Credentialing Associate
firsthand is changing the way individuals living with Serious Mental Illness (SMI) get care – by putting them at the center of everything we do. Our peer led model aims to build trust with these individuals, many of whom have been underserved, stigmatized, deprioritized and have very often lost trust in the systems intended to serve them. Our holistic approach includes partnering with our team of peer recovery specialists, licensed social workers and nurse practitioners, and focuses on meeting them where they are and walking with them side by side, as a trusted guide, partner, and first call, on their journeys’ to wellness.
Our aim is to not only improve lives, but also improve the economics for managed care plans and states responsible for providing care to this community. This enables us to build solutions that scale and, as a result, change the way our society supports those most impacted by SMI.
We are building a team of deeply passionate problem-solvers who are courageous enough to take on one of the country’s most challenging healthcare problems. Those who are up for the task will be rewarded with deeply mission-oriented workdays, mentorship from a similarly motivated team, and a supportive culture that prioritizes learning, creativity, and fun.
firsthand is seeking a PRN, contract Credentialing Associate to join the Provider Services team. This position will provide the opportunity to help make a difference in various communities engaged by firsthand’s missions and goals. The Credentialing Associate will support a robust and growing professional community and serve as a focal point for the credentialing process to internal and external parties.
As a PRN- Contract Credentialing Associate you will:
- Research, analyze, evaluate, distribute, receive, and review credentialing applications, ensuring all relevant information has been provided and or submitted.
- Ensure credentialing and recredentialing applications are processed, tracked and monitored for adherence to timelines and other processing requirements.
- Enter demographic and credentialing information into credentialing software and other logs in a timely and accurate manner to facilitate, monitor and document credentialing efforts.
- Learn, understand, maintain and ensure that Industry standards, regulations and firsthand’s credentialing policies and procedures are followed,
- Provide peer review, assemble relevant data and prepare scheduled and ad-hoc reports as needed.
- Maintain a proactive relationship with other team members, providers and insurance carriers for credentialing purposes.
You will be a good fit if you have:
- The ability to be organized and detailed within a fast paced environment
- Familiarity with commercial and governmental insurance carriers
- The ability to be flexible and open to change and re-prioritization
- The ability to communicate effectively with others, both verbally and in writing.
- The discipline to work remotely
The experience you bring to this role includes:
- Three (3) years of work in a clerical/administrative function in a related health services/managed care setting.
- Relevant experience or certification in an appropriate health or business related field. Credentialing experience is preferred, Degree is not required.
- CPMSM/CPCS certification is a plus, but not required.
Benefits
For full-time employees, our compensation package includes base, equity and a bonus potential.
Our benefits include physical and mental health, dental, vision, 401(k) with a match, 16 weeks
parental leave for either parent, flexible vacation, and a supportive culture.
Unfortunately, we are not able to offer sponsorship at this time.
Vaccination Policy
Employment with firsthand is contingent upon attesting to medical clearance requirements, which include, but may not be limited to: evidence of vaccination for/immunity to COVID-19, Hepatitis B, Influenza, MMR, Chickenpox, Tetanus and Diphtheria. All employees of firsthand are required to receive these vaccinations on a cadence/frequency as advised by the CDC, whereas not otherwise prohibited by state law.
New hires may submit for consideration a request to be exempted from these requirements (based on a valid religious or medical reason) via forms provided by firsthand. Such requests will be subject to review and approval by the Company, and exemptions will be granted only if the Company can provide a reasonable accommodation in relation to the requested exemption. Note that approvals for reasonable accommodations are reviewed and approved on a case-by-case basis and availability of a reasonable accommodation is not guaranteed.