Medical Credentialing Specialist

Behavioral Health Solutions is a team of mental health treatment professionals who specialize in providing comprehensive behavioral health services in Skilled Nursing Facilities and through SNF, Outpatient, and Telehealth. As we expand as a leading provider, we are seeking skilled professionals of the highest caliber of integrity.

Position Summary:
The Credentialing Specialist will oversee the Credentialing process for providers working as Employees or Independent Contractors with BHS. These duties include:

• Process credentialing and re-credentialing applications for healthcare providers.
• Review, verify, and submit credentialing applications.
• Set up and maintain provider information in an 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.
• Medical Provider Credentialing Knowledge: Experience with medical provider and facility credentialing or similar work within a healthcare setting preferred.

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.
• Additional duties as assigned.

Job Type
Full-time, Monday through Friday

Benefits

• 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.

Pay

• $20.00 - $22.00 per hour