On- Site Credentialing Specialist

Company: AssuraSource Behavioral Health Services
Location: Allen
Posted on: November 24, 2022

Job Description:

AssuraSource Behavioral Health Services - Who we are
AssuraSource Behavioral Health Services is a locally owned company that provides Behavioral Health Services throughout Texas. Our therapists provide counseling through virtual sessions and in-home sessions. We have some of the most affordable rates available and we pride ourselves in being able to provide services to a diverse population of individuals in different life stages and of different socioeconomic backgrounds. We accept Medicaid, Medicare, and most commercial insurances.
Assurasource - Behavioral Health Services is looking for a highly-skilled Credentialing Specialist that can -Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications - -


Duties and Responsibilities
-The Credentialing Specialist is responsible for maintaining active status for all providers by successfully completing initial and subsequent credentialing packages as required by commercial payers, Medicare and Medicaid. RESPONSIBILITIES --- Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications --- Maintain internal provider grid to ensure all information is accurate and logins are available --- Update each provider's CAQH database file timely according to the schedule published by CMS --- Apply for and renew annually all provider licenses; Professional, Complete revalidation requests issued by government payers --- Complete credentialing applications to add providers to commercial payers, Medicare, and Medicaid --- Complete re-credentialing applications for commercial payers --- Credential new providers and re-credential current providers --- Work closely with the Revenue Cycle Director and billing staff to identify and resolve any denials or authorization issues related to provider credentialing --- Maintain accurate provider profiles on CAQH, PECOS, NPPES, and CMS databases --- Other duties as assigned KNOWLEDGE, SKILLS, AND ABILITIES --- Knowledge of provider credentialing and its direct impact on the practice's revenue cycle --- Excellent computer skills including Excel, Word, and Internet use --- Detail oriented with above average organizational skills --- Plans and prioritizes to meet deadlines --- Excellent customer service skills; communicates clearly and effectively EDUCATION/EXPERIENCE REQUIRED --- High School Diploma or GED --- 2 years credentialing experience preferred --- 2 years experience in a medical practice business office role required - -
What Assurasource Behavioral Health can offer
- - - - - - - - - Weekly Pay -
- - - - - - - - - Pay: $45,000.00

. - - - - -Health Vision and Dental Insurance -
Thank you so much for your interest in joining our team at Assurasource! If you have any questions, please let us know. We are looking forward to hearing from you.
-
Job Types :Full Time, -
Pay: $55,000.00-$60,000.00
Work Location: ON-Site
-

Keywords: AssuraSource Behavioral Health Services, Allen , On- Site Credentialing Specialist, Other , Allen, Texas