Clinical Onboarding and Credentialing Specialist

6 days ago

Farmington, United States Centria Healthcare Full time

Every child deserves the brightest future and Centria Autism Services is on a mission to help children with Autism Spectrum Disorder (ASD) have the best developmental experience possible while acquiring the skills to succeed in the world on their own terms. Too many children with ASD are untreated or under-treated and Centria is committed to reaching every child in need and their families with interventions based on the principles of Applied Behavior Analysis that meet - and exceedbest practices. Our Optimal Outcomes Model(TM) looks at the whole-child, engages families in aspirational treatment planning and leverages team-based care to allow BCBA's to focus on clinical issues and support Centria's dedication to quality, family satisfaction and developmental outcomes. Founded in 2009, Centria now operates in 13 states and is working hard to develop approaches to sustain quality while reaching tens of thousands of children across the country; we use data-driven analytics and sophisticated software platforms to constantly evaluate our quality and performance, and develop new approaches to supporting our clients and their families on their journey.

See what it's like...

Centria Healthcare was founded in 2009 and grew two business lines to lead the state of Michigan. In 2014 we took on Autism and have since grown to be the largest provider in the nation. We blended an entrepreneurial spirit with a proven and effective care delivery system to create an unmatched client experience. We look for dedicated, hard-working, sharp individuals with a desire to go above and beyond.

Thank you for showing interest in Centria Autism Services. Our mission as a company is "to help every child living with autism to develop, pursue, and achieve their goals and dreams through high quality ABA therapy and support"

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 candidate's 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
Qualifications

Education
  • Associate Degree
  • Bachelor's 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
  • Centria's 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.

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