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Quartet Health
New York City, NY | Full Time
$80k-104k (estimate)
2 Months Ago
Credentialing Specialist
Quartet Health New York City, NY
$80k-104k (estimate)
Full Time 2 Months Ago
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Quartet Health is Hiring a Remote Credentialing Specialist

Company Description:

innovaTel is a leading telepsychiatry provider dedicated to improving access to exceptional psychiatric care. innovaTel partners with clinical organizations to provide a range of services to both adults and children including psychiatric evaluations, therapy, medication management, patient education and consultations. 

Quartet is a leading tech-enabled behavioral health company that works with health plans, systems, and provider groups to deliver speed to quality behavioral health care for all. Quartet advances quality care as defined by four measures: speed to care, seamless patient experiences, improved health outcomes, and affordability for patients. 

In 2021, Quartet acquired innovaTel and are now coming together to deliver on our shared mission, delivering speed to quality mental health care for all. Together, we are deeply committed to growing a diverse team and an equitable and inclusive culture where all team members are empowered to be themselves and do their best work. We know this is vital in realizing our shared mission to improve speed to quality mental health care for all. 

About the team & Opportunity:

The Credentialing Specialist is responsible for collecting all clinician data and information to support the payer enrollment process. This person will be responsible for submitting payor enrollments in a timely manner and working with our partner clinics to ensure they have all required forms, documents, and signatures for their credentialing and privileging process. This position requires knowledge of credentialing industry standards and best practice processes, as well as the ability to guide clients in the direction of compliance. This person reports to the Credentialing Manager and collaborates with all levels of personnel to ensure a seamless and quick onboarding process for new clinicians. 

Accountabilities:

Responsibilities

  • Collect credentialing documents from clinicians, and maintain individual provider files and CAQH profiles
  • Act as liaison between our Clinician and our Clinic partners credentialing team to ensure the Clinic received all necessary files and signatures for credentialing and privileging
  • Submit Medicare/Medicaid apps and other commercial payer enrollments
  • Collaborate with Physician Group, Virtual Clinic, and other departments to ensure client and clinician needs are met
  • Proficiently interact with all levels of personnel

Minimum Qualifications:

  • 5 years of credentialing experience 
  • Excellent organizational skills and attention to detail
  • Strong verbal and written communication skills
  • Familiarity with CAQH, NPPES, PECOS, and various payor enrollment portals
  • Knowledge of medical provider credentialing and accreditation principles, policies, processes, procedures, and documentation.
  • Ability to learn new applications to function effectively in a remote work environment

Preferred Qualifications:

  • Certified Professional Credentialing Specialist (CPCS) certification
  • Ability to be innovative, establish priorities, and make decisions independently
  • Capable of handling sensitive and confidential information appropriately
  • Competent in the use of Microsoft Office (Word, Excel, Outlook, PowerPoint)

Employee Benefits for InnovaTel include: Ability to work from home for all employees. Full-time employees are offered ten paid holidays, generous PTO policy, Medical, Vision, Dental Insurance, Flexible Spending Account (FSA) and 401k

Hiring at Quartet & InnovaTel:

Quartet and innovaTel actively encourage applicants of all backgrounds to apply and is proud to be an equal opportunity employer. We do not discriminate on the basis of race, color, ancestry, religion, national origin, sexual orientation, age, citizenship, marital or family status, disability, gender, gender identity or expression, pregnancy or caregiver status, veteran status, or any other legally protected status. To perform this job successfully, an individual must be able to perform essential job duties - reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential job functions. If you require assistance in completing this application, interviewing, or otherwise participating in the employee selection process, please direct your inquiries to talent@quartethealth.com 

Headhunters and recruitment agencies may not submit resumes/CVs through this Web site or directly to managers. Quartet and innovaTel do not accept unsolicited headhunter and agency resumes. We will not pay fees to any third-party agency or company that does not have a signed agreement with Quartet or innovaTel.

Have someone to refer? Email talent@quartethealth.com to submit their details to us.

Job Summary

JOB TYPE

Full Time

SALARY

$80k-104k (estimate)

POST DATE

01/28/2023

EXPIRATION DATE

02/13/2023

WEBSITE

quartethealth.com

HEADQUARTERS

New York, NY

SIZE

500 - 1,000

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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.

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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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