Credentialing Specialist
Duties and Responsibilities
Multistate payer enrollment and re-credentialing
Maintaining Credentialing software and Payer Portals
Demonstrates ability to balance competing deadlines with accuracy and professionalism
Ensure that the company complies with federal and state regulations regarding licensure and certification of all professionals
Maintain data for all providers and track the expiration of certifications and licenses
Ensure that company provider/professionals timely update certification or licensing as required
Understand and adhere to HIPAA policies
Adhere to Cultivate policies and procedures
Perform other duties as assigned
Qualifications
Associate degree or equivalent training
Minimum of three (3) years of experience
Credentialing certification is preferred
Knowledge, Skills and Abilities:
Process driven and detail-oriented
Excellent organizational and time management skills including the ability to effectively multi-task and prioritize appropriately to deliver timely results
Highly motivated and energetic during work hours
Communication skills, both oral and written, that are clear, confident, exhibit leadership, professionalism, empathy, and inspire confidence
Advanced problem-solving skills and the ability to think ‘big picture’ and execute defined goals and plans
Ability to work full-time (40 hours/week), including some flexibility regarding schedule changes required to accommodate patient and staff needs
Basic understanding of technology utilized in the field of ABA, including data collection software, to execute high quality services with the ability to learn and oversee practice management tools
Experience and competency with Microsoft Office Suite including Word, Excel, PowerPoint, and Outlook email and Calendar
Ability to successfully complete and pass a Background and Drug Screen
Working/Physical Conditions:
Ability to bend, kneel, crouch, and stand as well as an ability to lift items up to 25 lbs.
Endurance to move rapidly from a seated position to a standing position to perform required tasks
Requires eye-hand coordination and manual dexterity enough to operate office equipment, etc.
Clerical responsibilities and administrative work require appropriate levels of vision and hearing abilities
Ability to communicate effectively using a variety of audio and video meeting platforms and electronic devices
Apply Now
Multistate payer enrollment and re-credentialing
Maintaining Credentialing software and Payer Portals
Demonstrates ability to balance competing deadlines with accuracy and professionalism
Ensure that the company complies with federal and state regulations regarding licensure and certification of all professionals
Maintain data for all providers and track the expiration of certifications and licenses
Ensure that company provider/professionals timely update certification or licensing as required
Understand and adhere to HIPAA policies
Adhere to Cultivate policies and procedures
Perform other duties as assigned
Qualifications
Associate degree or equivalent training
Minimum of three (3) years of experience
Credentialing certification is preferred
Knowledge, Skills and Abilities:
Process driven and detail-oriented
Excellent organizational and time management skills including the ability to effectively multi-task and prioritize appropriately to deliver timely results
Highly motivated and energetic during work hours
Communication skills, both oral and written, that are clear, confident, exhibit leadership, professionalism, empathy, and inspire confidence
Advanced problem-solving skills and the ability to think ‘big picture’ and execute defined goals and plans
Ability to work full-time (40 hours/week), including some flexibility regarding schedule changes required to accommodate patient and staff needs
Basic understanding of technology utilized in the field of ABA, including data collection software, to execute high quality services with the ability to learn and oversee practice management tools
Experience and competency with Microsoft Office Suite including Word, Excel, PowerPoint, and Outlook email and Calendar
Ability to successfully complete and pass a Background and Drug Screen
Working/Physical Conditions:
Ability to bend, kneel, crouch, and stand as well as an ability to lift items up to 25 lbs.
Endurance to move rapidly from a seated position to a standing position to perform required tasks
Requires eye-hand coordination and manual dexterity enough to operate office equipment, etc.
Clerical responsibilities and administrative work require appropriate levels of vision and hearing abilities
Ability to communicate effectively using a variety of audio and video meeting platforms and electronic devices
Apply Now