Provider Enrollment & Credentialing Specialist

Employer: Rethink Behavioral Health

Our team specializes in Revenue Cycle Management, as well as Enrollment and Credentialing Services. We are looking for professionals that are customer-focused and enjoy a fast-paced environment. Remote opportunities are available only in the following states: CA, CO, FL, GA, IL, IN, MO, NE, NY, NC, PA & TX

Under the direction of the Enrollment Manager, the Enrollment Specialist is responsible for the following:

Essential Duties: (but not limited to)

• Ensure strict HIPAA-compliant confidentiality with all client-related data Manage and review enrollment onboarding documentation
• Complete new client enrollment verifications
• Set up and manage providers in credentialing tracking software
• Verify NPI’s and other customer enrollment information
• Complete, submit, and follow up on credentialing requests and applications on a regular schedule that will result in faster turnaround times.
• Communicate payor enrollment and credentialing statuses as needed with Rethink team members
• Collaborate with Rethink Billing Team members to resolve claims denials that are specific to credentialing
• Document and communicate updated payor credentialing requirements externally and internally
• Escalate and communicate any at-risk customer accounts to Supervisor
• Keep customers informed and up to date regarding provider renewals, expirations, and application processes
• Monitor provider credentials and licenses to ensure timely renewals Maintain and keep up to date on all payor enrollment requirements
• Serve as enrollment and credentialing subject matter resource internally and externally
• Attend client meetings as needed and/or required

Required Qualifications

• Previous customer service and/or office experience Minimum 1 year previous credentialing experience Strong verbal and interpersonal skills
  HS Diploma or Equivalent
• Willing to learn
• Positive attitude and love a good challenge
• Must also be a team player and be willing to ask questions.

Preferred Qualifications and Experience

• Bachelor’s degree preferred
• Credentialing experience in behavioral health
• Minimum 1 year of experience working in an office setting.
• Customer service experience would be a plus.
• Proficient using Microsoft Suite (Excel, Outlook, Word)
• Experience using tracking and credentialing software IntelliApp, Echo OneApp, Modio, CredentialMyDoc, Cactus would be a plus

Benefits:

• PTO after a 90-day introductory period
• Paid Holidays with an additional (1) Floating Holiday
• Generous Health, Dental & Vision benefits package
• 401k + Matching

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