Credentialing Specialist
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Job Summary
Action Behavior Centers is a leading provider of ABA therapy services for children on the Autism Spectrum. Founded in Austin Texas we are looking for a motivated top-notch Credentialing Specialist who wants to be a part of a stellar team and deliver exceptional results. We are a smart fun place to work. Simply put - we are different and we aim to be the best.
If you are an overachiever with an excellent attitude and team player personality this might be the right position for you! The right candidate will be a natural self-starter with extremely strong attention to detail. We will train on specific task items listed below although the right fit will quickly and easily pick up responsibilities and manage them on their own.
Required:
When you upload your resume please upload in PDF format
Ability to speak eloquently about past accomplishments
2-10 years of previous job experience
1-5 years of credentialing experience preferred
2 years of experience in an administrative role required (preferably Behavioral Health or Healthcare)
Delegated Credentialing experience preferred
Fully understand CAQH Attestations and processing
Proficient at using Excel and Word (Google Suite Products preferred)
Responsibilities:
Prioritizes and completes all work in an accurate effective and efficient manner
Maitan Availity database additions changes and verification requests
Participate in delegated credentialing projects as assigned
Maintaining the provider/group demographic change database. Updating the database with appropriate changes in provider or group information.
Timely resolution on payor information requests
Train Specialists and implement processes for enrollment in dual markets
Facilitate payer calls to address contracting or credentialing issues
Able to act independently to review and assess provider/group demographic changes for completion identify credentialing concerns and request appropriate follow up information from providers or other sources as needed
Contributes to team effort by accomplishing related tasks or other duties as needed
Complete all assigned special projects within a reasonable time frame
Expectations:
- Operate with a high level of accuracy and proficiency
- Be organized and well-planned
- Be incredibly detail-oriented
- Communicate effectively and regularly with the Credentialing Manager
- Be approachable and receptive to feedback
- Work hard to meet deadlines and goals
- Be a problem solver and a process improver
Benefits
Competitive compensation of$18-22/hr depending on experience
10 days PTO 10 days paid holiday 1 floating holiday 2 flex days
Health dental and vision insurance covered at up to 90% by the employer
A fun relaxed work environment with a great team
Required Experience:
Unclear Seniority
Key Skills
- Sales Experience
- Crane
- Customer Service
- Communication skills
- Heavy Equipment Operation
- Microsoft Word
- Case Management
- OSHA
- Team Management
- Catheterization
- Microsoft Outlook Calendar
- EHS
About Company
Action Behavior Centers offers ABA Therapy for children on the autism spectrum. Services provided by our experienced BCBAs are covered by insurance
