SUMMARY:

Responsible for all aspects of the credentialing, recredentialing and Privileging processes for all medical providers and therapists who provide patient care at NAMHS or contracted sites. Maintain up-to-date data for each provider in a credentialing database and online systems; ensure timely renewal of licenses & certifications.

DUTIES AND RESPONSIBILITIES:

· Complies and maintains current and accurate data for all providers.

· Completes provider credentialing and recredentialing applications, monitors applications closely.

· Maintains copies of current state licenses, DEA Certificates, malpractice coverage and any other required credentialing documentation for all providers.

· Maintains knowledge of current health plan and contract requirements for credentialing providers.

· Set up and maintain provider information in credentialing database.

· Track license and Certification expiration dates for all providers to ensure timely renewals.

· Updating Practice information with Insurances as needed.

· Process applications for Privileges at contracted sites.

· Regularly Audits health plan directories for current and accurate provider and practice information.

· Maintains confidentiality of provider information.

QUALIFICATIONS:

· Knowledge and understanding of the credentialing process (not required but, preferred).

· Ability to organize and prioritize work.

· Ability to manage multiple priorities.

· Excellent verbal and written communication skills including letters, memos and emails.

· Excellent attention to detail.

· Ability to research and analyze data.

· Ability to work independently with minimal supervision.

· Ability to establish and maintain effective working relationships with providers, management, staff and contacts outside the organization.

· Proficient use of Microsoft Office applications (Word, Excel, Outlook) and internet resources.

Job Type: Full-time

Pay: $18.00 - $23.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Experience:

• Credentialing: 1 year (Preferred)

Work Location: In person