Credentialing Specialist

Centro Castillo For Personal And Family Wellbeing Oak Park , IL 60301

Posted 7 months ago

Job Description

Centro Castillo for Personal and Family Wellbeing Oak Park, IL 60639

Centro Castillo is an established mental health group practice looking to hire a credentialing specialist. Credentialing work is 50% of the job while the other 50% is encompassed with varied administrative duties. Were looking for an energetic professional who can multi-task and thrive in a dynamic environment.

Primary Job responsibilities include, but are not limited to:

  • Process therapists accreditation, managed care, governmental & commercial insurance credentialing and re-credentialing.
  • Inputs & updates provider credential databases of CAQH, PECOS, & NPPES
  • Completes provider credentialing and re-credentialing applications; monitors applications and follows-up as needed
  • Maintains knowledge of current health plan and agency requirements for credentialing providers.
  • Audits health plan directories for current and accurate provider information.
  • Updates therapists information in hospital information systems, respond to verification requests, and perform file audit.
  • Credentialing of clinical staff with health insurance plans
  • Verifying insurance benefits.
  • Assists with marketing and public relations

Required Skills

  • 2+ years experience in an administrative role at a healthcare practice (medical, dental, psychology)
  • Knowledge of commercial healthcare insurance or government contracts
  • Proficiency with Microsoft Word, Excel and Outlook
  • A minimum of 2 years Credentialing experience in a medical office
  • Experience getting providers paneled with insurance companies
  • Proficiency in Microsoft Office suite and Quicken/QuickBooks
  • Strong written and oral communication skills
  • Proficiency in Spanish preferred
  • Strong organization and leadership skills

Benefits

  • Competitive wages
  • 2 weeks vacation and Health Insurance.
  • Flexible work hours with possibility to occasionally telecommute after 6 months of employment

If you are interested, Please submit your resume to the Clinical Director, Paula C. Castillo, Psy.D. at CentroCastilloJobs@sbcglobal.net.

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Credentialing Specialist

Centro Castillo For Personal And Family Wellbeing