Credentialing and Licensing Specialist

4 days ago


Fort Myers, Florida, United States DNA Comprehensive Therapy Services Full time

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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