Position Overview: The Credentialing Assistant is responsible to ensuring employees licenses and credentials are up-to-date and maintained within the HR and credentialing workflow process. Assists in preparing and submitting credentialing and recredentialing payor applications. Responsible for follow up on the status of applications for providers and payers and keep a detailed log of all pending and completed work. Communicate the results and status of the applications to providers, payers, managers, and co-workers to ensure we are meeting third party billing requirements and State specific regulations.
Specific Responsibilities:
Education and Experience: High school required, associates degree preferred. Healthcare experience preferred.
Required Qualifications:
Competencies:
Leadership: : Effective at building support and promoting success in a team-centered environment which functions using a shared vision.
Customer Service: Communicates well both verbally and in writing, creates accurate and punctual reports, delivers presentations, shares information and ideas with others, has good listening skills.
Job Knowledge: mission/values, keeps job knowledge current, and is in command of critical issues.
Integrity: Upholds personal and professional ethics and values, considering the values of the organization and respecting the culture, beliefs, and abilities of individuals.
Ability to deal with difficult people: The ability to respond to difficult client behavior with diplomacy and tact, including defusing anger, creating rapport and influencing behavior.
Resilience: Must be able to cope with stressful and adverse situations, rebound quickly, and then learn from experience.
Work Environment: This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, and filing cabinets. The noise level in the work environment is usually moderate.
Physical Demands: While performing the duties of this position, the employee is regularly required to talk or hear. The employee frequently is required to use hands to finger, handle or feel objects, tools or controls. The employee is occasionally required to stand; walk; sit; reach with hands and arms; climb or balance; and stoop, kneel, crouch or crawl. The employee must occasionally lift and/or move objects up to 25 pounds. Specific vision abilities required by this position include close vision, distance vision, color vision, peripheral vision and the ability to adjust focus.
Travel: None to minimal travel