BH Provider Relations Specialist

Assembly Health

7h•$20 - $25•Onsite

About The Position

We are looking for a Credentialing Specialist to join our Behavioral Health division. If you are looking for a company that is focused on being the best in the industry, love being challenged, and make a direct impact on our business, then look no further! We are adding to our motivated team that pride themselves on being client-focused, biased to action, improving together, and insistent on excellence and integrity. This is a full-time non-exempt position. The compensation range for this position is $20 - $25 per hour.

Requirements

Proven experience managing credentialing processes across multiple states for individual providers and group practices, ensuring compliance with varying regulatory requirements.
Experience in the medical billing field and/or healthcare provider relations.
Customer service, client relations, and claims resolutions experience is a must.
Strong familiarity with Medicare and Medicaid programs, as well as experience working with healthcare facilities and institutions, is highly valuable.
Professional demeanor with a self-starter attitude.
Must be extremely organized and detail oriented.
The ability to work independently as well as in a team environment.
Strong written and verbal communication skills with customer service focused aptitude.
Must be a team player and highly self-motivated.
Strong reporting expertise with ability to provide status reports and escalation where necessary.
Sharing our core belief system of Honesty, Candor and Trust is table stakes for joining the family.
Ability to function well in a fast-paced and at times stressful environment.
Proficient in Microsoft Office Suite.
Prolonged periods of sitting at a desk and working at a computer.
Ability to lift and carry items weighing up to 10 pounds at times.

Nice To Haves

Experience with Ketamine therapy and Spravato credentialing and enrollment preferred but not required.

Responsibilities

Complete enrollment/credentialing and re-credentialing applications for individuals and group practices.
Serve as the subject matter expert and primary liaison for contracting, credentialing, and enrollment with participating customers, ensuring clear and timely communication on project tasks and deadlines.
Maintain a detailed log of all pending and completed work.
Communicate the results and status of the applications to physicians, payers, managers, and co-workers.
Maintenance of physician enrollment and CAQH profiles.
Documentation within enrollment database.
Coordinate signatures.
Payer processing and research.
Involves extensive phone work and internet.
Research and resolve claim issues related to physician enrollment.
Other tasks as needed.