Company Overview
UMCF is a comprehensive mental health and child welfare agency dedicated to helping families stay together, reunify, or establish new permanent connections. With extensive experience across various services including foster care, outpatient mental health, psychiatry, and care coordination, we are committed to making a positive impact in the lives of children and families. Overview
We are seeking a detail-oriented and proactive Credentialing Coordinator to join our team. In this vital role, you will manage the credentialing process for healthcare providers, ensuring compliance with industry standards and regulatory requirements. Your efforts will support our mission by maintaining accurate provider records, facilitating smooth onboarding, and upholding the highest standards of credentialing excellence. Responsibilities
1. Manage overall credentialing and group contracting functions for the agency, including day-to-day administration and relationship management with related groups.
2. Assist in agency accreditation activities, including providing administrative assistance in gathering, completing and submitting forms and other requirements.
3. Manage new provider credentialing and onboarding, working with providers and supervisors to fulfill requirements, including proper licensure, NPPES and CAQH completion, provider documentation, and UMCF specific requirements.
4. Oversee ongoing credentialing, re credentialing, and re attestation activities/updates for providers and practice locations, to ensure data is current and compliant with group contracts, regulatory and other requirements, including but not limited to malpractice insurance, DEA, state licensure, board certification, CAQH, etc.
5. Maintain internal credentialing data in various databases and agency’s electronic health record.
6. Research and assist in revolving internal issues with contracting, billing and scheduling, working collaboratively to accommodate clients and achieve strong reimbursement rate.
7. Perform regular auditing of internal and external provider databases to ensure integrity of provider data.
8. Collaborate closely with the Business Operations Manager, clinical, and intake staff to both identify and address interdepartmental issues with reimbursement and credentialing effectively.
10. Assume any specific duties assigned at the discretion of the administration.
11. Attend staff meetings (once a month – all staff).
12. Schedule and attend supervision (frequency varies, minimum of one time per month).
13. Attend all mandatory training required to satisfy company and licensure requirements (CEU’s, Agency specific, COA required or required by clinical department).
14. Demonstrate an understanding and cultural sensitivity for diverse populations.
15. Excellent organizational skills with keen attention to detail to ensure compliance and accuracy.
16. Ability to work independently while managing multiple priorities efficiently. Join us to play a crucial role in supporting our healthcare providers while contributing to the well-being of countless families!
Qualifications An example of acceptable qualifications (at least one of the following):
Must possess a high school diploma or a GED and 2-5 years’ experience in behavioral health, Medicaid billing.
Ability to pass a Federal and State Fingerprinting Background Check both prior to employment and per the schedule outlined by HR thereafter.
Knowledge, Skills, and Abilities
· Skill in customer service.
· Skill in writing.
· Skill in effective time management, planning, communication, and interpersonal skills.
· Ability to manage multiple projects, priorities, meet deadlines, and think creatively.
· Ability to solve problems and work independently.
· Ability to learn and effectively utilize different technological platforms, including but not limited to: CANS and CareLogic.
· Ability to deal with the public, staff, and clients in a professional manner.
· Ability to multitask and prioritize in a dynamic work environment.
· Ability to administer private, nonprofit service organizations, including an understanding of the legal responsibilities and constraints of such organizations.
· Ability to obtain and manage external contracts.
· Ability to communicate effectively.
· Ability to establish and maintain effective working relationships with federal, state, regional, and local agencies, community leaders, and the general public.
· Ability to express oneself clearly and effectively in oral and written form.
Join Us
Join a supportive collaborative team of peers and supervisors providing a highly successful rate of mental health improvement among our clients! We provide excellent supervision and competitive benefits including continuing education opportunities. We are an equal-opportunity employer.
Benefits include:
- Competitive salary
- Health insurance with HRA & FSA, or HSA, with agency contribution.
- Dental insurance
- Paid vision insurance
- Paid life, short- and long-term disability insurance
- Retirement plan with company match after 1 year of service
- Employee assistance program
- Generous PTO & Holiday Pay
- Moving expenses considered for individuals who would relocate for qualifying positions
- Sign on bonus for qualifying positions
- We are an equal opportunity employer
Become a part of a great team!
Conditions of Employment:
· Ability to pass a Federal and State Fingerprinting Background Check both prior to employment and per the schedule outlined by HR thereafter.
CORE VALUES
Embody our core values and have the same expectations for others.
· Compassion We believe in meeting individuals in their current reality with understanding.
· Trust We believe honesty is essential to our culture. Our transparent and ethical actions build trust with youth, families and the community.
· Commitment We believe in consistently delivering on expectations and go the extra mile to get the job done.
· Teamwork We believe great ideas and best outcomes happen in inclusive environments.
· Innovation We believe in developing new and creative ways to serve people. We listen to all ideas.
Pay: From $20.00 per hour
Benefits:
- 403(b)
- AD&D insurance
- Dental insurance
- Disability insurance
- Employee assistance program
- Flexible spending account
- Free parking
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Vision insurance
Experience:
- Behavioral health: 2 years (Required)
- Medical billing: 2 years (Required)
Work Location: In person
