Credentialing Specialist-Horizons-Full Time

The Credentialing Clerk is responsible for all third-party credentialing and re-credentialing of clinical and medical staff. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all. ESSENTIAL FUNCTIONS: Maintain a master roster of organizations providers, credentialed payors, NPI numbers, licensures, CAQH profiles, and renewal/expiration dates. Obtain an NPI for providers, if necessary. Enroll and complete initial CAQH Provider Enrollment. Enroll providers with all applicable payors based on licensure. Maintain group/location enrollments and a master roster of such. Perform CAQH attestations every 120 days. Maintain up to date rosters for each payor. Update all data as required in a timely manner. Maintain current knowledge on credentialing requirements for each payor. Other duties as assigned. MINIMUM KNOWLEDGE AND SKILLS REQUIRED: Basic computer skills and the ability to interact with and learn various software programs. Demonstrated ability to communicate effective both written and oral. Proficiency in Microsoft Excel. REQUIRED BEHAVIORAL SKILLS: Integrity: A personal presence which is characterized by a sense of honesty and the willingness to do the right thing. The ability to role model, inspire and motivate others to promote the philosophy, mission, vision, goals and values of Hutchinson Regional Healthcare System. Compassion: A personal presence which is characterized by a sense of caring that is reflected in a high level of empathy and customer service with all that we come in contact. Ability to manage conflict, consider other points of view, and offer alternative solutions without jeopardizing overall project direction and the ability to manage customer expectations. Accountability: Demonstrated track record of ownership of situations, projects and issues. Able to work autonomously and have a high degree of flexibility to adapt to changing projects, priorities and work volumes. Respect: Demonstrated ability to collaborate with a diverse population. Treat all internal and external customers with a positive, proactive service orientation. Excellence: Strong communication and presentation skills with a proven ability to influence and lead teams to conclusion/decision making. Proven ability to think strategically but also must be able to lead day-to-day tactical processes. Demonstrated ability to manage and provide coaching and leadership on complex projects. Must be able to lead and/or facilitate process improvement. MINIMUM EDUCATION AND EXPERIENCE REQUIRED: High School diploma or GED. One to three years’ experience working in a business office setting. PREFERRED EDUCATION AND EXPERIENCE: Associates degree in Business or specialized training in Medical Office. Previous business experience in a medical office. REQUIRED LICENSE/REGISTRATION/CERTIFICATION: N/A PREFERRED LICENSE/REGISTRATION/CERTIFICATION: N/A We offer competitive pay, a generous benefit package and a reason to be proud of what you do, every day. Hutchinson Regional Medical Center is a not-for-profit, 190-licensed bed medical facility serving the health needs of more than 65,000 residents of Hutchinson, Reno County and the surrounding Central Kansas region. Our broad network of health care services extends deep into the community with Health-E-Quip, a home medical equipment supply store; Horizons Mental Health Center, a mental health services provider for surrounding counties; Hospice & HomeCare of Reno County, a medical and emotional support system for patients and their families in the final phase of a terminal illness or those needing home health care services for acute and chronic illness needs; and Sleep Diagnostic Center, a monitored sleep lab that identifies sleep disorders. Together, we will do everything possible to deliver an exceptional experience of care to every patient and family member who walks through our doors.