Senior Credentialing Specialist
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Job Location:
Bangor, ME - USA
Monthly Salary:
Not Disclosed
Posted on:
8 days ago
Vacancies:
1 Vacancy
Job Summary
Who we are:
At Better Life Partners we provide what it takes to heal from addiction. Wherever. Whenever.
We work alongside community-based organizations to meet our members where they are no matter what recovery looks like to them. By combining virtual and in-person counseling community support and access to life-saving medication we help people move beyond addiction to find belonging love and purpose.
If youre looking to roll up your sleeves and meet hard challenges head-on then were looking for you.
The role:
The Senior Credentialing Specialist plays a critical role in overseeing provider credentialing licensure roster maintenance and health plan enrollment. Reporting to the VP of Revenue Cycle Management this role leads credentialing support staff and ensures providers are fully credentialed enrolled with payers and compliant with licensing requirements. The position also ensures accurate and timely entry of provider data into the EMR and billing systems supporting operational efficiency and revenue cycle accuracy.
Unless otherwise specified this position is remote (work from home). Candidates must reside in one of the following states: Maine Maryland Massachusetts New Hampshire New Jersey New York North Carolina Pennsylvania Rhode Island or Connecticut.
What you will do:
- Credentialing Licensure and Roster Maintenance
- Lead and supervise credentialing support staff ensuring quality accuracy and timely processing of credentialing and enrollment tasks
- Oversee provider credentialing licensure and internal enrollment with Medicare Medicaid Managed Care and Commercial Plans
- Enter update and maintain provider data in the EMR and billing systems to ensure accurate records for credentialing billing and operational purposes
- Maintain provider rosters monitor license and certification renewals and ensure compliance with regulatory and internal standards
- Resolve credentialing and licensure issues escalating potential delays to leadership as needed
- Facilitate multi-state licensure and DEA registrations ensuring smooth onboarding and cross-state compliance
- Serve as the primary point of contact for providers clinical leadership and state licensing boards regarding credentialing and enrollment matters
You are a good fit if you have:
- Bachelors degree or equivalent experience
- Extensive experience in provider credentialing licensing and health plan enrollment preferably in a behavioral health setting
- Knowledge of multi-state licensing requirements and credentialing best practices
- Proven experience supervising or mentoring staff
- Experience entering and maintaining provider data in EMR and billing systems
- Highly detail-oriented proactive and able to prioritize multiple tasks in a fast-paced environment
- Comfortable working independently and collaborating across remote teams
It will also be great if you have:
- CPCS Certification
- Multi-state licensing experience in NH VT MENC and MA
- Hands-on experience with internal provider enrollment platforms such as Verifiable
Work location requirements:
- BLP operates in hybrid and remote work environments which allows us to better meet our members and partners where theyre located. Candidates applying for this role must be willing and able to travel locally within the communities we serve and/or travel to onsite meetings as expected in coordination with their department and business needs.
When working from home the requirements include:
- Must have reliable internet service with a fast upload/download ability
- Ability to ensure any protected health or proprietary data/information is not visible (or audible) to others in any work location
- Must have a quiet space to speak to members team members or external partners with minimal background noise and distractions
$54670 - $66000 a year
The actual compensation offered within the range along with title and level will be dependent on a variety of factors including but not limited to relevant experience qualifications skills level offered business requirements and performance expectations.
In addition to a competitive compensation package were offering the chance to be the change you wish to see in your community. Help us work toward a future where everyone can have a healthy life filled with belonging love and purpose.
Were a recovery-friendly workplace that values family life diversity equity and inclusion.
We may use artificial intelligence (AI) tools to support parts of the hiring process such as reviewing applications analyzing resumes or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed please contact us.
Required Experience:
Senior IC
Key Skills
- Computer Hardware
- Mac Os
- Manufacturing & Controls
- Root cause Analysis
- Windows
- Customer Support
- Remote Access Software
- Operating Systems
- Encryption
- Remedy
- Chemistry
- Cerner
About Company
Same-day medications for addiction treatment. Community support. A compassionate partner at every step of your recovery journey.
