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Manager, Provider Credentialing Specialist
2 months ago
We are seeking a highly skilled and experienced Credentialing Manager to join our team at DNA Comprehensive Therapy Services LLC. As a key member of our leadership team, you will be responsible for overseeing the credentialing process for our providers, ensuring compliance with regulatory requirements and maintaining accurate records.
Key Responsibilities- Coordinate the management of our credentialing database and associated modules, ensuring accuracy of data and reporting to downstream systems.
- Manage the electronic credentialing applications, ensuring distribution, receipt, processing, and timely delivery to payers.
- Monitor and report turnaround times for processing of credentialing applications, with a focus on delivering a high-quality product in the least amount of time.
- Prepare for and coordinate credentialing audits in compliance with our delegated credentialing contracts.
- Supervise personnel, including work allocation, training, promotion, enforcement of internal procedures and controls, and problem resolution.
- 5 years of experience in Behavioral Health provider credentialing.
- 3 years of management experience in credentialing.
- Knowledge of delegated credentialing workflows.
- Understanding of HIPAA regulations.
- Ability to supervise and train employees.
- Working knowledge of all major payers.
- Ability to work under pressure while successfully meeting deadlines.
- A positive, open, and friendly attitude to colleagues and clients.
- Excellent organization, time management, and prioritization skills.
- Research capabilities when confronted with an issue.
- Proficient with Microsoft Office suite.
- Strong attention to detail and speed while working within tight deadlines.
- Exceptional ability to follow oral and written instructions.
- A high degree of flexibility and professionalism.
- Excellent organizational skills.
- Outstanding communications skills; both verbal and written.
- Bachelor's degree in healthcare management, Business Management, or related field.
- Experience with Athena practice management system.
- Experience managing Behavioral Health credentialing.
- Strong Microsoft Office skills in Excel, Outlook, and Teams.
We offer competitive compensation, a full benefits package, and opportunities for growth and development. Our team is dedicated to providing quality service and support, and we are committed to empowering our employees to take ownership of outcomes.
