Neighborcare Health
Purpose
The Senior Credentialing Specialist provides day-to-day coordination of Neighborcare Health’s credentialing and recredentialing processes to ensure full compliance with all funder, payer, and accreditation requirements, including those established by HRSA/BPHC, CMS, and NCQA. Overview
This role is pivotal in maintaining accurate, timely, and compliant credentialing records for all clinical staff, contractors, residents, and students. The Senior Credentialing Specialist collaborates closely with internal partners to support efficient provider onboarding, sustain regulatory compliance, and uphold Neighborcare Health’s Mission, Guiding Principles, and Goals through operational excellence and teamwork. This position offers a hybrid work schedule, working 3 days in-office and 2 days remote. Health, Wellness & Retirement benefits
Medical, Dental & Vision insurance Paid time off & paid holidays Retirement with contribution match Life & AD&D, pet insurance Employee assistance program, & more! Compensation
The target wage range for this position is $26.62 per hour to $31.92 per hour. Final offers are individually based on various factors, including skill set, years of experience, location, qualifications, work schedule and other job-related reasons. Primary Responsibilities
Coordinate and ensure compliance with Neighborcare Health’s credentialing, recredentialing, and documentation processes in accordance with established standards. Process credentialing applications with accuracy and completeness, ensuring adherence to all regulatory, payer, and organizational requirements. Conduct timely and accurate primary source verifications, promptly investigating discrepancies and escalating potential risk management concerns when appropriate. Manage credentialing workflows to support efficient data collection, accurate information tracking, and timely completion of credentialing cycles. Ensure all credentialing activities comply with Neighborcare Health policies and the requirements of HRSA/BPHC, CMS, NCQA, and other applicable entities. Maintain the confidentiality and security of credentialing files and ensure the appropriate release of information in accordance with HIPAA and organizational policies. Serve as a primary contact for internal and external stakeholders, including providers, clinical staff, hospitals, health plans, and training programs. Monitor and track expiring credentials, licenses, certifications, and insurance documentation to ensure continuous compliance. Organize, maintain, and update electronic credentialing files and databases with precision and accuracy. Prepare and generate regular reports on credentialing and recredentialing activities in alignment with delegated agreements and organizational needs. Assist in reviewing, updating, and maintaining credentialing policies, procedures, and delegation agreements to reflect current standards Required Skills
Demonstrated experience with initial and recredentialing processes in compliance with HRSA/BPHC, CMS, and NCQA standards. Exceptional attention to detail and accuracy in data entry, verification, and documentation. Proficiency in credentialing software systems (MD-Staff, MD-App) and advanced skills in the Microsoft Office Suite (Word, Excel, Outlook). Knowledge of clinical services, workflows, and operations within an ambulatory or community health care setting. Ability to maintain strict confidentiality and comply with HIPAA and organizational privacy policies. Strong organizational and multitasking skills with the ability to manage multiple priorities and meet deadlines. Proven ability to analyze issues, problem-solve, and prioritize tasks while working both independently and collaboratively within a self-directed team environment. Ability to perform effectively under pressure and adapt to a dynamic, fast-paced work setting. Excellent verbal and written communication skills, with a strong commitment to professionalism and exceptional customer service. Ability to remain calm, respectful, and solution-focused when handling complex or challenging situations. Demonstrated ability to work effectively and respectfully with diverse populations, fostering inclusivity and cultural sensitivity. Reliable, punctual, and consistent attendance record. Proficiency in professional communication via phone, email, and in-person interactions. Strong typing, data management, and recordkeeping skills with a focus on accuracy and compliance. Education/Experience Requirements
High School diploma or equivalent Minimum 3 years of experience in credentialing or medical staff services Preferred Requirements
Associate degree (AA/AS) in healthcare administration, business, or a related field. Certification as a Certified Provider Credentialing Specialist (CPCS) through the National Association Medical Staff Services (NAMSS). 5 or more years of progressively responsible experience in credentialing or medical staff services, preferably within a Federally Qualified Health Center (FQHC), hospital, or multi-site ambulatory care organization. Experience using software systems such as MD-Staff, MD-App, or similar platforms. About Neighborcare Health
Since 1968, Neighborcare Health has been removing barriers to health care for our neighbors. We believe everyone deserves a place to call their health care home, where a team of medical, dental and mental health professionals work in collaboration with each patient to develop a personal health improvement plan. We are one of the largest providers of primary medical, dental and behavioral health care services in the Seattle area serving low-income and uninsured families and individuals, seniors on fixed incomes, immigrants, and people experiencing homelessness. Each year we care for nearly 60,000 patients at our nearly 30 non-profit medical, dental and school-based clinics. We ask everyone to pay what they can, but no one is turned away due to inability to pay. Our clinics are located in neighborhoods where health disparities are the greatest, and our care teams, who speak over 55 languages and dialects, are as diverse as our patients. No matter who you are, or where you come from, regardless of your insurance, income or immigration status, you are welcome at Neighborcare Health. Learn more about us here. Seasonal Masking Policy
As part of Neighborcare Health’s multi-layered strategy to limit the transmission of respiratory illnesses during the season of high respiratory virus transmission (November 1 – April 1), we have implemented the following seasonal masking policies: Seasonal Masking in Patient Care Settings As part of Neighborcare Health’s multi-layered strategy to limit the transmission of respiratory illnesses, face coverings are required to be worn in patient care settings during the season of high respiratory virus transmission, from November 1 – April 1 annually. Seasonal Masking in Administrative Spaces Neighborcare Health's seasonal masking procedure also requires masking in administrative spaces during flu season (November 1 – April 1), unless you have received a current year influenza immunization. #WORK4NCH Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
