Credentialing Coordinator - Remote

Acadia Healthcare Inc.•Franklin, TN

49d•Remote

About The Position

The primary duty of the Credentialing Coordinator is to manage the credentialing portion of the payor enrollment process. They will be required to submit initial and re-credentialing Medicaid and MCO multi-state enrollments for providers. The Credentialing Coordinator maintains the department workflow to ensure accuracy and completion of tasks in a timely manner.

Requirements

Bachelor's degree preferred
5+ years of enrolling providers with payors
Advanced knowledge of multi-state payor enrollment practices and guidelines
Must be proficient in Microsoft Word and Excel
Ability to multi-task is a must

Responsibilities

Track and monitor incoming and outgoing credentialing requests, including maintenance of credentialing files.
Maintain various database systems.
Prepare and submit Medicaid and MCO enrollments and re-validations.
Collaborate directly with payers and Contracting/Billing Departments to resolve disputes.
Prepare and administer routine correspondence, memoranda, and notifications.
Work closely with Contracting/Billing Departments to ensure efficiency of processes and create new workflow tools as needed.
Update and maintain in-house documents.
Performs other duties as assigned.