Credentialing Specialist

Every child deserves the brightest future and Centria Autism Services is on a mission to help children with Autism Spectrum Disorder (ASD) have the best developmental experience possible while acquiring the skills to succeed in the world on their own terms.

Too many children with ASD are untreated or undertreated and Centria is committed to reaching every child in need and their families with interventions based on the principles of Applied Behavior Analysis that meet and exceed best practices.

Our Optimal Outcomes Model(TM) looks at the whole-child, engages families in aspirational treatment planning and leverages team-based care to allow BCBA’s to focus on clinical issues and support Centria’s dedication to quality, family satisfaction and developmental outcomes.

Founded in 2009, Centria now operates in 13 states and is working hard to develop approaches to sustain quality while reaching tens of thousands of children across the country;

we use data-driven analytics and sophisticated software platforms to constantly evaluate our quality and performance, and develop new approaches to supporting our clients and their families on their journey.

See what it's like... Centria Healthcare was founded in 2009 and grew two business lines to lead the state of Michigan. In 2014 we took on Autism and have since grown to be the largest provider in the nation.

We blended an entrepreneurial spirit with a proven and effective care delivery system to create an unmatched client experience.

We look for dedicated, hard-working, sharp individuals with a desire to go above and beyond. Thank you for showing interest in Centria Autism Services.

Our mission as a company is "to help every child living with autism to develop, pursue, and achieve their goals and dreams through high quality ABA therapy and support"

Position Overview :

This role is responsible for facilitating all aspects of onboarding and credentialing for clinical and field-based personnel.

The Clinical Onboarding and Credentialing Specialist will organize, maintain, and verify all aspects of the process and maintain current clinical and field-based staff files.

Additionally, they will provide a positive customer service experience to team members, including clinical and field staff and payors, by being the point of contact and assisting them with related inquiries.

Duties and Responsibilities

Onboarding Manage candidate applications, associated pre-hire requirements, and maintain detailed records in

CareConnect and the HRIS platform.Communicate regulations, policies, and procedures to team members, including clinical and field

staff.Engage candidates and assist with setting schedules and expectations, enrolling them in required

courses, and tracking activity completion.Track the candidates daily progress against their schedule for onboarding and escalate any delay

concerns to the appropriate party.Partner with the Recruiting and Operations teams regarding candidate and team member transitions.

Credentialing Assist clinical and field staff in applying / registering for certifications, licensure, etc., needed for

credentialing.Obtain and review certifications, licenses, and other required credentialing documents to maintain

up-to-date personnel files.Submit and follow up with payor credentialing applications via phone, email, or proprietary portals.

Partner with the Family Financial Navigation (FFNT) and Billing teams to resolve any potential or

outstanding claim issues related to credentialing.Set up new service location addresses or markets in collaboration with the Contracting team.

Create applicable internal and external accounts, as needed.

Customer Service Serve as a resource for team members with questions regarding Centria guidelines, payor requirements, etc.

Follow-up via email or service desk with team members within 24 hours and maintain a customer satisfaction rating above 90%.

Projects Participate in major projects and the implementation of new initiatives and processes.Assist with ad hoc reports as needed.

Qualifications

These guidelines can be used to make a list of qualifications required (or preferred) to perform the job successfully.

Education

• Associate Degree
• Bachelor’s Degree, preferred

Work Experience

• 1+ years administrative or customer service experience
• Data entry experience, preferred

Equipment and Technology Requirements

• Basic computer skills
• Working knowledge of laptop / desktop PC
• Proficiency in Microsoft Suite
• Proficiency in G Suite

Other Competency Requirements

An initial assessment of competency will be completed during the interview period and evaluated on an ongoing basis.

• Ability to follow written instructions
• Ability to use computers and computer / software programs
• Ability to communicate expressively and receptively

Knowledge and Skills

• Proficiency in PC software, especially spreadsheet programs;
• Effective communication skills, both written and verbal, with internal and external stakeholders;
• Ability to build rapport with team members, including clinical and field staff, explain complicated information in an

approachable and easily understood manner, effectively handle challenging phone conversations, and represent

• the Centria brand;
• Ability to organize, prioritize and handle multiple tasks, adhere to established deadlines, and produce work that
• consistently meets or exceeds team benchmarks;
• Proven adaptability with a willingness to work both collaboratively and individually to achieve desired business
• outcomes;
• Excellent interpersonal and listening skills;
• Demonstrated strong work ethic with attention to detail, accuracy, and quality;
• Established track record of generating error-free work.

Working Conditions :

Centria’s office hours are Monday through Friday from 8 : 30am-6 : 00pm. Additional time may be required to complete above work or meet company objectives.

Overtime is not a planned part of this role; if required, overtime must be pre-approved by a leader in teh department.

Physical Requirements :

While performing the duties of this job, physical requirements such as bending, reaching, lifting, pushing, or pulling up to 30 pounds may be required.

This role will require sitting most of the day as well as walking and standing periodically. This role may require close visual acuity on computer screens or monitors and the ability to analyze data and figures on a screen.

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, Veteran status, or disability status.

This job description is not intended to be an exhaustive list of qualifications, skills, efforts, duties, responsibilities, or working conditions associated with the position.

Centria reserves the right to amend this job description at any time, with or without written notice.