Credentialing Specialist

At Catholic Charities, our mission is to bring hope to life, especially for those most in need. Our work is meaningful and impactful in our communities. Working at Catholic Charities isn’t just a job; it’s making a difference every day. Join us in making that difference!

The Credentialing Specialist is the subject matter expert in our organization for clinical staff licensing and enrolling providers with commercial insurance, managed care organizations, and other identified plans, in addition to supporting internship programs throughout the organization. If you are organized with strong interpersonal and written communication skills and thrive in a self-directed position, this could be the role for you!

Job Responsibilities Overview:

• Creates, maintains, monitors, and verifies all licenses and credentials, provider enrollments, and credentialing websites including the CAQH Provider Data Portal
• Assists clinical staff with obtaining required credentials and then enrolls clinicians in Medicaid, Medicare, and other insurances as appropriate based on license type
• Leads the application and/or renewal process for participation in HRSA, Washington Health Corps, and other student loan repayment programs
• Completes and submits required reports, including the National Practitioner Data Bank, and provides updated information to agency departments as enrollment or credential statuses change
• Maintains compliance with state and federal regulations, policies, and procedures regarding licensure or credentials and updates agency processes as needed when changes occur
• Implements and monitors agency internship programs, including working with university departments to understand their internship requirements, matching interns with appropriate opportunities within our agency, and promoting internship opportunities with universities and other partners

Job Requirements: The following requirements are those that are normally required for performance of this position. Any disabled applicant or incumbent who does not meet one or more of the requirements, but who can perform the essential function of the job (with or without reasonable accommodations) shall be deemed to meet these requirements.

Physical Requirements: This position normally requires the physical demands of standing, walking, bending, lifting or performing other work requiring low physical exertion, as well as keyboard fingering, talking, hearing and adequate vision on a regular basis to perform the job requirements.  These physical demands are required up to 90% of the time.

Non-Physical Requirements:

Education

• High school diploma or GED required

Experience

• 3 years’ experience in medical or behavioral health administration, credentialing, or an equivalent combination of formal education, related skills, and administrative experience required
• Familiarity with clinical licenses and licensing requirements with the Washington State Department of Health preferred

Special Skills

• Ability to relate to individuals at all levels within an organization
• Strong research and analytical skills
• Ability to research and follow other applicable states’ licensing processes
• Proficient with Micro