Credentialing Coordinator

Overview

The mission of the Colorado Coalition for the Homeless is to work collaboratively toward the prevention of homelessness and the creation of lasting solutions for homeless and at-risk families, children, and individuals throughout Colorado. The Coalition advocates for and provides a continuum of housing and a variety of services to improve the health, well-being, and stability of those it serves.

Our Philosophy of Service: We believe all people have the right to adequate housing and health care. We work to remove the barriers that restrict access to these rights. Society benefits when adequate housing and health care are available to everyone. We create lasting solutions to homelessness by:

• Honoring the inherent dignity of those we serve, affirming their capabilities and fostering their hope that a better life is possible.
• Building strong, caring and trauma-informed communities through the integration of housing, health care and supportive services.
• Advocating for social and racial equity, inclusion and diversity, and challenging the status quo in partnership with our workforce members and those we serve.
• Achieving excellence through continuous quality assurance, innovation and professional development.
• Using resources judiciously and effectively.

The Colorado Coalition for the Homeless seeks a Credentialing Coordinator to assist in the development, planning, implementation, process monitoring, maintaining the database, and ensuring the timeliness of the credentialing/re-credentialing process for all applicable CCH employees and volunteers. This role assures credentialing compliance with accrediting and regulatory agencies while also developing and maintaining a working knowledge of relevant statutes and laws. Coordinator maintains CCH locations, staff providers and volunteer’s payer credentialing enrollments and revalidations and NPI and CAQH Profiles.

• Valid driver’s license required. This requirement may be waived, if necessary, based on overall candidate experience and current needs of the business.

• Choice of HMO or PPO health insurance coverage options: full-time employees contribute only 1% of their earnings for their own HMO health coverage and no more than 4% of their earnings for coverage of eligible dependents. We’re proud to offer same-and opposite-sex domestic partner coverage.
• Choice of dental insurance or discount plan.
• Vision insurance.
• Flexible spending accounts for health care / dependent care / parking expenses.
• Free basic life and AD&D insurance coverage.
• Employee Assistance Program, a problem-solving resource available to you and your household members.
• Dollar-for-dollar retirement plan matching contributions up to 5% of earnings with 3-year vesting.
• Extensive paid time-off, including 9 holidays, 12 days of sick leave, and three weeks of vacation for new full-time employees in their first year.

The effective date for your benefits will be the first of the month following your date of hire.

• Facilitates all aspects of credentialing and privileging for initial appointments, reappointments, and reprivileging of providers and volunteers.
• Processes initial credentialing and reappointments for all agency health professionals (employees and volunteers) in a timely manner and supports the provider’s onboarding to Committee/Board approval.
• In coordination with Health Services Committee, applies working knowledge of, and proactively reports changes in, all applicable standards, laws, regulations, and Credentialing and Privileging Policies and Procedures.
• Validates that all required credentialing elements are accurate and completed in a timely manner.
• Prepares, processes, and maintains CCH location and staff or volunteer provider enrollments with Medicare, Medicaid, Denta Quest, Denver Health, Colorado Access, Beacon, Tri West, and other third-party payer plans.
• Performs complete file reviews for credentialing and enrollment audits.
• Manages provider expirables to email notices and document updates in electronic files.
• Maintains CCH locations and provider information updating for payer enrollments and NPI and CAQH profiles.
• Performs…