Credentialing Specialist

Resource Center for Independent Living; City of Utica (NY); On-site; USD 33,087 - 40,440; Full time

Benefits offered by this job

401K

Health insurance

Paid time off

Paid holidays

Parking

Job summary

Resource Center for Independent Living in Utica, NY is seeking a Credentialing Specialist to manage staff medical requirements, credentialing, and compliance across regulatory standards.

Responsibilities include entering data in Excel and ADP, conducting background checks, and maintaining accurate records to ensure staff meet NYS DOH/OPWDD requirements. This role offers strong benefits and opportunities in a supportive nonprofit environment.

Qualifications

• Associate’s Degree preferred; high school diploma or equivalent required.
• Minimum five years of clerical experience, preferably in human services.
• Experience with medical terminology and regulatory requirements is a plus.

Responsibilities

• Support credentialing by ensuring all medical requirements are met for staff.
• Enter medical data into Excel and ADP systems and run audit reports.
• Track annual medical requirements and ensure regulatory compliance.
• Conduct background checks and fingerprinting per regulatory standards.
• Maintain documentation for NYS training and compliance reporting.

Skills

Data entry

Organization

Communication skills

Attention to detail

Education

Associate’s Degree preferred

High School Diploma or equivalent required

Tools

ADP

Excel

Microsoft Office

Job description

Credentialing Specialist

Professional Utica, NY, US

Salary Range: $36,764.00 To $36,764.00 Annually

Starting Pay Rate:$36,764 annually ($20.20 per hour)

Benefits

• PTO – vacation (16-24 days a year based on longevity), sick leave 12 days a year, and 13 paid holidays.
• Ability to work a 4‑day schedule after 6 months on the job. Multiple work schedules available.
• Wellness program with the ability to earn an additional 3 PTO days a year.
• 401K with up to 10% employer investment.
• Heavily subsidized Health Insurance with co‑pays.
• Vision and Dental insurance.
• Flexible Spending Accounts—Medical and Dependent Care.
• Monthly contribution towards dependent care (to offset childcare costs).
• Company paid Life Insurance and Identity theft protection (LifeLock).
• Employee Assistance Program.
• Family Medical Leave, Paid Family Leave, Military Leave, Bereavement Leave, Jury Duty Leave, Bone Marrow and Blood Donation Leave, Voting Time Leave, Election Leave, and Leaves for Crime Victims and Domestic Violence Victims.
• Employees may be eligible for the federal Public Service Loan Forgiveness program to have student loans forgiven.
• Free covered parking.
• Additional benefits available.

Job Duties

• Provide support to the Medical Credentialing Specialist by ensuring all pre‑employment and annual medical requirements are met for all staff.
• Enter medical data into Excel and the ADP systems with the ability to run frequent audit reports.
• Track and maintain annual medical and ensure compliance through various regulators.
• Ensure medical paperwork submitted meets regulatory requirements.
• Track annual NYS Sexual Harassment Training for CDIS, Many Hearts, Veteran Care Attendance, Volunteers and Board Members; send reminder letters, make appropriate follow‑up calls, and create mail‑merge suspension letters and termination letters for non‑compliance.
• Generate reminder letters to staff and participants for upcoming medical due dates; ensure staff are placed on medical suspension and do not work out of compliance.
• Conduct pre‑ and post‑employment background checks, Justice Center and all required fingerprinting, sexual offender, child registry, DOH, UAS, Medicaid and license checks; cross‑reference with application and other pre‑employment checks.
• Assist with the New York State DMV’s LENS Notification System—contacting employees and their supervisors to inform them of the notification if their license becomes suspended, revoked, has a change in class or status, accidents, etc.
• Remain up to date with the changing legislation and regulations through the Justice Center (OPWDD and OMH) and the Department of Health (DOH) to ensure the proper requirements are met.

Education

• Associate’s Degree is preferred; a High School Diploma or equivalent is required.

Work Experience Requirements

• Minimum of five years’ clerical experience, preferably in a Human Service Organization; Human Resources experience highly preferred; medical terminology preferred; OPWDD/DOH experience a plus.

Knowledge, Skills & Abilities

• Office machines such as fax, copier, and printer; HIPAA, DOL and FCRA laws; and Microsoft Office.
• ADP knowledge preferred.
• Organization, telephone, computer, business, oral and written communications, typing, problem solving, ability to work with a diverse mix of consumers, professionals and vendors, flexibility, confidentiality.
• Accuracy, strong follow‑up and data entry skills required.

RCIL is an equal opportunity employer and it is the policy of RCIL not to discriminate against any applicant for employment, or any employee because of age, color, sex, disability, national origin, race, religion, or veteran status.