Qureos Mentor

Caravel Autism Health

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 The Credentialing Specialist is responsible for all credentialing activities and initial analysis of new contracts.&nbsp;
 
 
 
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 Essential Functions
 
 
 
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 Responsible for the oversight of all credentialing activities. &nbsp;This includes completion and submission of applications and following up with providers and payors on incomplete items.
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 Works with payors to add new locations to existing contracts.
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 Maintains good working relationships with payor contacts.
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 Performs initial review of new payor contracts and suggests changes to discuss with Director.
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 Acts as a credentialing resource for providers.
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 Ensures department operations are performed in an accurate and timely manner.
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 Identifies and suggests process improvement goals to support operations.&nbsp;
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 Develops and maintains partnerships across all other departments, partners, and vendors to develop and integrate solutions in support of business objectives.
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 Non-Essential Functions/Other Duties
 
 
 
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 1. &nbsp; Performs other duties as assigned&nbsp;
 
 
 
 
 
 Supervisory Responsibility
 
 
 
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 Leads, coaches, and mentors Billing &amp; Authorization Staff. &nbsp;&nbsp;
 
 
 
 
 
 Travel Required
 
 
 
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 Occasional travel may be required. &nbsp;
 
 
 
 
 
 Physical Demands
 
 
 
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 This is largely a sedentary role, with frequent sitting and computer keyboarding required. &nbsp;Employee will be required to sit, talk, hear, type and write. &nbsp;Occasional bending, squatting, stooping, and lifting (up to 35 pounds) are required. &nbsp;
 
 
 
 
 
 Qualifications
 
 
 
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 Education: &nbsp;
 
 
 
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 At least a Bachelor&rsquo;s Degree in a healthcare or business related discipline, or equivalent experience&nbsp;
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 Certification is a plus
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 Experience:
 
 
 
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 At least three years of medical insurance, billing or claims experience, preferably in a supervisory capacity
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 Previous management level experience preferred
 
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 Skills and Competencies:
 
 
 
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 Knowledge of medical billing and ICD-10, and CPT coding, as well as knowledge of financial concepts &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;
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 Strategic focus, with the ability to identify and execute on key business strategies that will support attainment of overall organizational business objectives
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 Ability to effectively lead, coach, manage, mentor and develop others, holding staff accountable as appropriate
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 Excellent interpersonal skills, with the ability to communicate effectively with others
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 Able to work both independently and be self-directed, as well as being able to perform in a team atmosphere &nbsp;
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 Displays professionalism and represents organization in a professional manner
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 Strong knowledge of HIPPA privacy and security rules and regulations
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 attached
 
 
 
 
 
 
 
 Caravel Pay Details:
 
 
 
 &middot; &nbsp; &nbsp; &nbsp; &nbsp;$18.18 to $20.00
 
 
 
 Compensation for the role will depend on a number of factors, including a candidate&rsquo;s qualifications, skills, competencies and experience and may fall outside of the range shown. At Caravel we provide competitive wages with excellent benefits, including medical and dental insurance, employer-matched 401(k), paid time-off, paid travel, short-term disability and more.&nbsp;
 
 
 
 Important: Credentialing Specialist is a Full Time remote/work from home
 
 
 
 opportunity, and we are open to candidates in the Spokane, WA OR Green Bay, WI areas
 
 
 
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Credentialing Specialist

Join Caravel Autism Health and explore 1   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Caravel Autism Health

About Company

Credentialing Specialist