Credentialing Specialist

2 weeks ago

Farmington Hills, Michigan, United States Centria Autism Full time
Job Title: Credentialing Specialist

Centria Autism Services is seeking a highly organized and detail-oriented Credentialing Specialist to join our team. As a Credentialing Specialist, you will be responsible for implementing credentialing guidelines for clinical and field-based personnel, ensuring compliance with Centria, payor, state, and federal regulations.

Key Responsibilities:
  • Alert and enroll clinical and field staff in required training courses based on payor, state, and federal regulations and track completion.
  • Review documentation for accuracy and ensure credentialing with Centria, payor, state, and federal mandates.
  • Track clinical and field staff credentialing and communicate to the appropriate individuals to ensure receipt before expiration.
  • Update internal and external systems with credentialing documents.
  • Communicate credentialing deadlines with the Operations Team at established milestones and escalate as needed to prevent team members from going on hold.
  • Perform dormant team member follow-up and offboarding tasks as needed and in credentialing with Centria guidelines.
Requirements:
  • Associates Degree required, Bachelor's degree preferred
  • 1 + years administrative or customer service experience, required;
  • Data entry experience, required;
  • 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 work.
Working Conditions:

Centria's office hours are Monday through Friday from 8:30am-6:00pm. Additional time may be required to complete above work or meet company objectives. Overtime is not a planned part of this role; if required, overtime must be pre-approved by a leader in the department.

This role will require sitting most of the 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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