What are the responsibilities and job description for the Credentialing Specialist position at Homestead Behavioral Clinic?
Job Overview
We are seeking a detail-oriented and organized Credentialing Specialist to join our team. In this role, you will be responsible for verifying the qualifications and credentials of healthcare providers to ensure compliance with regulatory standards and organizational policies. Your expertise will be essential in maintaining the integrity of our credentialing process, contributing to the overall quality of care provided by our organization.
Duties
- Conduct thorough reviews of applications and supporting documentation for healthcare providers seeking credentialing.
- Verify education, training, work history, and licensure status of applicants in accordance with NCQA standards.
- Maintain accurate and up-to-date records in the credentialing database.
- Collaborate with medical staff and administrative teams to facilitate the credentialing process.
- Monitor expiration dates of licenses and certifications, ensuring timely renewals.
- Respond to inquiries from providers regarding the credentialing process and requirements.
- Assist in preparing reports for regulatory compliance and internal audits.
Skills
- Strong understanding of managed care principles and practices.
- Previous medical office experience is preferred, providing insight into healthcare operations.
- Familiarity with medical terminology to effectively communicate within the healthcare environment.
- Knowledge of NCQA standards and guidelines related to credentialing processes.
- Excellent organizational skills with a keen attention to detail.
- Ability to work independently as well as collaboratively within a team setting.
- Strong communication skills, both verbal and written, to interact effectively with diverse stakeholders.
Job Type: Full-time
Pay: $18.00 - $20.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- AD&D insurance
- Dental insurance
- Disability insurance
- Employee assistance program
- Employee discount
- Flexible schedule
- Flexible spending account
- Free parking
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Tuition reimbursement
- Vision insurance
Work Location: In person
Salary : $18 - $20