Credentialing Coordinator

Mental Health Management, Inc. is seeking a motivated, hardworking, and happy person to join our growing company. We are looking for somebody who wants to jump in, catch our vision, and help the business grow. This crucial position is a hybrid role combining Account Management, Customer Service, and Communication skills. The ideal candidate will be able to juggle multiple projects while staying focused on the job at hand.
Job Summary
The credentialing specialist will act as a liaison between mental health practitioners and insurance carriers nationwide, coordinating all aspects of the credentialing/contractingprocess on behalf of the clinician.
Essential Functions:
Assists mental health clinicians with gathering all documentation and information needed for the credentialing process with each insurance carrier.
Enters, updates and maintains data from clinicians into the credentialing database (CAQH)
Researches and compiles insurance specific submission guidelines.
Completes and submits applications on behalf of clinicians, ensuring accuracy and all requirements are met for application process.
Proactively communicates with insurance carriers regularly via phone and email to obtain status updates and ensure requests and requirements from each insurance carrier are met in a timely manner.
Communicates clearly with clinicians and insurance carriers as needed to provide timely responses upon request on day to day credentialing issues as they arise.
Document all communications between clinician and insurance carrier to streamline the clinicians onboarding process with each carrier.
Knowledge/Skills/Abilities
Trust and dependability is a must
Willingness to make outbound phone calls to insurance companies and providers
Exceptional verbal and written communication skills
Basic knowledge of Microsoft Office and Google Suite products
*Ability to multitask, maintain organization and work on several accounts in unison
Ability to establish and maintain effective relationships with coworkers and clients
Preferential Consideration for:
o Credentialing Experience
o Medicaid/Medicare Experience
o Tech Savvy Individuals
o Medical Insurance Experience
o College Degree

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