Provider Enrollment Coordinator
3 weeks ago
About Us: Elite DNA Behavioral Health is a leading provider of behavioral and mental health services in Florida.
Job Title: Credentialing Specialist
Location: Fort Myers, FL
Job Type: Full-time
Salary: $55,000 - $70,000 per year
Benefits: Comprehensive benefits package including medical, dental, vision, life insurance, and 15 days of paid time off.
Job Description: We are seeking a Credentialing Specialist to join our team in Fort Myers. The successful candidate will be responsible for maintaining active status for all providers by successfully completing initial and subsequent credentialing packages as required by commercial payers, Medicare, and Medicaid.
Responsibilities:
- Maintain individual provider files to include up-to-date information needed to complete the required governmental and commercial payer credentialing applications.
- Maintain internal provider grid to ensure all information is accurate.
- Update each provider's CAQH database file timely according to the schedule published by CMS.
- Apply for and renew annually all provider licenses; Professional, DEA, Controlled Substance.
- Complete revalidation requests issued by government payers.
- Complete credentialing applications to add providers to commercial payers, Medicare, and Medicaid.
- Complete re-credentialing applications for commercial payers.
- Credential new providers and re-credential current providers.
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