Credentialing Coordinator – Remote

2024-54858

Job Family

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NOW HIRING: FULLY REMOTE CREDENTIALING COORDINATOR

Our Passion:

We exist to Lead Care With Light. We need passionate, talented people working together who share our desire to provide the best quality care to our patients and lead the fight against the opioid epidemic. We are prepared to treat the entire disease, not just a piece of it.

Our Team:

Acadia Healthcare’s Comprehensive Treatment Centers (CTC) division operates 160+ outpatient addiction recovery centers nationwide, serving patients undergoing treatment for opioid use disorder. As the leading provider of medication-assisted treatment in the nation, we care for more than 70,000 patients daily. Our mission is to deliver comprehensive care, combining therapies with safe and effective medications. Our team stands at the forefront of the battle against the opioid epidemic.

Our Benefits:

Medical, dental, and vision insurance
Acadia Healthcare 401(k) plan
Paid vacation and sick time
Flexible start time
Opportunityfor growth that is second to none in the industry

Your Job as a Credentialing Coordinator:

The Credentialing Coordinator manages the credentialing portion of the contract process. You will partner with facilities to prepare the proper documentation for initial and re-credentialing application submissions to meet required deadlines, assist in the completion of Medicaid enrollments, and be responsible for completing POAs. The Credentialing Coordinator maintains the department work flow to ensure accuracy and completion of tasks in a timely manner.

Job Responsibilities:

Request and review key credentialing file documentation for each provider/clinician.
Review and complete Primary Source Verification for all vital credentialing file documentation.
Prepare and submit initial and re-credentialing documentation for each payor as needed.
Track and monitor incoming and outgoing credentialing requests, including maintenance of credentialing files.
Maintain various database systems.
Prepare and submit state Medicaid and other payor enrollments and re-validations.
Work directly with payers, the CBOs, and Contracting Departments to resolve disputes.
Prepare and administer routine correspondence, memoranda, and notifications.
Work closely with the CBOs and Contracting Departments to ensure efficiency of processes and create new workflow tools as needed.
Update and maintain in-house documents.

Qualifications

Your Education and Qualifications:

BA/BS degree preferred.
Minimum of 2 years experience in credentialing in a healthcare setting required
Must have experience with multi-state payor enrollment and require minimal assistance/training for the position
Experience with state Medicaid and MCO payor enrollment for initial and recredentialing applications required
Communicates effectively with healthcare provider and payors for any needed information to complete enrollment
Experience with behavioral health credentialing a plus, but not necessary.
Knowledge of CredentialingStream/Verity a plus, but not necessary.

Your Skills:

Strong organizational and analytical skills, with attention to detail.
Excellent verbal and written communication skills.
Ability to prioritize task and to work independently.
Also, the ability to work within a team environment.
Should be able to multitask and work well under pressure.
Ability to meet weekly goals.
Comfortable working in a fast-paced healthcare environment.
Willing to assist other team members and departments as needed to complete tasks
Willing to assist and work on additional projects as needed.

We are committed toproviding equal employment opportunities to all applicants for employment regardless of an individuals characteristics protected by applicable state, federal and local laws.

Acadia Healthcare

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