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  Facilitate provider credentialing and re-credentialing, obtaining required information as needed. Coordinates procurement of DEA, licensure, malpractice insurance information, and other required information to process applications.
• Completes provider credentialing and re-credentialing applications; monitors applications and follows- up as needed. Ensures timely processing of all credentialing requests.
• Maintains knowledge of current health plan and agency requirements for credentialing and enrolling providers.
• Sets up and maintains provider information in online credentialing databases and systems, including CAQH and PECOS, to assure all credentialing information is accurate and up to date.
• Maintain and update credentialing reports. Keeps an updated log of all pending and completed work.
• Ensures practice addresses are current with health plans, agencies, and other entities.
• Audits health plan directories for current and accurate provider information.
• Communicates health plan coverage changes, additions, deletions across Centerprise and its clients.
• Acts as liaison with health plans and assists operations and billing staff on issues.
• Other duties as assigned

QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty completely. The requirements listed below are representative of the knowledge skill and/or ability required.

Minimum Qualifications:

• To be eligible for remote portion, must have reliable Internet connection with a minimum download speed of at least 5Mbps, and upload speed at least 1 Mbps. Must have a dedicated work area with a door.
• High School Diploma or Equivalent (GED), Associate Degree preferred.
• Certified Provider Credentialing Specialist (CPCS) preferred.
• Knowledge and understanding of the credentialing process. 2+ years of enrollment and credentialing experience required. FQHC experience is a plus.
• Ability to organize and prioritize work and manage multiple priorities.
• Excellent attention to detail.
• Ability to research and analyze data.
• Ability to work independently with minimal supervision.
• Ability to establish and maintain effective working relationships with providers, management, staff, and contacts outside the organization.
• Proficiency with Microsoft Office Suite. Must be able to use Excel spreadsheets.
• Familiarity and experience with CAQH and NCQA
• Excellent written and oral communication skills

• Competitive benefits package, including options to enroll in the following programs: Health, Dental, Vision, Life, Short Term Disability, Long Term Disability, Flex Savings Accounts
• 401 (k) Program with competitive company match
• Courtesy Plan, full time staff and their immediate family members are eligible for courtesy treatment at any HealthSource of Ohio office up to $500.00 per family
• PTO and Long-Term Sick Bank, full time employees earn up to 25 days per year in first calendar year: 15 days of Paid Time Off (PTO), and 10 days of Long-Term Sick Bank (LTSB)
• Credit Union Privileges, Sharefax Credit Union
• Quarterly Bonus Incentive Program

• Monday to Friday; no evenings, or weekends
• 30-days in office training required. After 30 days, eligible to work a hybrid-remote schedule which will include 2-3 in office days per week.