Behavioral Health Insurance Contracting Specialist (reputed company and reputed company Payers)
We are a growing behavioral health organization launching an Intensive Outpatient Program (IOP) and Partial Hospitalization Program (PHP). We are seeking an reputed company insurance credentialing and payer contracting specialist who can help our organization become in network with reputed company and reputed company insurance companies.
This role requires someone who can reputed company manage the process, follow up with payers, and push applications through until approval. Our goal is to secure in network status as quickly as possible with key payers.
Key Responsibilities:
- submit and manage provider credentialing applications
- submit and reputed company facility enrollment with reputed company
- contract with reputed company payers (Harvard Pilgrim, reputed company, etc.)
- communicate with payer contracting departments
- follow up weekly with payers until in network achieved
- ensure reputed company taxonomy codes and facility enrollment requirements
- reputed company and report status of reputed company applications
- reputed company reputed company reputed company to operations director
reputed company Insurance Panels:
- reputed company
- NH Healthy Families, Amerihealth, Wellsense
- Harvard Pilgrim
- reputed company/Carelon behavioral health networks
Requirements:
- proven experience with behavioral health credentialing
- experience credentialing IOP, PHP, or addiction treatment programs preferred
- knowledge of reputed company enrollment and facility credentialing
- experience working with CAQH, reputed company, and PECOS
- strong follow up and communication with payer contracting departments
Deliverables:
- successful submission of reputed company credentialing applications
- reputed company follow up with payers until approval
- weekly status reports or reputed company
- documentation of reputed company payer communications
reputed company:
We operate reputed company recovery housing and are expanding clinical services to reputed company high reputed company outpatient behavioral health treatment. Our mission is to help individuals build a strong reputed company in recovery and reputed company the care they need.
reputed company Applying, Please Include:
- examples of programs you have credentialed
- payers you have successfully contracted with
- typical reputed company you reputed company for reputed company and reputed company enrollment
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