Credentialing Intern

Job Description

Job Description

Position Summary:

Community Care Plan (CCP) is proud to offer an internship program that will prepare students for the workforce. This is a great internship opportunity to get professional hands-on experience in working with the Credentialing Department.

The ideal candidate is highly motivated, striving for excellence and looking for real world experiences. This position is up to 29 hours per week for 8-10 weeks. The first two (2) days of the internship involve on-site training in organizational principles, human resources, compliance, departmental functions, computer systems & business processes. This internship is designed to be both educational and practical. In this position, the intern will learn how to take skills they may have acquired in school related to their particular areas of interest and apply them in a professional setting. The candidate also has opportunities to network with administration, finance, and IT staff. Interns will be exposed to the fundaments of business development and management. Professional development training opportunities will be provided, and intern will gain a broader work experience. The intern will work with confidential and proprietary information that requires a signed Confidentiality Agreement upon hire.

Essential Duties and Responsibilities:

• Assist with collecting documents for providers/groups/ancillaries.

• Conduct Medicaid and ABMS Verifications to ensure provider credentials are current and meet regulatory requirements.

• Review CAQH Provider Status to maintain the accuracy and integrity of the CCP provider roster.

• Support Pre-Delegation and PIC Audit Preparation by assisting with the collection and follow-up of required audit documentation, particularly in expansion regions.

• Collect and Track PCDM Forms to ensure all expansion providers comply with AHCA documentation requirements

• Provide administrative support to the department and other departments as needed.

Qualifications:

• Currently enrolled as a Junior or Senior in a College program with an interest and aptitude to work in a business, communications, or related field.
• Knowledge and/or interest in healthcare, business administration, development or research.
• Project management experience is a plus.

Skills and Abilities:

• Excellent verbal and written communication skills
• Typing and data entry skills (min 25 wpm)
• Good interpersonal skills
• Analytical skills
• Energetic
• Ability to maintain strict confidentiality
• Competent multi-tasking skills
• Knowledge of Microsoft Excel

Work Schedule:

Community Care Plan is currently following a hybrid work schedule. The company reserves the right to change the work schedules based on the company needs.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, use hands, reach with hands and arms, and talk or hear. The employee is frequently required to stand, walk, and sit. The employee is occasionally required to stoop, kneel, crouch or crawl. The employee must occasionally lift and/or move up to 15 pounds.

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of the job. The environment includes work inside/outside the office, travel to other offices, as well as domestic, travel. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.

We are an equal opportunity employer who recruits, employs, trains, compensates and promotes regardless of age, color, disability, ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socio-economic status, veteran status, and other characteristics that make our employees unique. We are committed to fostering, cultivating and preserving a culture of diversity, equity and inclusion.