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Credentialing Assistant

Company: Sea Mar Community Health Centers
Location: Federal Way
Posted on: January 15, 2022

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(s):

Sea Mar is a mandatory COVID-19 and flu vaccine organization

Credentialing Assistant - Posting #22719

Position Summary:

Full-time position available for the Credentialing Team in Federal Way. The Credentialing Assistant is responsible for maintaining files and data entry for the credentialing team and maintain provider enrollment with insurance plans. The Credentialing Assistant is a detail-oriented professional who provides exceptional customer service to internal colleagues and external partners.

Essential duties and responsibilities include, but are not limited to:

  • Maintaining all credentialing and provider enrollment files.
  • Entering data into MD Staff, CAQH and other tracking tools.
  • Receiving and sorting mail.
  • Tracking and filing documentation received from health plans for specific providers.
  • Tracking credentialing and re-credentialing deadlines for credentialing and privileging and insurance enrollment.
  • Assisting provider enrollment specialists and credentialing specialists to gather information and documentation for audits, including but not limited to HRSA, FTCA, Joint Commission and health plan delegated credentialing.
  • Tracking and ensuring provider basic life support requirement is current. Follows-up with providers when out of compliance to obtain documentation of current life support certification.
  • Maintaining provider roster.
  • Other duties as assigned.

    The successful candidate will have the following qualifications:
    • Excellent verbal and written communication skills, including ability to compile, interpret, and utilize information; and to communicate effectively with people of all backgrounds and educational levels.
    • Ability to work with minimal supervision, use good judgment, meet deadlines, and prioritize workloads.
    • Ability to maintain confidentiality.
    • Well organized and have good attention to detail.
    • Computer literate and have good mathematical skills. Experience in Windows Office programs and data entry preferred.
    • Ability to solve problems and reason deductively.
    • College degree preferred, high school diploma acceptable if previous work experience in managed care, hospital or medical office environment.
    • Ability to fluently speak and read English required; bilingual English/Spanish preferred.

      Highly desirable skills and experience:
      • Healthcare billing experience
      • Payer relations, enrollment, and reimbursement
      • Knowledge of medical terminology
      • Insurance verification
      • Health plan contracts
      • Exposure to Medicaid and Medicare plans and programs
      • Understanding of healthcare compliance
      • Medical Staff Services experience
      • Hospital privileging
      • One Health Port (OHP) and Provider One.

        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, Full-time employees working 30 hours 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 also 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 Stephanie Fox, Credentialing and Provider Enrollment Supervisor at StephanieFox@seamarchc.org

        Sea Mar is an Equal Opportunity Employer

        Posted on 11/16/2021

        External candidates will be considered after 11/19/2021

        Please visit our website to learn more about us at www.seamar.org. Follow us on Facebook, Twitter, and Instagram.

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Keywords: Sea Mar Community Health Centers, Federal Way , Credentialing Assistant, Other , Federal Way, Washington

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