Credentialing Specialist

Sea Mar Community Health Centers, a Federally Qualified Health Center (FQHC) founded in 1978, is a community-based organization committed to providing quality, comprehensive health, human, housing, educational and cultural services to diverse communities, specializing in service to Latinos in Washington State. Sea Mar proudly serves all persons without regard to race, ethnicity, immigration status, gender, or sexual orientation, and regardless of ability to pay for services. Sea Mar's network of services includes more than 90 medical, dental, and behavioral health clinics and a wide variety of nutritional, social, and educational services. We are recruiting for the following position:

Sea Mar is a mandatory COVID-19 and flu vaccine organization

* PLEASE NOTE: THIS IS -NOT- A REMOTE POSITION. IT IS IN-PERSON ONLY, LOCATED IN FEDERAL WAY, WASHINGTON.*

Position Summary :

The Credentialing Specialist is ultimately the Epic access gatekeeper for Sea Mar. The Credentialing Specialist is responsible for submitting Epic access requests for all Sea Mar staff and providers. The Credentialing Specialist is a detail-oriented professional who is meticulous in gathering and submitting data and provides exceptional customer service to internal colleagues and external partners. The ideal candidate would be an individual who possesses an analytical mindset, is familiar with data analysis tools and look for opportunities to automate processes.

Duties and Responsibilities :

As a mission-driven organization, the core values of, and the services offered at Sea Mar are based on the belief that everyone deserves to be respectfully treated in a way that preserves dignity and enhances self-worth. Sea Mar is an advocate for its clients and aims to achieve industry-leading, client-centered, culturally-aware services.

Sea Mar employees serve as an extension of this mission and demonstrate their commitment to an excellent client experience by:

Understanding and empathizing with client needs

Surpassing client expectations

Demonstrating a high level of integrity

Exhibiting compassion and commitment

Advocating for social justice

Taking pride in individual work as well as that of the team

Continually learning to stay current with industry standards, best practices and technology

As a Sea Mar employee, the individual in this position commits to adherence to these values to their utmost ability and endeavors to strengthen and embody this mission daily.

Essential duties and responsibilities of the Credentialing Specialist include, but are not limited to:

Tracking all internal Epic access requests for both provider and non-provider staff, locums and contractors across all departments in the organization.

Gathering from various sources all the necessary information for creating an Epic account, including but not limited to: ID numbers, credentials, billing and credentialing information, assigned location, and any other user details.

Ensuring all information is accurate and entered correctly

Responsible for submitting and uploading appropriate Epic access files and tickets for all new employees and employee changes.

Working professionally and communicating regularly with key stakeholders (i.e. Compliance, Central Business Office, Operations, Providers, Leadership, etc…)

Completing and submitting tickets on a daily basis and in a timely manner, while also meeting all other deadlines

Staying up-to-date on relevant UDS, Billing, and Credentialing rules for setting up an Epic profile

Developing manuals, tip sheets, and training resources

Supporting and assisting the Credentialing and Central Business Office departments

Gathers, analyzes and submits data (rosters) to insurance companies

Manages large amounts of data

Other duties as assigned.

CONDITIONS OF EMPLOYMENT

This applicant must navigate initial hire screenings including a background check conducted internally through Sea Mar’s human resources department. The new employee shall sign and date the job description to affirm the validity of the information herein and to signify compliance with the conditions of employment; they must sign an oath of permanent confidentiality covering all patient related information as well. The employee must adhere to the Sea Mar Employee Health Screening and Infection Control policies.

Qualifications

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 accommodations may be made to enable individuals with disabilities to perform the essential functions.

Must have excellent verbal and written communication skills, including the ability to compile, interpret, and utilize information; and to communicate effectively with people of all backgrounds and educational levels.

Must be able to work with minimal supervision, use good judgment, meet deadlines, and prioritize workloads.

Must be able to maintain confidentiality.

Must be well organized and have great attention to detail.

Must be fully fluent in spoken and written English. Bilingual English/Spanish is beneficial

Must be computer literate and have good mathematical skills. Experience in Windows Office programs and data entry preferred. Need to be proficient in Excel, specifically formulas and VLookup.

Must be able to solve problems and reason deductively.

Education and Experience: Certificates, Licenses, and Registrations, and Medical Screening:

College education preferred, high school diploma acceptable if previous work experience in managed care, hospital or medical office environment.

Additional Requirements:

Pre-hire and annual employee health screening required

Annual influenza vaccine required. The only exception is for employees with a medical or religious exemption approved by Administration. Employees with an approved medical or religious exemption must wear a mask at all times during the flu season.

TB testing annually required.

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

This employee will work in a group office setting, with significant levels of distractions and background noise.

Must maintain a professional appearance and demeanor at all times.

Hourly - Hourly Plan, 25.00 USD Hourly

What We Offer:

Sea Mar offers talented and motivated people the opportunity to work in a dynamic and growing community health organization. Working at Sea Mar Community Health Centers is more than just a job, it’s a fulfilling career with opportunity for advancement. The fringe benefits surpass most companies. For example, Full-time employees working 30 hours or more, receive an excellent benefit package of:

• •Medical
• •Dental
• •Vision
• •Prescription coverage
• •Life Insurance
• •Long Term Disability
• •EAP (Employee Assistance Program)
• •Paid-time-off starting at 24 days per year + 10 paid Holidays.
• •We also offer 401(k)/Retirement options and an exciting opportunity to work in a culturally diverse environment.

Sea Mar is an equal opportunity employer.

Please visit our website to learn more about us at www.seamar.org. You may also apply thru our Career page at this link.