Credentialing and Licensing Specialist
4 days ago
Job Summary: Elite DNA Behavioral Health is seeking a full-time Credentialing Specialist to support our team in Fort Myers.
Job Description: The Credentialing Specialist is responsible for ensuring all providers have active status by completing initial and subsequent credentialing packages as required by commercial payers, Medicare, and Medicaid.
Key Responsibilities:
- Maintain accurate provider profiles on CAQH, PECOS, NPPES, and CMS databases.
- Ensure compliance with government regulations and payer requirements.
- Develop and implement processes to improve credentialing efficiency and accuracy.
- Collaborate with the Revenue Cycle Director and billing staff to resolve any denials or authorization issues related to provider credentialing.
Salary: $50,000 - $65,000 per year.
Benefits: Comprehensive benefits package including medical, dental, vision, life insurance, and 15 days of paid time off.
Requirements:
- Experience with Athena, MD-Staff, and CAQH database files.
- Bachelor's degree in a related field.
- 2 years of experience in a medical practice business office role.
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