Credentialing Specialist

Job Summary :

We are looking for a dynamic, detail-oriented Credentialing Specialist to join our team. The Credentialing Specialist will be responsible for the full credentialing cycle of Achieve Beyond providers for New York State-sponsored Early Intervention and special education programs.

Essential Duties and Responsibilities:

• Process new hire packets and follow up with providers to obtain all needed documentation for program compliance
• Follow up with providers for expiring and expired documentation to ensure providers remain in compliance
• Update provider information in databases, including status, program, name, address changes, etc.
• Process submitted provider documentation and training certificates
• Participate in internal and external credentialing audits and special projects
• Maintain mailboxes and internal database for document processing
• Assist in the processing and issuing of continuing education workshop certificates and hours
• Maintain strong relationship with internal departments, such as Recruiting and Provider Relations
• Other duties as assigned by the manager

Qualifications and Other Requirements:

• Minimum of one year experience working in an office (preferably in a healthcare setting).
• Team player who readily adapts to change and can switch tasks and priorities seamlessly.
• Ability to work effectively in a fast-paced environment and handle a large volume of emails/phone calls
• Ability to maintain multiple projects simultaneously
• Strong organizational skills and attention to detail
• Ability to work well under pressure and meet timelines
• Strong interpersonal and customer service skills
• Excellent verbal, written, and interpersonal communication skills

Physical Requirements of the Role:

• Occasionally ascends/descends stairs going to, while at, or leaving work location or facilities traveled to for work events.
• Must be able to remain in a stationary position for prolonged periods of time up to 90% of the work day working on a computer/electronic device.
• The ability to observe details at close range (within a few feet of the observer).
• The ability to communicate information and ideas so others will understand. Must be able to exchange accurate information in these situations.

• Job Description is Subject to Change.

This job description is subject to change at any time.
Achieve Beyond provides equal employment opportunities to all employees and applicants and prohibits discrimination and harassment of any type regarding race, color, religion, age, sex, national origin, disability status, genetics, caregiver status, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. If you are an individual with a disability requesting accommodation for the application process, please contact us for assistance.