Credentialing Specialist (Temporary) at Community of Hope

Washington, District of Columbia, United States -

Full Time

Start Date

Immediate

Expiry Date

18 Mar, 26

Salary

26.44

Posted On

18 Dec, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Credentialing, CAQH, Communication Skills, Project Management, Meeting Leadership, Data Management, Regulatory Compliance, Accreditation Standards, Insurance Applications, Provider Enrollment, Record Maintenance, File Management, Cross-Training, Billing Statements, Electronic Payments, Remittance Advice

Industry

Non-profit Organization Management

Description

Description Credentialing Specialist - Temporary Washington, DC | Hybrid | $24.03 - $26.44 | Washington Post Top Workplace Do you have a passion for supporting access to quality healthcare and ensuring the systems behind the scenes run smoothly for the communities we serve? Community of Hope is seeking a temporary, full-time Credentialing Specialist to support our mission of providing healthcare, housing, and vital community services to individuals and families in need. In this role, you will manage provider credentialing and enrollment with payers, maintain accurate records across systems such as MMIS and PECOS, and ensure compliance with regulatory and accreditation standards. Join a mission-driven team dedicated to ending homelessness and making a meaningful impact every day. This position is based at our Conway Health and Resource Center in Southwest, DC and will end on 3.27.26. Our Approach and Values: We celebrate people’s strengths and acknowledge the impact of trauma on people’s lives. We embrace diversity, welcome all voices, and treat everyone with respect and compassion. We lead and advocate for changes to make systems more equitable. We strive for excellence and value integrity in all that we do What You’ll Do Completes all requested insurance applications for Community of Hope within 3 business days. Updates the Provider Spreadsheet as new data is received on a daily basis. Emails spreadsheet to COH senior leadership, practice managers and Credentialing Committee every two weeks. Contacts Insurance payers within two business days of sending data to confirm that the data has been received and confirms processing timeframe of applications in writing. Completes forms for electronic payments (EFT) and remittance advice (ERA) for Community of Hope within3 days of an application is submitted to the payer. Maintains up to date data and ensures that all re-credentialing applications, including CAQH re-attestations, are submitted 5-7 days before due date. Maintains files on each medical licensed professional (CV, certification licenses, malpractice updates, hospital privileges, etc.) and updates files as needed. Coordinates facilities credentialing and renewals with all Payors. Ensures all facility documentation is current such as Business Licenses, CLIA certificates, Liability Insurance Certificates, etc. including Delegations. Completes additional responsibilities and cross-training, including but not limited to billing statements, taking payments and other assigned by the Supervisor. Requirements Must-Haves A minimum of 5 years experience in credentialing. Experience working in CAQH. Excellent communication skills. Excellent at providing and receiving feedback. Experience in managing projects and leading meetings. Why You’ll Love Working Here! At COH, we prioritize the following well-being and work-life balance-centered benefits: (Full-Time) 8 x Washington Post 150 Top Workplaces winner 8-hour workdays with paid lunch 3 weeks vacation (additional week after two years), 2 weeks sick leave, + 11.5 paid holidays and one personal floating holiday on an annual basis. Annual performance-based raises, up to 5% of your annual pay Tuition reimbursement & loan repayment (NHSC & DCHPLRP), Licensing reimbursement & CEU funding Medical, dental, vision, life & disability insurance + 403(b) retirement Leadership development, internal promotions and career growth opportunities A culture grounded in equity, compassion, and well-being About Us: Community of Hope is a mission-driven, innovative, rapidly growing nonprofit, and Federally Qualified Health Center. For over 45 years, we have provided health and housing services, perinatal care coordination, and community support services to make Washington, DC more equitable. Community of Hope also strongly emphasizes maternal and child health, with midwifery practice and the only free-standing birth center in DC. We are honored to be one of DC’s largest providers of housing and homelessness prevention services for families and individuals throughout DC. Through our Family Success Center, our WIC nutrition centers, and our various partnerships, we have reached hundreds and believe that everyone in DC deserves to be healthy, housed, and hopeful. With the help of our amazing staff, we have successfully provided: 50,000+ medical visits 6,300+ dental visits 17,000+ emotional wellness visits 1,384 families and 220 individuals with housing/homelessness prevention services Ready to bring hope and health to our DC community? Apply today! To request a reasonable accommodation to complete an employment application or for general questions about employment with Community of Hope, contact a Recruiting Coordinator. Email: hr@cohdc.org Phone: 202-407-7747. Community of Hope is an equal opportunity employer.

Responsibilities

The Credentialing Specialist will manage provider credentialing and enrollment with payers, maintain accurate records, and ensure compliance with regulatory standards. Additional responsibilities include completing insurance applications and coordinating facilities credentialing.