Credentialing Specialist - Remote

Overview

The Credentialing Department is critical in ensuring the integrity, accuracy, and compliance of professional credentials for individuals within our organization. This department is responsible for accumulating, evaluating, verifying, and maintaining the qualifications, licenses, certifications, and other credentials required for clinicians to perform their duties effectively and with clinical excellence.

In Short

• Ensure complete information is collected and submitted for each provider in compliance with payer requirements.
• Follow up, issue resolution, and confirmation of execution for submissions.
• Proactive review of payer setup/accuracy for current providers.
• Maintain accurate data and credentialing files for all clinical roles.
• Assist in maintaining practitioner profiles and obtain data from other departments as required.
• Commit to providing excellent customer service internally & externally.
• Actively participate in companywide and departmental meetings.
• Promote a friendly work culture that encourages collaboration and self-improvement.
• Perform other related role and team function duties as assigned.
• Adhere to all policies and procedures as outlined in the employee handbook.

Requirements

• High School Diploma or Equivalent.
• 2-4 years of Credentialing experience in Mental/Behavioral Health or Medical Healthcare.
• Proficiency with using Symplr Credentialing Database preferred.
• Experience working with online payers - delegated & non-delegated accounts.
• Must have proven experience with CAQH and NPPES enrollment.
• Strong interpersonal skills and proven ability to work in a team environment.
• Ability to set, prioritize, manage and complete multiple tasks within deadlines.
• Intermediate computer skills and technical aptitude required.
• Attentive to details and goal-oriented.
• Familiar with credentialing for large national, regional, and government payers.

Benefits

• Comprehensive health benefits including medical, dental, and vision insurance.
• Front Loaded Paid Time Off (PTO) and observed holidays.
• 401(k) Retirement Plan with employer match.
• Professional development stipend and paid professional development days.
• Short-Term & Long-Term Disability insurance.
• Employee Assistance Program (EAP).
• Quarterly wellness activities.
• Competitive pay.
• Flexible spending account options.
• Transit and parking voluntary benefits.