Employment Type:

Full time

Shift:

Day Shift

Description:

Job Title: Credentialing Specialist

Employment Type: Full-time

Shift: Day
Location: Remote, seeking a candidate local to PA, NJ, DE, or MD

Position Purpose

• The Community Health Worker (CHW) is a frontline public health worker who is a trusted member of and/or has strong ties and a close understanding of the community served. This trusting relationship enables the CHW to serve as a liaison/link/intermediary between health/social services and the community to facilitate access to services and improve the quality and cultural competence of service delivery.

As a “Credentialing Specialist” you will:

• Responsible for the management of the physician and mid-level providers credentialing process.
• Timely completion and submission of all applications for credentialing.
• Ensures all providers (physician and mid-level) are enrolled in each insurance plan to secure reimbursement for services rendered.
• Integral part of the onboarding process of new providers as it relates to individual payer credentialing and new practice set up with payers.
• Process NPI application/changes.
• Completes all paperwork for electronic funds transfers (EFT), claims submission and remit (EDI) processes.
• Maintain provider credentialing and insurance carrier files, including all certifications, licenses, CVs and malpractice information on past claims.

Minimum Qualifications:

• Hight School graduate or Equivalent (required)
• Associate degree (preferred)
• 2+ years of relevant experience (required)
• CPCS (preferred)

[FT/PT Benefit eligible Roles]:

**0.5 FTE (20 hours weekly) up to 1.0 FTE (40 hours weekly)

Position Highlights and Benefits:

• Comprehensive benefit packages, including medical, dental, vision, mental health, paid time off, 403B, education assistance and voluntary benefits (pet insurance, accident insurance, hospital indemnity and others) available from the first day of employment.  
• Work/Life balance with flexible schedules.  
• Free onsite parking.  
• Our mission and core values are what drive each member of Trinity Health to support each other, communicate openly and respectfully while embracing a culture that nurtures a healing, safe environment for all.   
• Referral Rewards Program 

Position Highlights:

• Work/Life balance with flexible schedules.  
• Free onsite parking.  
• Our mission and core values are what drive each member of Trinity Health to support each other, communicate openly and respectfully while embracing a culture that nurtures a healing, safe environment for all.   
• Referral Rewards Program 

St. Mary Medical Center is a beautiful 53-acre state-of-the-art facility comprised of more than 700 physicians, nearly 3,000 colleagues, and 1,100 volunteers committed to providing quality care delivered with compassion and respect.  St. Mary attracts top doctors, introduces cutting-edge technologies and implements advanced procedures to meet the healthcare needs of the people it serves, including the nearly 630,000 residents of Bucks County.  

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.