Credentialing Specialist

At Catholic Charities, our mission is to bring hope to life, especially for those most in need. Our work is meaningful and impactful in our communities. Working at Catholic Charities isn't just a job; it's making a difference every day. Join us in making that difference!

The Credentialing Specialist is the subject matter expert in our organization for clinical staff licensing and enrolling providers with commercial insurance, managed care organizations, and other identified plans, in addition to supporting internship programs throughout the organization. If you are organized with strong interpersonal and written communication skills and thrive in a self-directed position, this could be the role for you!

Job Responsibilities Overview:

• Creates, maintains, monitors, and verifies all licenses and credentials, provider enrollments, and credentialing websites including the CAQH Provider Data Portal
• Assists clinical staff with obtaining required credentials and then enrolls clinicians in Medicaid, Medicare, and other insurances as appropriate based on license type
• Leads the application and/or renewal process for participation in HRSA, Washington Health Corps, and other student loan repayment programs
• Completes and submits required reports, including the National Practitioner Data Bank, and provides updated information to agency departments as enrollment or credential statuses change
• Maintains compliance with state and federal regulations, policies, and procedures regarding licensure or credentials and updates agency processes as needed when changes occur
• Implements and monitors agency internship programs, including working with university departments to understand their internship requirements, matching interns with appropriate opportunities within our agency, and promoting internship opportunities with universities and other partners

Job Requirements:The following requirements are those that are normally required for performance of this position. Any disabled applicant or incumbent who does not meet one or more of the requirements, but who can perform the essential function of the job (with or without reasonable accommodations) shall be deemed to meet these requirements.

Physical Requirements:This position normally requires the physical demands of standing, walking, bending, lifting or performing other work requiring low physical exertion, as well as keyboard fingering, talking, hearing and adequate vision on a regular basis to perform the job requirements. These physical demands are required up to 90% of the time.

Non-Physical Requirements:

Education

• High school diplomaor GED required

Experience

• 3 years' experience in medical or behavioral health administration, credentialing, or an equivalent combination of formal education, related skills, and administrative experience required
• Familiarity with clinical licenses and licensing requirements with the Washington State Department of Health preferred

Special Skills

• Ability to relate to individuals at all levels within an organization
• Strong research and analytical skills
• Ability to research and follow other applicable states' licensing processes
• Proficient with Microsoft Office suite, particularly Excel
• Ability to meet strict deadlines and prioritize
• Effective time management skills and ability to prioritize work
• Ability to think critically and solve problems
• Advanced organization skills
• High attention to detail and document editing
• Strong interpersonal and verbal and written communication skills
• Ability to be self-directed
• Ability to represent the agency in a professional manner within the community

Licensure, Registration, Certification

• Valid Washington State driver's license and minimum required liability insurance for WA State
• Must be deemed insurable as determined by Catholic Charities liability insurance provider

Employment is conditional upon:

• Being cleared by criminal background check and fingerprinting when required

Work Schedule & Location: Monday-Friday 8am-5pm, with the option to be on-site in either our Yakima or Richland offices

Wage Range:$27.00 - $33.00 per hour depending on experience

Benefits:

• 13 paid holidays, 12 days of vacation, 12 days of sick leave per year
• Health insurance including medical & prescription coverage, with optional dental and vision insurance plans. Majority of premiums paid by Catholic Charities
• Retirement 403(b) Plan: employee contributions commence upon employment; Catholic Charities contributes 2% of monthly income and matches up to 4% of employee contributions following 6 months of employment
• Basic Life Insurance paid 100% by Catholic Charities
• Flexible Spending Account eligibility following 6 months of employment
• Education Assistance Program reimbursing up to $5,250 per year for approved continuing education after 6 months of employment
• Additional voluntary insurances including supplemental life, accidental death & dismemberment (AD&D), critical illness, long term disability, accident, and ID theft
• Employee Assistance Program includes 3 counseling sessions per year, legal consultations, financial coaching, and other wellbeing tools
• Annual longevity awards begin at 5 years of employment

It is the practice of Catholic Charities to ensure equal employment opportunity without discrimination or harassment on the basis of race, color, national origin, sex, age, disability, citizenship status, marital status, creed, genetic predisposition or carrier status, sexual orientation, gender expression, or any other characteristic protected by applicable law. Applicants from underrepresented backgrounds are encouraged to apply. We gladly offer reasonable accommodations to individuals with disabilities to support participation in the hiring process and employment.

#WorkForHope