The need for mental health services has never been greater.
What We Offer:
Credentialing Requirements Maintenance
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Ensure credentialing compliance standards are met per accrediting and regulatory agencies (i.e., CARF, JACHO, DHS, DBHDD).
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Prepare and submit state Medicare and Medicaid enrollments and re-validations.
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Thorough knowledge of CAQH, PECOS & NPPES, Availity applications.
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Knowledge of commonly used concepts, practices, and procedures used in behavioral health credentialing.
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Prepare provider files for government and regulatory agency credentialing audits.
Application Maintenance
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Track and monitor incoming and outgoing credentialing requests, including maintenance of credentialing files.
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Audit files, obtain credentialing documents, or additional information as required.
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Track and follow up on all credentialing/recredentialing documentation as necessary.
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Contact providers to clarify discrepancies.
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Prepare and submit state Medicare, CMOs, and Medicaid enrollments and re-validations.
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Prepare and submit private insurance credentialing applications.
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Prepare and administer routine correspondence, memoranda, and notifications.
Special Projects
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Offer Human Resources management in maintaining personnel records and preparing reports.
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Recommend improvements to enhance department or agency efficiency.
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Lead special projects with detailed action plans.