Credentialing Specialist

Medical Credentialing Specialist

Starting Pay Rate: $36,764 annually ($20.20 per hour)

Benefits:

• PTO – vacation (16-24 days a year based on longevity) Sick leave 12 days a year, and 13 paid holidays.
• Ability to work a 4-day schedule after 6 months on the job. Multiple work schedules available.
• Wellness program with the ability to earn an additional 3 PTO days a year.
• 401K with up to 10% employer investment.
• Heavily subsidized Health Insurance with co-pays.
• Vision and Dental insurance.
• Flexible Spending Accounts-Medical and Dependent Care.
• Monthly contribution towards dependent care. (to offset childcare costs)
• Company paid Life Insurance and Identity theft protection. (LifeLock)
• Employee Assistance Program.
• Family Medical Leave, Paid Family Leave, Military Leave, Bereavement Leave, Jury Duty Leave, Bone Marrow and Blood Donation Leave, Voting Time Leave, Election Leave, and Leaves for Crime Victims and Domestic Violence Victims.
• Employees may be eligible for the federal Public Service Loan Forgiveness program to have student loans forgiven.
• Free covered parking.
• Additional benefits available.

Job Duties:

The successful candidate will be expected to:

• Provide support to the Medical Credentialing Specialist by ensuring all pre-employment and annual medical requirements are met for all staff.
• Enter medical into Excel and the ADP systems with the ability to run frequent audit reports.
• Track and maintain annual medical and ensure compliance through various regulators.
• Ensure medical paperwork submitted meets regulatory requirements.
• Track annual NYS Sexual Harassment Training for CDIS, Many Hearts, Veteran Care Attendance, Volunteers and Board Members. Send reminder letters, make appropriate follow-up calls, and create mail-merge suspension letters and termination letters for non-compliance.
• Generate reminder letters to staff and participants for upcoming medical due. Ensure staff are placed on medical suspension and do not work out of compliance.
• Conduct pre-and-post-employment background checks, Justice Center and all required fingerprinting, sexual offender, child registry, DOH, UAS, Medicaid and License checks. Cross reference with application and other pre-employment checks.
• Assist with the New York State DMV's LENS Notification System. Contacting employees and their supervisors to inform them of the notification if their license becomes suspended, revoked, has a change in class or status, accidents, etc.
• Remain up to date with the changing legislation and regulations through the Justice Center (OPWDD and OMH) and the Department of Health (DOH) to ensure the proper requirements are met.

Education:

• An Associate's Degree is preferred; a High School Diploma or equivalent is required.

Work Experience Requirements:

• Minimum of five years' clerical experience, preferably in a Human Service Organization. Human Resources experiences highly preferred. Medical terminology preferred. OPWDD/DOH experience a plus.

Knowledge, Skills & Abilities:

• Office machines such as fax, copier and printer, HIPAA, DOL and FCRA Laws, and Microsoft Office.
• ADP knowledge preferred.
• Organization, telephone, computer, business, oral and written communications, typing, problem solving, ability to work with a diverse mix of consumers, professionals and vendors, flexibility, confidentiality.
• Accuracy, strong follow-up and data entry skills are required.

RCIL is a civil rights organization that offers individuals with disabilities a wide range of independent living and advocacy services through the numerous programs we manage.

RCIL is an equal opportunity employer and it is the policy of RCIL not to discriminate against any applicant for employment, or any employee because of age, color, sex, disability, national origin, race, religion, or veteran status.

Travel Required: No

Location: Utica, NY