HR Specialist

Remote Hire

Employment Type: Full Time
Clearance Requirements: Background Check
FLSA Status: Non-Exempt (Hourly)
Salary Range: $52,500 - $70,000
Eligible for Remote Work: Yes

Goldbelt Incorporated is an urban, Alaska Native, for-profit corporation with offices in Juneau, Alaska, and Herndon, Virginia. Its primary purpose is to manage assets and conduct business for the benefit of over 4,000 Alaska Native shareholders.

The HR Specialist supports Goldbelt Inc. as the companies FSO and supports our LLCs with their credentialing needs. They also support the verification and processing of moderately complex to advanced level documents. The incumbent uses standard policies, procedures, and guidelines for the coordination, monitoring, and processing of credentialing and re-credentialing of Behavioral Health practitioners, providers, mid-levels, Applied Behavioral Analysts (ABA) and Board-Certified Behavioral Analysts (BCBA), allied health professionals and other Organizational Providers (OP) based on regulatory, accreditation and contractual standards.

ESSENTIAL JOB FUNCTIONS:

• Serves as the Goldbelt Inc. Facilities Security Officer (FSO) and supports LLCs with security matters.
• Perform all functions relating to personnel clearance actions and maintenance of records.
• Investigate and report security violations and adverse information with cognizant security agency.
• Ensure facilities, automated equipment, procedures, and policies are properly accredited.
• Develop and revise the standard operating procedures for Security.
• Ensures that the required timely documentation is appropriate and complete for verification processing, that includes but is not limited to the following providers: Behavioral Health practitioners, ABAs, BCBAs, mid-levels, allied health professionals, and other health care delivery organizations for the credentialing and re-credentialing process.
• Processes all credential applications, initials and re-credentials and/or applications in established electronic file folders.
• Conducts other follow-up as required into the applicant's background, clearance status, education and experience using online systems, written correspondence, telephone inquiries, printed reference guides and reports.
• Partners with all necessary staff to ensure an integrated, timely and consistent product.
• Collaborates with the Program Management and HR department on the status of candidates to ensure timely credentialing.
• Monitors and maintains reports published by the Medical Board of California (MBOC), Centers for Medicare and Medicaid Services (CMS), Department of Health Care Services (DHCS), Office of Inspector General (OIG), National Practitioner Data Bank (NPDB) and other applicable sources to identify adverse findings.
• Prepares reports as requested.
• Implements an efficient and effective system for the transmission of credential information to internal and external sources to facilitate timely approval.
• Provides consistent and timely follow-up on all outstanding credentialing and re-credentialing files.
• Stays aware of changes and updates in laws and regulatory requirements.
• Writes, revises, and implements desktop procedures as necessary to remain in compliance and create efficiency.
• Documents the monitoring of adverse license actions and legal actions.
• Completes other projects and duties as assigned by HR Manager or HR Director.

NECESSARY SKILLS AND KNOWLEDGE:

• Must have the ability to successfully obtain FSO certification within first (6) months.
• Must have abilty to obtain a CAC.
• Proven record of honesty and integrity in all relationships.
• Demonstrated leadership and organization skills.
• Function independently with minimal direct supervision and be detail oriented.
• Must be able to communicate clearly and concisely, both verbally and in writing.
• Organize credentialing processes and understand and apply credentialing criteria consistently.
• Maintain confidentiality of peer review information.
• Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets and/or other information applicable to the position assignment.
• Knowledge of Medical Terminology, credentialing standards, requirements, processes and procedures

MINIMUM QUALIFICATIONS:

• High school diploma or equivalent required.
• Either:
• 2 years of experience with credentialing in a hospital or ambulatory setting, such as health plan, medical group, or Independent Physician Association (IPA) required.
• OR a combination of education and experience to successfully perform the duties of the position.
• Ability to successfully pass a background check.

PREFERRED QUALIFICATIONS:

• Bachelor's degree in Health Care Administration or related field preferred.
• Certification as Certified Provider Credentialing Specialist (CPCS) preferred.
• FSO certification