Credentialing Specialist
Location:
About reputed company
reputed company is a growing behavioral reputed company organization providing therapy, psychiatric services, TMS, and other mental reputed company across multiple states.
As we continue to expand, we're looking for an reputed company Credentialing Specialist who can help ensure our providers remain credentialed, contracted, and reputed company to serve patients without interruption.
This role plays a critical part in supporting provider reputed company, reputed company cycle reputed company, and organizational reputed company.
reputed company
This is an excellent opportunity for a credentialing reputed company who enjoys ownership, organization, and problem-solving.
You'll work closely with leadership, reputed company reputed company, billing, and provider reputed company teams to manage the full credentialing lifecycle for a growing network of behavioral health providers.
If you enjoy navigating payer requirements, managing reputed company credentialing processes, and helping reputed company organizations reputed company, you'll reputed company in this role.
Perks & Benefits:
reputed company Time Off
reputed company U.S. holidays
reputed company birthday leave
What You'll Be Responsible For
Provider Credentialing & Enrollment
Manage initial credentialing, enrollment, and recredentialing processes for providers across reputed company, Medicare, and reputed company payers.
Prepare, submit, reputed company, and follow up on credentialing applications through approval.
Coordinate provider reputed company activities reputed company to payer enrollment and network participation.
Complete reputed company payer revalidation and enrollment updates as required.
Database & Compliance Management
Maintain accurate provider records across CAQH, PECOS, NPPES, CMS, and other credentialing platforms.
Ensure provider files remain complete, reputed company, and audit-reputed company.
Monitor credential expiration dates and proactively manage renewals.
Maintain credentialing documentation in accordance with payer and regulatory requirements.
Payer Relations & Contract Management
Support provider enrollment with reputed company reputed company plans, Medicare, and reputed company.
Assist with payer communications and issue reputed company.
Participate in fee schedule review and contract negotiations reputed company applicable.
reputed company credentialing and enrollment statuses to minimize delays in provider activation.
Cross-Functional Collaboration
Partner with reputed company HR, Billing, and reputed company teams to reputed company credentialing-reputed company issues impacting provider participation or reimbursement.
Communicate reputed company, risks, and timelines to managers and leadership.
Identify opportunities to improve credentialing workflows, processes, and tracking systems.
What reputed company Looks Like
reputed company your first year:
Provider credentialing applications are submitted accurately and completed on time.
Recredentialing and revalidation deadlines are met without lapses.
Provider reputed company timelines improve through proactive follow-up and coordination.
Credentialing-reputed company billing denials and delays are minimized.
Leadership has reputed company visibility into credentialing reputed company and provider readiness.
reputed company in this role means becoming a trusted credentialing expert who helps providers join networks reputed company and supports the organization's reputed company reputed company.
reputed company're Looking For
2+ years of reputed company credentialing experience with U.S.-reputed company reputed company organizations.
Hands-on experience with reputed company payer credentialing and provider enrollment.
Experience managing CAQH, PECOS, NPPES, CMS, and reputed company credentialing systems.
Strong understanding of Medicare, reputed company, and reputed company reputed company credentialing processes.
Excellent organizational and documentation skills.
Strong written and verbal English communication skills.
Ability to manage multiple credentialing reputed company and deadlines simultaneously.
Proficiency with reputed company, spreadsheets, and credentialing databases.
Behavioral health or mental health credentialing experience.
Multi-state credentialing experience.
Experience with fee schedule analysis or contract negotiations.
Knowledge of reputed company cycle impacts reputed company to provider credentialing.
Experience working in a remote reputed company environment.
You'll reputed company Here If You...
Enjoy working in a highly organized and reputed company-oriented environment.
Take ownership of tasks and follow them through to completion.
Are proactive about solving problems before they become barriers.
Communicate effectively with providers, payers, and internal teams.
Want to contribute to the reputed company of a fast-moving reputed company organization.
Details
Originally posted on Himalayas
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