Clinical Onboarding and Credentialing Specialist
Clinical Onboarding and Credentialing Specialist
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$ 18 - 21
1 Vacancy
Job Description
Position Summary
This role is responsible for facilitating all aspects of onboarding and credentialing for clinical and field-based personnel. The Clinical Onboarding and Credentialing Specialist will organize maintain and verify all aspects of the process and maintain current clinical and field-based staff files. Additionally they will provide a positive customer service experience to team members including clinical and field staff and payors by being the point of contact and assisting them with related inquiries
Success Measures
Success measures include adherence to Centria policies flawless execution of tasks and meeting or exceeding personal qualitative and/or quantitative key performance indicator (KPI) metrics such as customer satisfaction meeting targeted onboarding and credentialing timelines and maintaining at or below metrics provided for credentialing denials.
Duties and Responsibilities
The below reflects the essential functions considered necessary for a Clinical Onboarding and Credentialing Specialist and shall not be construed as a detailed description of all work requirements inherent in the job or assigned by supervisory personnel. This job description is used as a guide only and not inclusive of all responsibilities and job duties.
Onboarding 30%
- Manage candidate applications associated pre-hire requirements and maintain detailed records in CareConnect and the HRIS platform.
- Communicate regulations policies and procedures to team members including clinical and field
- Engage candidates and assist with setting schedules and expectations enrolling them in required courses and tracking activity completion.
- Track the candidates daily progress against their schedule for onboarding and escalate any delay concerns to the appropriate party.
- Partner with the Recruiting and Operations teams regarding candidate and team member
Credentialing 50%
- Assist clinical and field staff in applying/registering for certifications licensure needed for credentialing.
- Obtain and review certifications licenses and other required credentialing documents to maintain up-to-date personnel files.
- Submit and follow up with payor credentialing applications via phone email or proprietary
- Partner with the Family Financial Navigation (FFNT) and Billing teams to resolve any potential or outstanding claim issues related to credentialing.
- Set up new service location addresses or markets in collaboration with the Contracting team.
- Create applicable internal and external accounts as needed.
Customer Service 10%
- Serve as a resource for team members with questions regarding Centria guidelines payor requirements etc.
- Follow-up via email or service desk with team members within 24 hours and maintain a customer satisfaction rating above 90%.
Projects 10%
- Participate in major projects and the implementation of new initiatives and
- Assist with ad hoc reports as needed
Compensation
$18-21 hourly plus bonus
Qualifications
Education
- Associate Degree
- Bachelors Degree preferred
Work Experience
- 1 years of administrative or customer service experience
- Data entry experience preferred
Equipment and Technology Requirements
- Basic computer skills
- Working knowledge of laptop/desktop PC
- Proficiency in Microsoft Suite
- Proficiency in G Suite
Other Competency Requirements
An initial assessment of competency will be completed during the interview period and evaluated on an ongoing basis.
- Ability to follow written instructions
- Ability to use computers and computer/software programs
- Ability to communicate expressively and receptively
Knowledge and Skills
- Proficiency in PC software especially spreadsheet programs;
- Effective communication skills both written and verbal with internal and external stakeholders;
- Ability to build rapport with team members including clinical and field staff explain complicated information in an approachable and easily understood manner effectively handle challenging phone conversations and represent the Centria brand;
- Ability to organize prioritize and handle multiple tasks adhere to established deadlines and produce work that consistently meets or exceeds team benchmarks;
- Proven adaptability with a willingness to work both collaboratively and individually to achieve desired business outcomes;
- Excellent interpersonal and listening skills;
- Demonstrated strong work ethic with attention to detail accuracy and quality;
- Established track record of generating error-free
Working Conditions
- Centrias office hours are Monday through Friday from 8:30 AM - 6:00
- Additional time or occasional shift in schedule may be required to complete the above work or meet company
- Overtime is not a planned part of this role; if required overtime must be pre-approved in writing by a leader in the department.
Physical Demands
While performing the duties of this job physical requirements such as bending reaching lifting pushing or pulling up to 30 pounds may be required. This role will require sitting most ofthe day as well as walking and standing periodically. This role may require close visual acuity on computer screens or monitors and the ability to analyze data and figures on a screen.
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race religion color national origin gender sexual orientation age marital status Veteran status or disability status. This job description is not intended to be an exhaustive list of qualifications skills efforts duties responsibilities or working conditions associated with the position. Centria reserves the right to amend this job description at any time with or without written notice.
Required Experience:
Unclear Seniority
Employment Type
Full Time
