Credentialing Specialist

About the role

The Credentialing Coordinator plays a crucial role in the credentialing process for Damar’s healthcare and behavioral health teams. This position collaborates with various departments to ensure an efficient and effective credentialing process.

Responsibilities

• Collects and maintains required information and documents necessary for credentialing
• Tracks documentation, submission and approval dates by payer
• Sets up and maintains database of all credentialed staff regarding status in credentialing process as well as timelines for any re-credentialing
• Collaborates with the Accounting team, providing information as needed to ensure denials are addressed quickly
• Notifies appropriate internal parties when staff are credentialed by insurance companies, government payers, and other third-party payers
• Seeks the best use of materials, equipment and staff to maximize efficiency and effectiveness
• Acts as a good steward of Damar and/or client finances
• Prioritizes duties in a manner consistent with organizational objectives and growth
• Maintains documentation that is accurate and legible
• Adheres to all policies and procedures as defined in the Employee Handbook, ABA Operational Policies and Procedures, and Damar Operational Policies and Procedures Manual

Requirements

• High School Diploma or GED required; Associate or Bachelor's degree in healthcare administration or related field preferred
• Minimum of 1 year of relevant experience in a healthcare setting required; credentialing experience preferred
• Strong knowledge of the credentialing process and payer requirements
• Knowledge of HIPAA regulations and patient privacy laws
• Proficiency in using electronic health record systems
• Proficiency with MS Office applications including: Word, Excel, Outlook and PowerPoint
• Certification as a Credentialing Specialist (CPCS) is a plus

Qualifications

• Ability to pass and maintain CPR certification
• Minimum age of 18 per licensure requirements
• Valid Indiana driver’s license and driving record that meets eligibility requirements of Damar’s insurance carrier (for all positions requiring driving)
• Be clear of any felony convictions, substantiated charges of neglect or other disqualifying criminal convictions
• Successfully complete a pre-employment physical
• Favorably meet and maintain Damar’s background screening

Skills

• Excellent communication skills
• Attention to detail
• Organizational skills
• Problem-solving abilities

Benefits

• Eligible for the Damar Advantage including discounts at Damar Health Services and Damar Pharmacy
• Comprehensive training in verbal intervention and physical management techniques
• Medical, Dental, and Vision Insurance options
• Up to $3,000 per year in Tuition Assistance
• Save for your retirement with our 401(k) Plan
• Participation
• Takes care of loved ones through our Damar provided Life Insurance and additional voluntary options
• Short-Term and Long-Term Disability Insurance options
• Paid Holidays to spend time with loved ones
• Paid Time Off (PTO) for rest and renewal

Pay

Compensation is commensurate with experience.

Schedule

Full-time position.