Provider Enrollment Coordinator

2 weeks ago

Franklin, Tennessee, United States Acadia Healthcare Full time

Position Overview:

Join Our Team as a Fully Remote Credentialing Coordinator

About Us:

At Acadia Healthcare, we are dedicated to Leading Care With Light. Our mission is to provide exceptional quality care to our patients while actively combating the opioid crisis. We focus on treating the whole person, addressing all aspects of the disease.

Our Organization:

As a prominent provider in the field of medication-assisted treatment, Acadia Healthcare's Comprehensive Treatment Centers (CTC) division operates over 160 outpatient addiction recovery facilities across the country, supporting more than 70,000 patients each day. Our goal is to deliver holistic care by integrating various therapies with safe and effective medications, positioning our team at the forefront of the fight against the opioid epidemic.

Benefits We Offer:

  • Comprehensive medical, dental, and vision coverage
  • 401(k) retirement plan
  • Paid time off for vacations and sick leave
  • Flexible working hours
  • Unmatched opportunities for professional growth within the industry

Your Role as a Credentialing Coordinator:

The Credentialing Coordinator is responsible for overseeing the credentialing aspects of the contract process. You will collaborate with facilities to prepare necessary documentation for initial and re-credentialing applications, ensuring compliance with deadlines, assisting with Medicaid enrollments, and managing Powers of Attorney (POAs). This role requires maintaining workflow efficiency to guarantee accuracy and timely completion of tasks.

Key Responsibilities:

  • Request and evaluate essential credentialing documentation for each provider or clinician.
  • Conduct Primary Source Verification for all critical credentialing documents.
  • Prepare and submit initial and re-credentialing paperwork for various payors as required.
  • Monitor and track incoming and outgoing credentialing requests, including maintaining credentialing files.
  • Manage various database systems effectively.
  • Prepare and submit state Medicaid and other payor enrollments and re-validations.
  • Collaborate with payers, Central Billing Offices (CBOs), and Contracting Departments to resolve any disputes.
  • Draft and manage routine correspondence, memoranda, and notifications.
  • Work closely with CBOs and Contracting Departments to enhance process efficiency and develop new workflow tools as necessary.
  • Update and maintain internal documentation.

Qualifications:

Education and Experience:

  • Bachelor's degree preferred.
  • A minimum of 2 years of experience in credentialing within a healthcare environment is required.
  • Experience with multi-state payor enrollment is essential, with minimal need for assistance or training.
  • Proficiency in state Medicaid and Managed Care Organization (MCO) payor enrollment for initial and re-credentialing applications is required.
  • Strong communication skills to effectively interact with healthcare providers and payors for necessary information.
  • Experience in behavioral health credentialing is advantageous but not mandatory.
  • Familiarity with CredentialingStream/Verity is a plus, though not required.

Skills Required:

  • Exceptional organizational and analytical abilities, with a keen attention to detail.
  • Strong verbal and written communication skills.
  • Ability to prioritize tasks and work independently.
  • Capability to collaborate effectively within a team environment.
  • Proficient in multitasking and thriving under pressure.
  • Commitment to meeting weekly objectives.
  • Comfortable in a dynamic healthcare setting.
  • Willingness to assist colleagues and other departments as needed to achieve goals.
  • Open to contributing to additional projects as required.

We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal, and local laws.

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