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Credentialing Associate

2 months ago

Texas City, United States The Helper Bees Full time
Join our winning team, recently honored as #67 on Forbes' list of America's Best Startup Employers for 2024

The Helper Bees (THB) was created to fill an obvious need in an underserved community. Inspired by love and brought to reality through passion and determination, The Helper Bees was founded to empower older adult citizens and their families in their search for quality, affordable in-home care providers. We do this by providing older adults the ability to easily review, choose, and access affordable quality in-home helpers.

The Helper Bees mission is to help people stay home longer through data-driven services that transform both the payer and the care-recipient experience.

At THB, we define our company culture through our Core Values:
  • Quickly iterate through solutions - We move at a fast pace which requires quick iterations to find a path to a repeatable solution
  • Seek ways to create immediate impact - Be thoughtful and proactive in how you make an impact on your team. Actively look for ways to make a fast, positive impact.
  • Bee the teammate you want to work with - We work as a team, help each other and encourage each other
  • Ask questions, answer questions - You can't iterate through solutions if you don't ask the right questions which is why there is an expectation that questions should be asked. When you know the answer, being a good teammate means chiming in to get others up to speed.
  • Take the time to celebrate wins - It's so easy for a team that is heads down to forget about all the great things they've accomplished. That's why we make it a priority to remind ourselves to create space to celebrate wins, big or small.
Job Summary:

As a Credentialing Associate, you will support provider credentialing and recredentialing activity by assisting end-users through the credentials collection and verification process. The Credentialing Associate supports the Credentialing Manager with the administrative tasks associated with provider credentialing. This role collaborates with members of the network development, customer success, and compliance teams.

Supervisory Responsibilities:

None

Duties/Responsibilities:
  • Performs document upload and data entry tasks associated with the credentialing process
  • Reviews/Approves provider credentials via the homeAlign™ platform
  • Prepares credentialing packets for supervisor review and Credentialing Committee voting
  • Support efforts to efficiently credential provider groups with multiple services locations spanning across a large geography
  • Prioritizes credentialing of providers in "high risk" markets as identified by the Network Development team
  • Engages providers with outbound outreach to expedite the credentialing process, as needed
  • Initiates the credentialing process with newly identified providers, as needed
  • Other duties as assigned/necessary
Performance Metrics:
  • Provider Group Credentialing Completion Rate: Complete provider credentialing for all service locations within SLA timelines.
  • Document Upload and Data Entry Accuracy: Ensure error free document uploads and data entry tasks associated with the credentialing process.
  • Provider Credentialing Turnaround Time: Maintain TAT within current SLA from receiving provider credentials to their approval/rejection.
Requirements

Required Skills/Abilities:
  • Ability to thrive in a fast paced environment
  • Ability to effectively elicit/provide information to and from appropriate individuals (including, but not limited to, supervisors, co-workers, clients) via strong oral and written communication skills; proficiency in the English language may be required
  • Ability to document reports in a clear and concise manner
  • Professional phone demeanor
  • Computer proficiency - working with new programs and computer systems is required
  • Must be at least eighteen (18) years of age
Education and Experience:
  • Bachelor's Degree in a related field or equivalent experience preferred
  • 2 years of relevant experience in a similar role
  • Experience in the healthcare industry is a plus
Physical Requirements:
  • Ability to remain at your designated workstation for the duration of the workday
  • Constantly operates a computer and other office productivity machinery, such as a phone and Voice over Internet Protocol (VoIP).
  • The ability to communicate information and ideas so others will understand. Must be able to exchange accurate information in these situations.
  • The ability to observe details at close range (typically on a computer screen)
  • This position offers the flexibility of remote work at approved locations within the United States. Candidates must have a reliable internet connection and a designated work environment conducive to professional phone calls and sensitive data. Enjoy the convenience and comfort of working remotely while contributing to our team's success.


The Helper Bees is committed to building a workplace where diversity, equity, and inclusion are valued and prioritized. We are an equal opportunity employer that welcomes all qualified applicants without discrimination based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, disability status, or any non-merit based or legally protected grounds.

The Helper Bees provides reasonable accommodations to qualified individuals with disabilities during the job application and interview process. To request accommodation, please let your recruiter know.

As part of our standard hiring process, selected candidates may be required to undergo a background check and/or drug screen. The Helper Bees adheres to applicable federal, state, and local laws regarding these screenings, and the results will be considered in accordance with applicable regulations.

The Helper Bees was recently made aware of a fraudulent entity posing as our organization and requesting personal information. Please be aware of and protect yourself from scams. Visit our website to view all current job openings.

Salary Description

$19.23/hr