Action Behavior Centers - ABA Therapy for Autism · 7 hours ago
Credentialing Project Specialist
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Health Care
Growth OpportunitiesH1B Sponsor Likely
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Responsibilities
Prioritizes and completes all work in an accurate, effective and efficient manner
Researches new market/payer opportunities
Submits new market group/provider enrollment
Establishes and maintains processes and workflows appropriate to each new market/payer
Trains assigned specialists on enrollment requirements and processes in each new market and with new payers in established markets
Works with outsourced teammates and assigns task as appropriate
Timely resolution on payor information requests
Facilitate new payer calls to establish connections between payer and various RCM departments
Able to act independently to review and assess provider/group enrollment for accuracy, 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
Works closely with contracting specialist to complete group updates and demographic changes
Assists credentialing team with overflow files/onboards and enrollments
Acts as liaison between credentialing department and all other rcm departments regarding resolution of payer issues
Complete all assigned special projects as needed
Qualification
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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
2 + years of experience in an administrative role required (preferably Behavioral Health or Healthcare)
Fully understand CAQH Attestations and processing
Proficient at using Excel and Word
Preferred
1-5 years of credentialing experience preferred
Delegated Credentialing experience preferred
Google Suite Products preferred
Benefits
Competitive Salary
PTO and 14 days of paid holidays
Health, dental and vision insurance covered at up to 90% by employer
A fun, relaxed work environment with a great team
Job training
Company
Action Behavior Centers - ABA Therapy for Autism
Action Behavior Centers - ABA therapy for Autism is the largest and leading provider of Applied Behavior Analysis (ABA) therapy in the country.
H1B Sponsorship
Action Behavior Centers - ABA Therapy for Autism has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2022 (2)
Funding
Current Stage
Late StageTotal Funding
unknown2023-06-01Debt Financing· Undisclosed
2022-08-17Acquired· by Charlesbank Capital Partners ($840M)
Recent News
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