Credentialing-Billing Coordinator

Miracle Kids Success Academy (MKSA) & Kids Unlimited Learning Academy (KULA) is an early intervention day treatment clinic for children with special needs. Once children are referred to MKSA/KULA by their primary care physicians they must receive a developmental screening. Then they may be scheduled for therapy evaluations at MKSA/KULA or bring recent therapy evaluation reports done elsewhere. To receive Early Intervention Day Treatment habilitation services a child must have a documented developmental disability or delay as shown on the results of an annual comprehensive developmental evaluation and qualify for at least one therapy service. Those services include (but are not limited to) fine motor delays sensory disorders gross motor delays speech-language delays hearing disorders feeding disorders developmental delays cognitive delays and medical needs.

The Credentialing Coordinator is responsible for: understanding the organizations systems credentialing and billing procedures. Preparing and maintaining audit documents to ensure accuracy with the credentialing and billing process while providing the highest level of customer services possible to our leadership team. Excellent communication skills are needed in order to interface with operating locations internal functional departments and staff.

ESSENTIAL FUNCTIONS

• Manage and maintain credentialing files for all employees including licenses certifications background checks training records immunizations and other required documentation.
• Oversee initial credentialing re-credentialing and ongoing compliance tracking for therapy providers nurses teachers and support staff.
• Verify professional licenses and certifications with appropriate state boards registries and third-party systems.
• Track expiration dates and proactively communicate with staff to ensure timely renewal of required credentials.
• Ensure compliance with Arkansas DHS Medicaid insurance payors and internal MKSA standards.
• Assist with onboarding processes by ensuring all new hires have completed required credentialing and compliance tasks prior to their start date.
• Maintain accurate digital and hard-copy credentialing files in accordance with agency policies.
• Prepare and organize documentation for audits inspections and quality assurance reviews.
• Communicate professionally with employees department supervisors HR and external agencies regarding credentialing requirements and status updates.
• Support continuous improvement of credentialing workflows forms and systems.
• Protect confidential information and uphold HIPAA FERPA and organizational privacy standards.
• Perform other related duties as assigned.

SKILLS AND ABILITIES

• Good written and verbal communication skills
• Ability to work with minimum supervision
• Excellent customer service skills
• Ability to prioritize handle multiple take and meet tight timelines
• Computer literate with general knowledge of software to include Microsoft Office

QUALIFICATIONS

• H.S. diploma/GED required
• One year of experience in a similar role is preferred.

Miracle Kids Success Academy/Kids Unlimited Learning Academy provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race color religion age sex national origin disability status genetics protected veteran status sexual orientation gender identity or expression or any other characteristic protected by federal state or local laws.

Required Experience:

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