Position Summary: The Credentialing Specialist is primarily responsible for reviewing candidate applications, obtaining necessary references and compiling basic credentialing information to determine if the candidate meets specific company and client requirements. In addition to securing valid references upon initial application, the Specialist is also responsible for securing updated credentials required to ensure compliance with internal policies, state and federal laws, regulations and standards.
Qualifications: The Credentialing Specialist must have a high school diploma (associate or bachelor’s Degree preferred) or an equivalent combination of education and experience required. Further requirement:
strong oral and written communication skills
systematic, detail-oriented and process driven
excellent organizational and prioritization skills
excellent customer service and problem resolution skills
ability to work as part of a team and adapt to changing priorities
ability to function in a fast-paced environment with daily "emergencies"
proficient in Microsoft Office Suite, excellent computer skills
Duties and Responsibilities: Every effort has been made to keep your job description as complete as possible. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or is a logical assignment to the position.
Receives and reviews applications and client requirements and contacts candidates for any additional supporting documentation or clarification
Reviews applications to ensure the candidates meet basic eligibility requirements
Calls supervisors and peers to obtain verbal references for candidates
Effectively communicates with all departments to ensure teamwork and efficiency
Responsible for maintaining and tracking of expiration dates of licenses, certificates, annual physicals, PPD/Chest X-rays, insurance, etc and follows up with staff regarding expiring documents to ensure compliance
Conducts all professional background investigations related to the credentialing of staff such as license verification, professional reference checks, Chauncy Registry, OMIG, OIG, SAM, Sex Offender Registry and other required queries
Records and files all incoming correspondence and documents gathered for the credentialing of staff
Performs audits regarding compliance for all documents required for new applicants and current staff
Assists in maintaining the efficiency and effectiveness of the credentialing systems and other HR functions
Performs other duties as assigned.
Team Dynamics:
Effectively communicates with staff to accomplish goals and objectives.
Creates a work atmosphere that promotes cooperation, respect, flexibility and teamwork amongst peers and staff.
Safety and Sanitation:
Follow all established safety procedures and precautions when operating equipment.
Report equipment malfunctions or breakdowns to the program manager as soon as possible.
Report all unsafe/hazardous conditions to the program manager immediately.
Customer Service:
Maintains an adequate liaison with clients and staff.
Demonstrates awareness, respect and concern for internal customers (coworkers) and external clients and employees.
Employees' Rights:
Maintains confidentiality of all employees’ information to assure employee rights are protected.
Attendance:
Observes rules, policies and regulations regarding attendance, punctuality, appearance and professional attitude as established by the organization.
Miscellaneous:
Conforms to security policies and procedures.
Physical Demands:
Must be able to Sit, Stand, bend, lift and move intermittently throughout the day.
Mental Demands:
Must be able to work independently with periodic (daily or less) support and direction.
Cognitive Demands:
Must be able to shift attention and task performance based on priorities.
Must be able to work in a distractible and stimulating environment.
Must be able to read, understand, and comply with policy and procedures.
Must have effective verbal and written communication skills.
The Employee must review this job description and agree to the qualification, requirements and job duties as delineated. If the individual requires reasonable accommodation to perform job duties safely and effectively, this should be brought to their manager’s attention.
