Credentialing Team Lead

Austin, TX - USA

Monthly Salary: $ 26 - 28

Posted on: 30+ days ago

Vacancies: 1 Vacancy

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:

Include a short customized cover letter - why are you the best fit for the role
When you upload your resume please upload in PDF format
Ability to speak eloquently about past accomplishments
1-5 years of previous credentialing experience and/or leadership experience
Fully understand CAQH Attestations and processing
Familiarity with NCQA standards

Responsibilities:

Oversee provider enrollment and onboarding functions for Licensed Psychologists within assigned and overflow regions ensuring compliance with delegated payer requirements.
Process track and manage provider applications to ensure timely enrollment and accurate data entry.
Resolve payer information requests promptly and escalate issues as appropriate.
Facilitate payer calls to address and resolve contracting or credentialing issues.
Supervise up to eight direct reports; review and approve timecards assign weekly priorities and ensure completion of all deliverables and reporting
Conduct one on one meetings with all direct reports on a weekly or bi-monthly basis
Maintain and update the provider enrollment database including adding new providers and modifying existing records as needed.
Independently review provider applications for completeness identify credentialing concerns and request additional information or documentation as required.
Prioritize and complete work accurately efficiently and within established timelines.
Contribute to departmental goals and cross-functional initiatives by completing related tasks or special projects as assigned.
Manage monthly expirations and attestations coordinating with specialists to ensure all renewals are completed on time.
Develop implement and update workflows standard operating procedures (SOPs) and reference materials for both internal and external (outsourced) teams.
Oversee the primary team inbox ensuring all communications and requests are addressed promptly and professionally.
Process and distribute all provider change and termination reports.
Conduct new hire training and facilitate regular one-on-one meetings (weekly or biweekly) with team members to support development and performance.
Oversee the addition of new service locations ensuring compliance and accurate payer updates.
Demonstrate proficiency with Google Workspace Excel Word and Salesforce.

Expectations:

Demonstrate a high level of accuracy proficiency and attention to detail in all tasks.
Maintain strong organizational and planning skills to effectively manage priorities and workload.
Communicate proactively clearly and consistently with the Credentialing Manager and team members.
Be open approachable and receptive to feedback demonstrating a commitment to continuous improvement.
Consistently meet deadlines and team goals through focus accountability and follow-through.
Exhibit strong problem-solving skills and actively contribute to improving processes and efficiencies.
Uphold a professional solutions-driven mindset that supports collaboration and operational excellence.

Benefits

Competitive compensation of$26-28/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
Job training

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Required:

Include a short customized cover letter - why are you the best fit for the role
When you upload your resume please upload in PDF format
Ability to speak eloquently about past accomplishments
1-5 years of previous credentialing experience and/or leadership experience
Fully understand CAQH Attestations and processing
Familiarity with NCQA standards

Responsibilities:

Oversee provider enrollment and onboarding functions for Licensed Psychologists within assigned and overflow regions ensuring compliance with delegated payer requirements.
Process track and manage provider applications to ensure timely enrollment and accurate data entry.
Resolve payer information requests promptly and escalate issues as appropriate.
Facilitate payer calls to address and resolve contracting or credentialing issues.
Supervise up to eight direct reports; review and approve timecards assign weekly priorities and ensure completion of all deliverables and reporting
Conduct one on one meetings with all direct reports on a weekly or bi-monthly basis
Maintain and update the provider enrollment database including adding new providers and modifying existing records as needed.
Independently review provider applications for completeness identify credentialing concerns and request additional information or documentation as required.
Prioritize and complete work accurately efficiently and within established timelines.
Contribute to departmental goals and cross-functional initiatives by completing related tasks or special projects as assigned.
Manage monthly expirations and attestations coordinating with specialists to ensure all renewals are completed on time.
Develop implement and update workflows standard operating procedures (SOPs) and reference materials for both internal and external (outsourced) teams.
Oversee the primary team inbox ensuring all communications and requests are addressed promptly and professionally.
Process and distribute all provider change and termination reports.
Conduct new hire training and facilitate regular one-on-one meetings (weekly or biweekly) with team members to support development and performance.
Oversee the addition of new service locations ensuring compliance and accurate payer updates.
Demonstrate proficiency with Google Workspace Excel Word and Salesforce.

Expectations:

Demonstrate a high level of accuracy proficiency and attention to detail in all tasks.
Maintain strong organizational and planning skills to effectively manage priorities and workload.
Communicate proactively clearly and consistently with the Credentialing Manager and team members.
Be open approachable and receptive to feedback demonstrating a commitment to continuous improvement.
Consistently meet deadlines and team goals through focus accountability and follow-through.
Exhibit strong problem-solving skills and actively contribute to improving processes and efficiencies.
Uphold a professional solutions-driven mindset that supports collaboration and operational excellence.

Benefits