Credentialing Specialist

About the role

Comprehensive Healthcare provides innovative behavioral health and integrated healthcare services to clients of all ages. We take pride in our creative and collaborative work environment and in delivering clinically excellent, trauma-informed, recovery-oriented services.

Responsibilities

• Completing, submitting, and monitoring initial credentialing applications and renewals for both individual staff members and each facility
• Verifying staff professional credential renewals, processing credential fee reimbursements, and providing notification when staff credentials are expiring
• Completing applications and the review process for internal privileging, including querying various databases for supporting documentation and preparing files for leadership committee review
• Creating resumes and completing paper applications for clinical staff as needed
• Tracking credentialing, licensing, and certification statuses to maintain up-to-date files such that accurate information can be provided to support staff, clinicians, and health plans
• Assisting clinical staff with required paperwork
• Ensuring all documents are submitted in a timely manner
• Coordinating frequently with insurance companies, state agencies, other payers, and Comprehensive employees at all levels
• Prioritizing multiple projects with conflicting deadlines, staying organized when projects are in various stages of completion, and collaborating effectively with external parties to meet deadlines

Qualifications

• Associate degree in a business-related field
• One year of work experience in provider credentialing and working with insurance payors
• Certified Provider Credentialing Specialist (CPCS) or similar certification strongly preferred
• Additional work experience in provider credentialing may be considered in lieu of the certification

Benefits

• Competitive salaries within our communities and industry
• Healthcare coverage for employee and qualified family members
• Generous vacation, paid holiday and sick leave policies
• Access to Employee Assistance Program services
• Agency-funded retirement plan with contributions equal to 5% of compensation
• Additional retirement investment opportunities with a 50% investment match of up to 4% of compensation
• Agency-funded life and disability insurance program
• Tuition reimbursement program to support employees pursuing additional education
• Employer-funded student loan repayment assistance

Schedule

Monday - Friday; 8AM-5PM