Credentialing Specialist

3 weeks ago


Williamsburg, Virginia, United States Colonial Behavioral Health Full time
Job Title: Credentialing Specialist

We are seeking a skilled Credentialing Specialist to join our team at Colonial Behavioral Health. As a Credentialing Specialist, you will play a critical role in ensuring the accuracy and completeness of provider information and credentialing documentation.

Job Summary:

The Credentialing Specialist will be responsible for performing duties related to credentialing agency staff with private insurances and managed care organizations. This includes assisting with other credentialing functions, such as data collection, tracking, and maintaining provider information and credentialing documentation.

Key Responsibilities:
  • Interpret and complete applications for contracting and credentialing while ensuring accuracy.
  • Collect and track data, such as licenses and liability coverage, and update databases and manage web portals.
  • Provide education to staff on the credentialing process.
  • Perform other duties as assigned.
Requirements:
  • High school diploma or equivalent required.
  • Associate degree in healthcare or business-related field preferred.
  • Work experience in behavioral health or healthcare in an administrative setting preferred.
  • Strong analytical skills and attention to detail.
  • Ability to maintain confidentiality and interact with clients, coworkers, and the public in a pleasant and courteous manner.
Preferred Qualifications:
  • Knowledge of or experience with healthcare credentialing of providers.
  • Experience analyzing data and utilizing databases.
  • Ability to interpret standards set forth by pay sources.
Work Schedule:

We are recruiting for PRN (work as needed) positions. Hours will be consistent with standard business hours (Monday-Friday).



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