Credentialing Specialist (Temporary)
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Job Location:
Washington, AR - USA
Hourly Salary:
USD 24 - 26
Posted on:
6 hours ago
Vacancies:
1 Vacancy
Job Summary
Credentialing Specialist - Temporary
Washington DC Hybrid $24.03 - $26.44 Washington Post Top Workplace
Do you have a passion for supporting access to quality healthcare and ensuring the systems behind the scenes run smoothly for the communities we serve Community of Hope is seeking a temporary full-time Credentialing Specialist to support our mission of providing healthcare housing and vital community services to individuals and families in this role you will manage provider credentialing and enrollment with payers maintain accurate records across systems such as MMIS and PECOS and ensure compliance with regulatory and accreditation standards. Join a mission-driven team dedicated to ending homelessness and making a meaningful impact every day. This position is based at our Conway Health and Resource Center in Southwest DC and will end on 3.27.26.
Our Approach and Values:
- We celebrate peoples strengths and acknowledge the impact of trauma on peoples lives.
- We embrace diversity welcome all voices and treat everyone with respect and compassion.
- We lead and advocate for changes to make systems more equitable.
- We strive for excellence and value integrity in all that we do
What Youll Do
- Completes all requested insurance applications for Community of Hope within 3 business days.
- Updates the Provider Spreadsheet as new data is received on a daily basis. Emails spreadsheet to COH senior leadership practice managers and Credentialing Committee every two weeks.
- Contacts Insurance payers within two business days of sending data to confirm that the data has been received and confirms processing timeframe of applications in writing.
- Completes forms for electronic payments (EFT) and remittance advice (ERA) for Community of Hope within3 days of an application is submitted to the payer.
- Maintains up to date data and ensures that all re-credentialing applications including CAQH re-attestations are submitted 5-7 days before due date.
- Maintains files on each medical licensed professional (CV certification licenses malpractice updates hospital privileges etc.) and updates files as needed.
- Coordinates facilities credentialing and renewals with all Payors. Ensures all facility documentation is current such as Business Licenses CLIA certificates Liability Insurance Certificates etc. including Delegations.
- Completes additional responsibilities and cross-training including but not limited to billing statements taking payments and other assigned by the Supervisor.
Must-Haves
- A minimum of 5 years experience in credentialing.
- Experience working in CAQH.
- Excellent communication skills. Excellent at providing and receiving feedback.
- Experience in managing projects and leading meetings.
Why Youll Love Working Here!
At COH we prioritize the following well-being and work-life balance-centered benefits: (Full-Time)
- 8 x Washington Post 150 Top Workplaces winner
- 8-hour workdays with paid lunch
- 3 weeks vacation (additional week after two years) 2 weeks sick leave 11.5 paid holidays and one personal floating holiday on an annual basis.
- Annual performance-based raises up to 5% of your annual pay
- Tuition reimbursement & loan repayment (NHSC & DCHPLRP) Licensing reimbursement & CEU funding
- Medical dental vision life & disability insurance 403(b) retirement
- Leadership development internal promotions and career growth opportunities
- A culture grounded in equity compassion and well-being
About Us:
Community of Hope is a mission-driven innovative rapidly growing nonprofit and Federally Qualified Health Center. For over 45 years we have provided health and housing services perinatal care coordination and community support services to make Washington DC more equitable. Community of Hope also strongly emphasizes maternal and child health with midwifery practice and the only free-standing birth center in DC. We are honored to be one of DCs largest providers of housing and homelessness prevention services for families and individuals throughout DC. Through our Family Success Center our WIC nutrition centers and our various partnerships we have reached hundreds and believe that everyone in DC deserves to be healthy housed and hopeful.
With the help of our amazing staff we have successfully provided:
- 50000 medical visits
- 6300 dental visits
- 17000 emotional wellness visits
- 1384 families and 220 individuals with housing/homelessness prevention services
Ready to bring hope and health to our DC community Apply today!
To request a reasonable accommodation to complete an employment application or for general questions about employment with Community of Hope contact a Recruiting Coordinator. Email: Phone: . Community of Hope is an equal opportunity employer.
Required Experience:
IC
Key Skills
- Sales Experience
- Crane
- Customer Service
- Communication skills
- Heavy Equipment Operation
- Microsoft Word
- Case Management
- OSHA
- Team Management
- Catheterization
- Microsoft Outlook Calendar
- EHS