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The Senior Credentialing Specialist provides day-to-day coordination of Neighborcare Health’s credentialing and recredentialing processes to ensure full compliance with all funder, payer, and accreditation requirements, including those established by HRSA/BPHC, CMS, and NCQA. Overview
This role is pivotal in maintaining accurate, timely, and compliant credentialing records for all clinical staff, contractors, residents, and students. The Senior Credentialing Specialist collaborates closely with internal partners to support efficient provider onboarding, sustain regulatory compliance, and uphold Neighborcare Health’s Mission, Guiding Principles, and Goals through operational excellence and teamwork. This position offers a hybrid work schedule, working 3 days in-office and 2 days remote. Health, Wellness & Retirement benefits
Medical, Dental & Vision insurance Paid time off & paid holidays Retirement with contribution match Life & AD&D, pet insurance Employee assistance program, & more! Compensation
The target wage range for this position is $26.62 per hour to $31.92 per hour. Final offers are individually based on various factors, including skill set, years of experience, location, qualifications, work schedule and other job-related reasons. Primary Responsibilities
Coordinate and ensure compliance with Neighborcare Health’s credentialing, recredentialing, and documentation processes in accordance with established standards. Process credentialing applications with accuracy and completeness, ensuring adherence to all regulatory, payer, and organizational requirements. Conduct timely and accurate primary source verifications, promptly investigating discrepancies and escalating potential risk management concerns when appropriate. Manage credentialing workflows to support efficient data collection, accurate information tracking, and timely completion of credentialing cycles. Ensure all credentialing activities comply with Neighborcare Health policies and the requirements of HRSA/BPHC, CMS, NCQA, and other applicable entities. Maintain the confidentiality and security of credentialing files and ensure the appropriate release of information in accordance with HIPAA and organizational policies. Serve as a primary contact for internal and external stakeholders, including providers, clinical staff, hospitals, health plans, and training programs. Monitor and track expiring credentials, licenses, certifications, and insurance documentation to ensure continuous compliance. Organize, maintain, and update electronic credentialing files and databases with precision and accuracy. Prepare and generate regular reports on credentialing and recredentialing activities in alignment with delegated agreements and organizational needs. Assist in reviewing, updating, and maintaining credentialing policies, procedures, and delegation agreements to reflect current standards Required Skills
Demonstrated experience with initial and recredentialing processes in compliance with HRSA/BPHC, CMS, and NCQA standards. Exceptional attention to detail and accuracy in data entry, verification, and documentation. Proficiency in credentialing software systems (MD-Staff, MD-App) and advanced skills in the Microsoft Office Suite (Word, Excel, Outlook). Knowledge of clinical services, workflows, and operations within an ambulatory or community health care setting. Ability to maintain strict confidentiality and comply with HIPAA and organizational privacy policies. Strong organizational and multitasking skills with the ability to manage multiple priorities and meet deadlines. Proven ability to analyze issues, problem-solve, and prioritize tasks while working both independently and collaboratively within a self-directed team environment. Ability to perform effectively under pressure and adapt to a dynamic, fast-paced work setting. Excellent verbal and written communication skills, with a strong commitment to professionalism and exceptional customer service. Ability to remain calm, respectful, and solution-focused when handling complex or challenging situations. Demonstrated ability to work effectively and respectfully with diverse populations, fostering inclusivity and cultural sensitivity. Reliable, punctual, and consistent attendance record. Proficiency in professional communication via phone, email, and in-person interactions. Strong typing, data management, and recordkeeping skills with a focus on accuracy and compliance. Education/Experience Requirements
High School diploma or equivalent Minimum 3 years of experience in credentialing or medical staff services Preferred Requirements
Associate degree (AA/AS) in healthcare administration, business, or a related field. Certification as a Certified Provider Credentialing Specialist (CPCS) through the National Association Medical Staff Services (NAMSS). 5 or more years of progressively responsible experience in credentialing or medical staff services, preferably within a Federally Qualified Health Center (FQHC), hospital, or multi-site ambulatory care organization. Experience using software systems such as MD-Staff, MD-App, or similar platforms. About Neighborcare Health
Since 1968, Neighborcare Health has been removing barriers to health care for our neighbors. We believe everyone deserves a place to call their health care home, where a team of medical, dental and mental health professionals work in collaboration with each patient to develop a personal health improvement plan. We are one of the largest providers of primary medical, dental and behavioral health care services in the Seattle area serving low-income and uninsured families and individuals, seniors on fixed incomes, immigrants, and people experiencing homelessness. Each year we care for nearly 60,000 patients at our nearly 30 non-profit medical, dental and school-based clinics. We ask everyone to pay what they can, but no one is turned away due to inability to pay. Our clinics are located in neighborhoods where health disparities are the greatest, and our care teams, who speak over 55 languages and dialects, are as diverse as our patients. No matter who you are, or where you come from, regardless of your insurance, income or immigration status, you are welcome at Neighborcare Health. Learn more about us here. Seasonal Masking Policy
As part of Neighborcare Health’s multi-layered strategy to limit the transmission of respiratory illnesses during the season of high respiratory virus transmission (November 1 – April 1), we have implemented the following seasonal masking policies: Seasonal Masking in Patient Care Settings As part of Neighborcare Health’s multi-layered strategy to limit the transmission of respiratory illnesses, face coverings are required to be worn in patient care settings during the season of high respiratory virus transmission, from November 1 – April 1 annually. Seasonal Masking in Administrative Spaces Neighborcare Health's seasonal masking procedure also requires masking in administrative spaces during flu season (November 1 – April 1), unless you have received a current year influenza immunization. #WORK4NCH Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
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