Job Description
Starting rate 29.47 per hour but may increase based on experience.
POSITION SUMMARY
The Credentialing Specialist is responsible for supporting the development and implementation of strategies and services which improve efficient and accurate health center revenue cycle operations and contribute to the financial sustainability of health center services. This position will work directly with health center staff, utilizing customer service skills to promote engagement in reaching improved outcomes related to credentialing, enrollment, and related activities.
RESPONSIBILITIES AND DUTIES
1. Supports the enrollment and credentialing related matters for Health Centers and MPCA Staff by providing technical assistance, training, and education and ongoing support to health centers in assigned areas.
- Supports the development and implementation of strategies and services which support efficient and accurate health center enrollment and credentialing operations.
- Provides support to MPCA training events, network gatherings, resource development, webinars, and conference calls to support and strengthen health center enrollment and credentialing activities.
- Builds and maintains subject matter expertise in assigned areas to stay abreast of relevant changes in practice, policy, and evidence and infuses that knowledge into MPCA offerings.
- Works collaboratively with stakeholders to gather constructive input to continually improve the support provided by MPCA to health centers.
2. Works directly with health center staff to coordinate and promote health center engagement in services, trainings, peer learning, and other efforts which support efficient and accurate health center enrollment and credentialing, provider onboarding processes, and related activities that contribute to the financial sustainability of health center services.
- Supports the establishment of enrollment and credentialing related contractual services offered to health centers.
- Coordinates the ongoing engagement of health centers in support of revenue cycle functions.
3. Other duties, as required.
KNOWLEDGE, SKILLS AND ABILITIES
Knowledge of:
- Requires knowledge of healthcare provider onboarding functions, including provider enrollment, credentialing, CAQH updates, and privileging processes
- Knowledge of Michigan's health coverage landscape including common public and private payers
- Word processing, spreadsheets, data base software, and electronic communication technology
- Electronic health record and practice management systems
Skill/Ability to:
- Ability to assess problems, determine solutions and make decisions in a timely manner
- Ability to engage in relationship building and utilize customer service skills
- Ability to self-motivate and take initiative to further organizational goals
- Ability to build credibility and trust with members and partners.
- Ability to develop and maintain productive partner relations.
- Ability to interpret relevant policies and procedures.
- Works independent and as a team member with minimal supervision.
- Ability to communicate complex and technical information in a clear and concise manner, both verbally and in writing.
Education/Experience:
- 1 year of professional experience working in revenue cycle, enrollment, credentialing, or other related work area in an outpatient healthcare setting required
- FQHC experience preferred; bachelor's degree preferred
Job Tags
Hourly pay, Work at office,