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Credentialing Specialist

4 months ago

Tampa, United States Tava Health Full time
Job DescriptionJob Description

About Tava:

Tava Health is a venture-backed, online mental health platform that partners with employers to provide convenient, high-quality, accessible mental health resources to employees and their dependents. Our mission is to Be the preferred ecosystem for providers to build and grow thriving private practices.

As our clinical network continues to rapidly expand, so does our need to bring on a Credentialing Specialist. This person will help to supervise the credentialing of our existing and incoming clinicians. They will also have the opportunity to inform Tava's policies and procedures and make a lasting impact on the strategy of the department.

Responsibilities:

  • Compile and maintain current and accurate data for all providers in our network.
  • Complete provider credentialing and re-credentialing applications and follow-up as needed.
  • Maintain copies of current state licenses, DEA certificates (if applicable), malpractice coverage, and other required credentialing documents.
  • Be an in-house expert on both NCQA and health plan requirements for credentialing providers and maintaining delegated credentialing status.
  • Ensure all addresses are current with health plans and other entities.
  • Obtain and verify primary source verification from National Practitioner Data Bank (NPDB).
  • Perform exclusion screenings on providers with SAM, OIG, OFAC, CMS Opt-out, and state agencies.
  • Ensure compliance with applicable laws, regulations, procedures, and policies.
  • Maintain confidentiality of all provider and credentialing related information.
  • Assist with commercial payer and Medicaid enrollments

Requirements:

  • High School Diploma or GED
  • A minimum of 2 years of credentialing experience, preferred
  • A minimum of 2 years medical practice business office, preferred
  • Bachelor’s degree; preferred
  • Excellent written and oral communication skills
  • High attention to detail and accuracy
  • Able to work independently and focus for extended periods of time
  • Computer literate with proficiency in web-based products and ability to learn new applications easily
  • Experience working remotely; preferred

Why you’ll like working with us:

Enjoy working *remotely (anywhere in the US) in this full-time position. Tava offers a flexible schedule, opportunities for growth, and (of course) a generous mental health benefit.

*For tax purposes, priority will be given to candidates living in states where we already have employees. These states are Alabama, Arizona, California, Connecticut, Florida, Idaho, Indiana, Maine, Maryland, Massachusetts, Montana, New Jersey, New York, Oklahoma, Oregon, Tennessee, Texas, and Utah.

Tava is an Equal Opportunity Employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, marital, or disability status.

As a recruiting team, we do our best to communicate with all candidates. If you have not received an email from Tava within a few days of submitting your application please check your spam filter.

***Please note: All Tava hiring is handled by company representatives using "@tavahealth.com" email addresses. Please beware of unauthorized recruiting communications requesting personal information. We never hire anyone without first completing a real-time, face-to-face interview (conducted by video or in-person), nor do we use encrypted instant messaging services like Signal. If you have questions regarding the authenticity of any outreach, please do not hesitate to use the chat feature on our website or contact us at careers@tavahealth.com***