Credentialing & Provider Enrollment Specialist
Company: Sea Mar Community Health Centers
Location: Federal Way
Posted on: February 16, 2021
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Job Description:
Sea Mar Community Health Centers, a Federally Qualified Health
Center (FQHC) founded in 1978, is a community-based organization
committed to providing quality, comprehensive health, human,
housing, educational and cultural services to diverse communities,
specializing in service to Latinos in Washington State. Sea Mar
proudly serves all persons without regard to race, ethnicity,
immigration status, gender, or sexual orientation, and regardless
of ability to pay for services. Sea Mar's network of services
includes more than 90 medical, dental, and behavioral health
clinics and a wide variety of nutritional, social, and educational
services. We are recruiting for the following position:
Credentialing & Provider Enrollment Specialist - Posting
#20862Position Summary:Sea Mar Community Health Centers seeks an
experienced Credentialing & Provider Enrollment Specialist. This is
a Full-time position (Monday-Friday) 8:00 am to 5:00 pm. The
Credentialing Specialist be responsible for coordinating all
aspects of the privileging and credentialing process for the
licensed independent practitioners (LIPs) in accordance with the
Policies & Procedures, national standards and regulatory
requirements.Duties and Responsibilities:* Maintain regular
cooperation and compliance with all regulatory, accrediting, and
membership-based organizations.* Create and carry out various
credentialing processes in relation to licensed providers in
medical, dental and behavioral health departments.* Ensure that all
credentialed providers adhere to facility and staff policies,
department guidelines, regulations, and government laws.* Process
applications and reappointment paperwork, checking for full
completeness and accuracy.* Perform provider
credentialing/qualifying process to ensure all requirements are met
in accordance with credentialing requirements prior to presentation
to Board of Directors.* Ensure that all credential files are
current and complete pursuant to expiration date of medical
licenses, board certification, professional-liability insurance
coverage, DEA and other pertinent information, per HPP and/or
client facility policy and procedures.* Coordinate credentialing
process by entering/logging/scanning information into MD Staff
credentialing software for initial, updating, and add on
applications and maintenance processes.* Collect and verify
sensitive provider data through confidential sources. * Maintain
timely updates to information systems and regular reports used to
monitor completion of initial and reappointment credentialing
applications. * Audit files based on internal standards and
regulatory requirements. * Monitor and report application status
and provide appropriate correspondence (form letters) to providers
and department heads when necessary. * Provide complete and
accurate credentialing files to Administration for inclusion in
Board of Directors' materials.Qualifications:* Working knowledge of
Joint Commission, NCQA and CMS credentialing and privileging
standards and experience with provider and health plan
credentialing.* Intermediate computer skills including Microsoft
products and web based queries. * Demonstrated ability to manage
and meet multiple priorities and competing deadlines, problem
solving and organization skills with attention to details.
Experience with credentialing software is desirable, MD Staff
preferred. Education and/or Training:* Current NAMSS Certified
Provider Credentialing Specialist (CPCS) or actively pursuing
certification and certification obtained within 2 years of hire
date. * Previous work experience in managed care, hospital or
medical office environment required.* Experience with delegated
health plan credentialing agreements preferred.What We Offer:Sea
Mar offers talented and motivated people the opportunity to work in
a dynamic and growing community health organization. Working at Sea
Mar Community Health Centers is more than just a job, it's a
fulfilling career with opportunity for advancement. The fringe
benefits surpass most companies. For example, employees Full-time
employees working 30 hours or more, receive an excellent benefit
package of Medical, Dental, Vision, Life Insurance, Prescription
coverage, Long Term Disability, EAP (Employee Assistance Program),
paid-time-off starting at 24 days per year + 10 paid Holidays. We
offer 401(k)/Retirement options and an exciting opportunity to work
in a culturally diverse environment.How to Apply: To apply for this
position, complete the online application and click SUBMIT or APPLY
NOW. If you have any questions regarding the position, email
Letriana Santiago, Credentialing and Provider Enrollment Supervisor
at LetrianaSantiago@seamarchc.orgSea Mar is an Equal Opportunity
EmployerPosted 11/12/2020Please visit our website to learn more
about Sea Mar at www.seamar.org. Follow us on Facebook, Twitter,
and InstagramPowered by JazzHRBAsdG8cE9C
Keywords: Sea Mar Community Health Centers, Federal Way , Credentialing & Provider Enrollment Specialist, Other , Federal Way, Washington
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