HR duties as assigned.
Benefits
Community Care Alliance offers competitive salaries based on experience, skills and performance, a comprehensive benefits package, and great quality of work/life.
- Generous vacation, sick time and holidays.
- Comprehensive medical and dental coverage as well as voluntary vision and AFLAC supplemental coverage.
- 403b with matching after 6 months of employment.
- Flexible Spending (FSA) and Dependent Care (DCA) accounts.
- Agency-paid group life insurance; long-term disability.
- Tuition reimbursement and licensure/certification bonuses.
- Employee referral program as well as bilingual skills premium.
- On-site or nearby parking available at most buildings; mileage reimbursement for client and business related use of your personal vehicle.
To apply for this opening please visit our website www.communitycareri.org and select "Careers" and then "Current Openings" to fill out an application and upload your cover letter and resume.
About Us
Community Care Alliance provides an array of services and supports that are linked together so people can access help for their unique situations. Our goal is to help all members of our community become healthier, more self-reliant and better informed to meet their economic, social and emotional challenges.
Community Care Alliance is an Affirmative Action/Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, sex, sexual orientation, age, national origin, or disability.
Military friendly employer!
Community Care Alliance is an Affirmative Action/Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, sex, sexual orientation, gender identity, age, national origin, or disability.