Medical Facility Credentialing Specialist

11 hours ago


Springfield, Massachusetts, United States Behavioral Health Network Full time

The Medical Facility Credentialing Specialist is a key member of the Behavioral Health Network team, responsible for ensuring the smooth operation of facility credentialing processes. This role requires strong organizational and communication skills, as well as the ability to interpret complex regulations and guidelines. The ideal candidate will have a strong background in facility credentialing, with experience in managing third-party commercial insurance payers, CMS, and MA Health facility credentialing applications. They will also have excellent time management skills, with the ability to prioritize tasks and meet deadlines. The Medical Facility Credentialing Specialist will work closely with Program Leadership, the Clinical Director, and the Credentialing Department to obtain, update, and maintain current data to accurately represent BHN on credentialing and re-credentialing applications. They will also identify credentialing issues, coordinate resolution, and take corrective actions as needed. This role requires a strong understanding of Microsoft Products, including Outlook, Word, and Excel, as well as the ability to effectively use payer websites and navigate POSC and PECOS. The ideal candidate will have a strong knowledge of Behavioral Healthcare credentialing and an understanding of facility credentialing for a Community Mental Health Center. They will also have excellent negotiation skills, with the ability to communicate effectively, listen actively, and manage expectations. If you are a detail-oriented and organized individual with a passion for facility credentialing, we encourage you to apply for this exciting opportunity.



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