Medical Credentialing Specialist

6 days ago


ChampssurYonne, Bourgogne-Franche-Comté, United States Behavioral Health Solutions Full time
Job Title: Medical Credentialing Specialist

Behavioral Health Solutions is a leading provider of comprehensive behavioral health services in Skilled Nursing Facilities and through SNF, Outpatient, and Telehealth. We are seeking a skilled Medical Credentialing Specialist to oversee the credentialing process for providers working with our organization.

Key Responsibilities:
  • Set up and maintain provider information in our online credentialing database system.
  • Track license and certification expirations for all providers to ensure timely renewals.
  • Maintain and protect the confidential records of all protected provider proceedings as required by law.
  • Oversight of the initial credentialing onboarding process: Coordinate with recruiting and onboarding of all new hires.
  • Provider Data Management: Manage the completeness and accuracy of provider demographic data and attestations in the credentialing database and online systems.
  • Compliance Monitoring: Manage the provider compliance process to ensure there are no gaps in licensing and certifications; ensure timely renewal of licenses and certifications.
  • File Maintenance: Maintain active and termed files of all providers in compliance with regulatory standards.
  • Quality Assurance (QA): Perform QA of credentialing packets and data systems to ensure accuracy.
  • Confidentiality: Handle sensitive provider information confidentially and with discretion.
Requirements:
  • High school diploma or general education degree (GED) and one to two years of medical credentialing experience; or Certified Professional Credentialing Specialist status.
  • Excellent oral, written, and listening communication skills.
  • Effective organization and time management skills with the ability to manage multiple tasks simultaneously and work in high-pressure situations.
  • Strong organizational skills and attention to detail.
  • Ability to handle sensitive provider information confidentially and with discretion.
  • Excellent interpersonal skills and demeanor.
  • Proficient in the use of a PC; in a Windows environment; in the use of the Internet; and in the use of MS Office Applications such as Outlook, Word, and Excel.
  • Knowledgeable in the use of EMR systems such as AthenaOne.
  • Ability to adhere to strict attendance and punctuality expectations.
  • Ability to attend to details ensuring accuracy in a timely manner.
  • Ability to work both independently, as well as collaboratively.
  • Ability to identify and proactively solve problems.
  • Ability to demonstrate Behavioral Health Solutions' core values and performance principles of compassion, teamwork, respect, integrity, accountability, and quality service.
What We Offer:
  • Competitive Earnings.
  • Hands-on and Virtual Training and Supervision.
  • Work-Life Balance.
  • PTO and Paid Holidays.
  • A comprehensive benefits package (Medical, Dental, Vision, Life, and more).
  • 401k with company match.

Salary: $21.00 per hour



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