Job Title

Schedule: Monday - Friday, 8:00 AM - 5:00 PMPay: Based on experienceEducation level: High school diploma or general education level (GED); Two years' related experience and/or training; or equivalent combination of education and experience. SUMMARY: Human Resource and Credentialing Specialist will assist the Human Resources Department with gathering, collecting, and maintaining employee-related documents and records. Credentialing will include onboarding and offboarding of all credentialed staff with our payer sources. ESSENTIAL DUTIES AND RESPONSIBILITIES: Essential duties include the following but are not considered an inclusive list. Coordinate streamlined onboarding processes for all credentialed providers. Ensure new clinical/credentialed staff have completed all required new hire credentialing applications for payers, facilities, insurance, and regulatory, policy & health compliance process requirements through approval to successfully meet their identified start date. Escalate any issues to ensure deadlines are met. Serve as the main point of contact for providers answering in a timely manner any questions about the credentialing process. Track credentialing applications in process and expirations to ensure accuracy. Utilize designated credentialing software for tracking and reporting on credentialing software. Complete monthly LEIE and DHS monthly checks on all active employees and file in HRIS/payroll system. Assist with and process requests received in all HR email boxes as needed. Assist with new hire drug screens as needed. Assist with ensuring multi-facility bulletin boards are up-to-date and in compliance with current state and federal laws. Maintain compliance with federal and state regulations while performing all HR activities. Provide customer service to all employees by ensuring trust and a positive attitude. Ability to work with minimal supervision. Customer service driven with the ability to work as a team member. This is a safety sensitive position. Maintains confidentiality of all information received regarding Friendship Community Care, Inc., and the participants. Conditions of confidentiality shall be in compliance with Friendship Community Care Non-Disclosure Policy and HIPAA Policies. This job description is not intended to be all-inclusive, and employees will also perform other reasonable related business duties as assigned by immediate supervisor and other management as required. This organization reserves the right to revise or change job duties as the need arises. This job description does not constitute a written or implied contract of employment. QUALITY ASSURANCE & COMPLIANCE: To adhere to the following and comply with all Quality Assurance's & HIPAA procedures: The Code of Conduct and Compliance Investigation Procedures as read and discussed in the new employee training must be followed at all times. Consumers' progress notes be maintained and completed daily or as needed on the prescribed forms. Consumers' records must be maintained weekly, monthly, quarterly, and yearly. All information must be filed in consumers' records as needed and updated as prescribed by funding sources. WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. This job description is not intended to be all inclusive, and employees will also perform other reasonable related business duties as assigned by immediate supervisor and other management as required. Please note that this job description is not designed to cover or contain a comprehensive list of activities, duties, or responsibilities required for this job. Duties, responsibilities, and activities may change at any time, with or without notice. A team member should perform all duties as assigned by his/her supervisor. QUALIFICATION REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Minimum of High School Diploma or G.E.D. Must be proficient in basic Microsoft Office products. Any similar combination of education and experience Associate degree (A.A.) or equivalent from two-year college or technical school; or 6 months 1-year related experience and/or training preferred. Preferences given to HR experience. EDUCATION and/or EXPERIENCE: Two years' related experience and/or training; or equivalent combination of education and experience. Degree preferred but not required. Experience in Credentialing databases such as, CAQH, Modio, MMIS, NOVITASPHERE, NPPES, PECOS is a plus. LANGUAGE SKILLS: Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental relations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of employees and managers. MATHEMATICAL SKILLS: Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Extensive knowledge of computer software including Windows Word, Excel, PowerPoint. REASONING ABILITY: Ability to apply commonsense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to use hands to finger, handle, or feel objects, tools, or controls and talk or hear. The employee frequently is required to stand, walk, and reach with hands and arms. The employee is frequently required to sit; climb or balance; stoop, kneel, crouch, or crawl; and taste or smell. The employee must occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, color vision, depth perception, peripheral vision, and the ability to adjust focus.