Credentialing Specialist

Damar Services, Inc.; Indianapolis (IN); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Damar Advantage discounts

Tuition Assistance up to $3,000/year

401(k) Plan Participation

Life Insurance and voluntary options

Short-Term and Long-Term Disability

Paid Holidays

Paid Time Off

Job summary

Damar Services, Inc. in Indianapolis, IN is seeking a Credentialing Coordinator to lead the credentialing process for our healthcare and behavioral health teams.

You will collect, track, and maintain payor contracts and credentialing data, coordinating with ABA, Health Services and Finance leadership to ensure timely credentialing. Ideal candidates will have healthcare credentialing knowledge, HIPAA familiarity, and experience with electronic health records and MS Office.

Qualifications

• Strong knowledge of the credentialing process and payer requirements.
• Proficiency in using electronic health record systems.
• Proficiency with MS Office applications including Word, Excel, Outlook and PowerPoint.
• Certification as a Credentialing Specialist (CPCS) is a plus.

Responsibilities

• Works collaboratively with ABA leadership and staff to facilitate a positive credentialing experience.
• Collects and maintains required information and documents necessary for credentialing.
• Tracks documentation, submission and approval dates by payer.
• Submits required documentation to insurance companies, government payers, and other third-party payers.
• Maintains database of all credentialed staff regarding status in credentialing process as well as timelines for any re-credentialing.
• Collaborates with the Accounting team, providing information as needed to ensure denials are addressed quickly.
• Notifies appropriate internal parties when staff are credentialed by insurance companies, government payers, and other third-party payers.

Skills

Credentialing knowledge

HIPAA regulations

Electronic health record proficiency

Education

High School Diploma or GED

Associate or Bachelor's degree in healthcare administration or related field

CPCS certification (preferred)

Tools

Electronic health record systems

MS Office (Word, Excel, Outlook, PowerPoint)

Job description

Employees at Damar aren’t just part of a workforce — they’re part of a mission-driven team making a real difference in people’s lives.

Since 1967, Damar has been recognized across Indiana as one of the largest not-for-profit organizations and a leading provider of behavioral health and intellectual and developmental disability (I/DD) services. We foster a united, purpose-driven culture where employees feel valued, supported, and motivated to give their best. It’s no surprise Damar has been named a Top Workplace for several years!

Ready to make a real difference?

Join us in empowering individuals with intellectual and developmental disabilities or autism. Damar is looking for a talented and motivated Credentialing Coordinator to join our team. The Credentialing Coordinator is a leader in the credentialing process for the organization. The Credentialing Coordinator is responsible for the collection, tracking and maintenance of payor contracts and the credentialing process for Damar’s healthcare and behavioural health teams. This role regularly collaborates with ABA, Health Services and Finance leadership to ensure an efficient process for the collection and sharing of essential credentialing information.

Here are just a few of the benefits you'll enjoy at Damar:

• Eligible for the Damar Advantage including discounts at Damar Health Services and Damar Pharmacy
• Comprehensive training in verbal intervention and physical management techniques
• Medical, Dental, and Vision Insurance options
• Up to $3,000 per year in Tuition Assistance
• Save for your retirement with our 401(k) Plan Participation
• Take care of loved ones through our Damar provided Life Insurance and additional voluntary options
• Short-Term and Long-Term Disability Insurance options
• Paid Holidays to spend time with loved ones
• Paid Time Off (PTO) for rest and renewal

Remarkable Ways You Will Be Making a Difference

• Works collaboratively with ABA leadership and staff to facilitate a positive credentialing experience
• Collects and maintains required information and documents necessary for credentialing
• Tracks documentation, submission and approval dates by payer
• Submits required documentation to insurance companies, government payers, and other third-party payers
• Maintains database of all credentialed staff regarding status in credentialing process as well as timelines for any re-credentialing
• Collaborates with the Accounting team, providing information as needed to ensure denials are addressed quickly
• Notifies appropriate internal parties when staff are credentialed by insurance companies, government payers, and other third-party payers
• Seeks the best use of materials, equipment and staff to maximize efficiency and effectiveness
• Acts as a good steward of Damar and/or client finances
• Shows initiative by identifying solutions to work towards improving stakeholder satisfaction
• Prioritizes duties in a manner consistent with organizational objectives and growth
• Maintains documentation that is accurate and legible
• Adheres to all policies and procedures as defined in the Employee Handbook, ABA Operational Policies and
• Procedures, and Damar Operational Policies and Procedures Manual
• Takes pride and ownership in Damar’s facilities and assigned work areas.
• Respects the culture, diversity and rights of all clients, their families and the community
• Performs other duties as assigned

What You Need To Be Considered

• High School Diploma or GED required; Associate or Bachelor's degree in healthcare administration or related field preferred
• Minimum of 1 year of relevant experience in a healthcare setting required; credentialing experience preferred
• Strong knowledge of the credentialing process and payer requirements
• Knowledge of HIPAA regulations and patient privacy laws
• Proficiency in using electronic health record systems
• Proficiency with MS Office applications including: Word, Excel, Outlook and PowerPoint
• Certification as a Credentialing Specialist (CPCS) is a plus
• Ability to pass and maintain CPR certification
• Minimum age of 18 per licensure requirements
• Valid Indiana driver’s license and driving record that meets eligibility requirements of Damar’s insurance carrier (for all positions requiring driving)
• Be clear of any felony convictions, substantiated charges of neglect or other disqualifying criminal convictions
• Successfully complete a pre-employment physical
• Favorably meet and maintain Damar’s background screening