About CINQCARE
CINQCARE is a provider-led, community-based health and care partner dedicated to improving the health and well-being of those who need care the most, with a deep commitment to high-needs, urban and rural communities. Our local physicians, nurses, and caregivers work together to serve people and the communities they live in, beyond just treating symptoms. We remove barriers by delivering personalized care as close to home as possible, often in-home, because we know a deep understanding of our patient’s race, culture, and environment is critical to delivering improved health outcomes. By empowering patients, providers, and caregivers with the support they need, we strive to make health and care a reality—not a burden—every single day. Join us in creating a better way to care.
Overview
Credentialing is the process of evaluating the academic qualifications and clinical practice history of a practitioner to ensure an overall safe health care system. Following NCQA’s credentialing standards to sustain a high-quality credentialing process across the delivery system, which includes health plans, physician groups, telehealth, and other entities with a network of practitioners. This position reports to the Senior Director, Credentialing & CPA. The Credentialing Specialist should embody CINQCARE's core values, including Trusted, Empathetic, Committed, Humble, Creative, and Community Minded.
Primary Responsibilities
The Credentialing Specialist will have the following responsibilities:
General Duties
The Credentialing Specialist should have the following duties:
Qualifications
The Credentialing Specialist should have the following qualifications:
o High School Diploma required
o Certification as a Certified Provider Credentialing Specialist (CPCS) and/or Certified Provider Medical Services Management (CPMSM), preferred
Our Benefits
At CINQCARE, we care for our team like we care for our patients—holistically. We offer flexible, comprehensive benefits so you can thrive while delivering top-notch care.
The working environment and physical requirements of the job include:
Work is performed indoors in a setting with conditioned air and artificial light. Travel to and work in offices or other environments is required.
In this position you will need an to communicate with customers, vendors, management, and other co-workers in person and over devices, sometimes with people who are agitated. Regular use of the telephone and e-mail for communication is essential. Sitting for extended periods is common. Must be able to receive ordinary information and to prepare or inspect documents. Lifting of up to 10 lbs. occasionally may be required. Good manual dexterity for the use of common office equipment such as computer terminals, calculator, copiers, and FAX machines. Good reasoning ability is important. Able to understand and utilize management reports, memos, and other documents to conduct business.
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