Credentialing Specialist presso Charter Oak Health Center

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.

Compliance Responsibilities:

• 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.

Requirements

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.

Charter Oak Health Center Offers Outstanding Benefits That Include:

• 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

COHC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.