Provider Enrollment Specialist-Hybrid position after 90 days

Company Description

Human Services Management Corporation (HSMC) provides shared business and consulting services to both non-profit and proprietary human services agencies. These services include accounting, payroll, credentialing, third-party billing and collections, human resources, online and live Continuing Education, marketing, facility development and quality assurance programs.

HSMC is currently seeking a Provider Enrollment Specialist! The Provider Enrollment Specialist reports directly to the Vice President of Credentialing, Education and Development.

Job Description

Complete credentialing and re-credentialing applications for providers at HSMC’s client companies, monitor applications, conduct follow- up as required and report on credentialing status.
Maintain current and accurate credentialing data for providers at HSMC’s client companies, including but not limited to, certification, licensure, professional liability insurance, and Council for Affordable Quality Healthcare (CAQH) profile data, track and monitor status, and collaborate with providers to ensure timely renewals/attestations.
Assist with pre and post event tasks for training offered for Continuing Education by HSMC client companies to ensure compliance with the standards and criteria of the various credentialing entities for which HSMC is an Approved Provider/Sponsor.
Assist with program administration of university affiliated degree and Certificate programs for HSMC client company staff and instructors.
Other reasonably related duties as assigned by the Vice President of Credentialing, Education and Development, Senior Vice President of Human Resources, and/or President.

Qualifications

Bachelor’s Degree preferred. Associate degree with relevant training and/or experience required.

One year of experience in a credentialing, provider enrollment or contracting role preferred. Experience with Council for Affordable Quality Healthcare (CAQH) a plus.

COMMUNICATION SKILLS
Expressing or exchanging ideas by means of the spoken and written word required Candidates must be able to both speak and write clearly and concisely, and to convey information effectively in this position.

MATHEMATICAL SKILLS
Knowledge of arithmetic and their applications is required. Candidates must be able to apply mathematical operations to spreadsheets and databases.
CERTIFICATES, LICENSES, REGISTRATIONS
Certified Provider Credentialing Specialist (CPCS) a plus. Knowledge of credentialing software and Microsoft 365 suite applications a plus.