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1 Credentialing Specialist Job in Van Nuys, CA

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360 Behavioral Health
Van Nuys, CA | Full Time
$47k-59k (estimate)
5 Months Ago
Credentialing Specialist
$47k-59k (estimate)
Full Time 5 Months Ago
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360 Behavioral Health is Hiring a Credentialing Specialist Near Van Nuys, CA

Who are we? 

At 360 Behavioral Health, we take pride in our long-standing commitment to providing exceptional care for individuals impacted by autism and other developmental delays. With over three decades of expertise, we are one of the original and most established Applied Behavior Analysis (ABA)-based behavioral health services authorities. Today, 360 Behavioral Health is one of the top ABA, enhanced personal assistance and respite providers in the United States. The commitment, dedication, and approach to care that guided our founders when they opened their doors continues to guide all we do today. Our devotion to their philosophy landed us on the list for “The 5 Best ABA Therapy Providers for 2023”, and to us being labeled as a certified “Best Place To Work”!

What would this role do?

  • 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 database file and maintain accurate provider profiles
  • Maintain a comprehensive provider roster for required payers
  • Complete credentialing applications to add providers to contracted payers, including Commercial and Medicaid
  • Complete provider re-credentialing applications to all contracted payers
  • Maintain current demographic information for all credentialed providers on external payer portals
  • Work closely with the Revenue Cycle Director and billing staff to identify and resolve any denials or authorization issues related to provider credentialing

Must Haves 

  • Knowledge of provider credentialing and its direct impact on the organization’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
  • High School Diploma or GED
  • 1 years credentialing experience preferred
  • 1 years’ experience in a medical practice business office role preferred

What we offer

  • Competitive compensation (we value transparency) {$27.00-$30.00/Hour)
  • Student loan repayment assistance for eligible roles 
  • Bonus program(s) for eligible roles 
  • Career development and advancement opportunities 
  • Flexible scheduling 
  • Great and fun company culture
  • Expansive Health, Vision, and Dental plans for our full-time partners
  • 401(K) retirement savings program
  • Mileage and phone reimbursement 
  • And so much more!

360 Behavioral Health is an equal opportunity employer. If anyone is unable to fully access any portion of the 360 Behavioral Health on-line system, we are committed to providing reasonable accommodations. Please contact us at 855-360-4437 for assistance. 

EEO/Minorities/Females/Disabled/Veterans

Our organization is an equal employment/affirmative action employer. If you need accommodation for any part of the employment process because of a medical condition or disability, please send an e-mail to benefits360hr@360bhmail.com to let us know the nature of your request. For more EEO information about applicant rights click here.

Americans With Disabilities Act 

360 Behavioral Health, does not discriminate on the basis of disability in its services, programs, or activities. Employment: 360 Behavioral Health does not discriminate based on disability in its hiring or employment practices and complies with the ADA title I employment regulations. Effective Communication: 360 Behavioral Health will, upon request, provide auxiliary aids and services leading to effective communication for people with disabilities, including qualified sign language interpreters, assistive listening devices, documents in Braille, and other ways of making communications accessible to people who have speech, hearing, or vision impairments. Modifications to Policies and Procedures: 360 Behavioral Health, will make reasonable modifications to policies and procedures to ensure that people with disabilities have an equal opportunity to enjoy programs, services, and activities. For example, people with service animals are welcomed in 360 Behavioral Health offices, even where pets and other animals are prohibited. Requests: To request an auxiliary aid or service for effective communication, or a modification of policies or procedures contact [ADA Coordinator name and contact information] as soon as possible, preferably 30 days before the activity or event. For inquiries, please contact us at benefits360hr@360bhmail.com

Job Summary

JOB TYPE

Full Time

SALARY

$47k-59k (estimate)

POST DATE

12/07/2023

EXPIRATION DATE

06/16/2024

WEBSITE

360bhmail.com

HEADQUARTERS

San Diego, CA

SIZE

<25

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The job skills required for Credentialing Specialist include Customer Service, Billing, Life Insurance, Medical Practice, Organizational Skills, etc. Having related job skills and expertise will give you an advantage when applying to be a Credentialing Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Credentialing Specialist. Select any job title you are interested in and start to search job requirements.

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The following is the career advancement route for Credentialing Specialist positions, which can be used as a reference in future career path planning. As a Credentialing Specialist, it can be promoted into senior positions as a Compliance Manager - Healthcare that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Credentialing Specialist. You can explore the career advancement for a Credentialing Specialist below and select your interested title to get hiring information.

If you are interested in becoming a Credentialing Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Credentialing Specialist for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on Credentialing Specialist job description and responsibilities

A certified professional credentialing specialist ensures that staff members of a facility maintain licenses, training, and certifications based on federal and state law.

03/14/2022: Des Moines, IA

A credentialing specialist can have certificates that will prove useful to their field.

02/01/2022: Newark, NJ

Credentialing specialists also ensure that any services provided by medical facilities meet the required standards as set by state and federal government agencies.

02/21/2022: Evansville, IN

Credentialing specialists are part of an organization's administrative staff; they review medical policies, process contracts, and facilitate audit reports to validate that certified medical professionals comply with credentialing procedures.

02/01/2022: Las Cruces, NM

Credentialing specialists will also ensure that their employer meets state, federal and other regulations for quality of care.

01/18/2022: Pueblo, CO

Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Credentialing Specialist jobs

Credentialing specialists can often find work with a high school diploma or the equivalent.

01/25/2022: Kingsport, TN

Some employers strongly prefer credentialing specialists who have a Certified Provider Credentialing Specialist (CPCS) credential.

03/01/2022: Parkersburg, WV

While an associate degree may not be required for a position as a credentialing specialist, some employers may prefer applicants with a two-year degree.

12/25/2021: Little Rock, AR

Make Use Of Advanced Software For Monitoring.

01/18/2022: New London, CT

Stay Updated with the Coalition for Affordable Quality Healthcare's Credentialing Program.

01/31/2022: Portsmouth, OH

Step 3: View the best colleges and universities for Credentialing Specialist.

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