Credentialing Specialist

NaphCare is hiring a Credentialing Specialist to join our team in Birmingham, AL.

Work is 100% in-office.

The Credentialing Specialist is responsible for assessing and verifying credentials; database management; credentialing regulatory requirements; peer review and on-going maintenance of providers.

Key responsibilities and competencies to perform the job successfully include and are not limited to:

Establishes and maintains positive and productive relationships with providers.
• Educates providers and staff to ensure efficient and effective credentialing policies, procedures and standards.
• Acts as liaison between correctional facilities, corporate and providers
• Initial review and on-going maintenance of provider credentials to include collaborations.
• Facilitate Peer Review Process.
• In depth understanding and effective performance of the credentialing database.
• Problem solving-the individual identifies and resolves problems in a timely manner and gathers and analyzes information skillfully
• Interpersonal Skills-the individual maintains confidentiality, remains open to others' ideas and exhibits willingness to try new things.
• Oral communication-the individual speaks clearly and persuasively in positive or negative situations, demonstrates group presentation skills and conducts meetings.
• Written Communication-the individual edits work for spelling and grammar, presents numerical data effectively and is able to read and interpret written information.
• Planning/organizing-the individual prioritizes and plans work activities, uses time efficiently and develops realistic action plans, keeps leadership informed of work progress and barriers
• Quality control-the individual demonstrates accuracy and thoroughness and monitors own work to ensure quality.
• Adaptability-the individual adapts to changes in the work environment, manages competing demands and is able to deal with frequent change, delays or unexpected events.
• Dependability-the individual is consistently at work and on time, follows instructions, responds to management direction and solicits feedback to improve performance.
• Safety and security-the individual actively promotes and personally observes safety and security procedures, and uses equipment and materials properly.

The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with a job. NaphCare reserves the right to modify job descriptions at any time.

Experience / Requirements / Qualifications

• Bachelor's degree preferred
• NAMSS CPCS preferred
• A minimum of 1-2 years' provider credentialing experience
• Understanding of credentialing concepts to include multistate licensing, AMA, and NPDB, database management, accreditation standards and compliance
• Strong and proven Data Management experience required
• Strong customer service skills
• Highly organized and detail-oriented
• Strong verbal and written communication
• Ability to work effectively in a fast-paced, multi-scope, result-oriented environment
• Ability to maintain confidentiality of all proprietary and/or confidential information
• Integrity, professionalism and ability to adhere to a Code of Conduct and comply with all facility(s) correctional healthcare policies, procedures, and legal requirements
• Must pass a drug screen and criminal background check

Working Conditions, Mental and Physical Demands

• Long periods of sitting at a desk performing light physical work, including working at a computer terminal.
• Light physical work involving bending, lifting and carrying up to fifteen (15) pounds.
• Talking and listening to communicate ideas or requirements to individual staff members.
• Visual acuity to listen attentively and accurately.
• Ability to work overtime as needed to complete general responsibilities to meet the needs of the unit or corporation.

Why Join NaphCare?

NaphCare is one of the largest providers of healthcare services to correctional facilities throughout the US, and we are growing. If you have never considered a career in correctional healthcare, now may be the time. In addition to competitive salaries and generous employee benefits, we strongly support career advancement within the company.

NaphCare Benefits for Full-Time Employees Include:

• Health, dental & vision insurance that starts day one!
• Prescriptions free of charge through our health plan, beginning day one
• Lowest Cost Benefits!
• Employee Assistance Program (EAP) services
• 401K and Roth with company contribution that starts day one!
• Tuition Assistance
• Referral bonuses
• Term life insurance at no cost to the employee
• Generous paid time off & paid holidays
• Free continuing education and CMEs

If you would like to speak with me to learn more about this position and NaphCare, please first apply directly to the position to initiate the application process and I'll be in touch.

Equal Opportunity Employer: disability/veteran

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