Credentialing Specialist

Description

As a recognized leader in our field, The Guidance Center provides a broad range of services that have helped children, adults and families unlock potential and build better lives since 1958. With over 25 programs, we offer treatment, prevention, growth and education services to more than 15,000 people annually. Together we: Nurture development. Foster resilience. Cultivate well-being.

We have an exciting opportunity for a Credentialing Specialist to join our team of talented professionals.

The position of Credentialing Specialist is responsible for the agency impaneling process as well as ensuring all professional staff in all applicable programs are properly trained, licensed and certified as mandated by state and federal regulations, funders and accrediting bodies and that all physicians are privileged. The Credentialing Specialist also ensures professional staff are impaneled with all applicable insurance companies or other payers and serves as Practice Manager for the organization with CAQH. The Credentialing Specialist is a member of the Quality Improvement (QI) team and therefore will assist with other QI related duties. Regular schedule: 8:30 to 5:00 Monday through Friday. Evening and weekend hours may be required.

• Bachelor's degree required, bachelor's degree in health information management or related field is preferred.
• 2 years of credentialing or credentialing-related experience in a health care or behavioral health setting preferred.
• Working knowledge of credentialing and impaneling processes for Medicaid, Medicare and private insurance companies preferred.
• Must be proficient in Excel and Word.
• Must also have excellent written and verbal communication skills, be highly organized, able to work independently, adaptable to rapidly changing guidelines and priorities as well as making timely, sound decisions.
• A valid driver’s license and good driving record is required.

The Guidance Center believes that our team members are our most valuable resources, and we invest in them accordingly. We offer our employees a competitive salary, health/dental/vision benefits, 401(k), Life Insurance, a generous paid time off package, flexible scheduling opportunities, a team-oriented work environment and much more!

The Guidance Center is an equal opportunity employer and is committed to creating a welcoming place for everyone.