Acorn Health · 9 hours ago
Credentialing Specialist
Acorn Health
Full-time
Onsite
Entry, Mid Level
$20/hr - $23/hr
2+ years expAcorn Health is an Applied Behavioral Analysis (ABA) treatment provider dedicated to providing the best quality care for clients. As a Credentialing Specialist, you will be responsible for processing credentialing and re-credentialing files in compliance with relevant laws and regulations, ensuring timely communication with providers and maintaining accurate documentation.
BiotechnologyHealth Care
Responsibilities
Assures the confidentiality and integrity of all aspects of the credentialing program and process including communication of information regarding participating providers to other internal departments
Builds file documentation and prepares file for credentialing committee review
Conduct thorough research, establish contacts, and gather pertinent application documents per payor utilizing NCQA standards within state and federal guidelines
Ensure timely OIG verification/re-verification to prevent any negative impact related to compliance or regulatory requirements
Enter Acorn Health practice information and liability coverage into provider’s CAQH Proview’s file
Conduct National Practitioner Data Bank and National Student Clearinghouse prime source verification for applicable providers
Maintain credentialing Smartsheet and Central Reach profiles for providers as assigned
Maintain timely communication with external providers regarding eligibility, supporting documentation, and credentialing and/or related provider issues
Upload credentialing welcome letters for providers, advise the clinical team of approval, and update provider Central Reach profile
Refers non-approved providers or questionable situations to senior management
Assists in researching pended and probated applications and resolving discrepancies
Performs other related duties as assigned
Qualification
Required
High school diploma or equivalent
At least two years related experience in credentialing experience in healthcare environment
Excellent verbal and written communication skills in a virtual environment such as over the phone, email and video calls
Excellent interpersonal and customer service skills to resolve issues
Excellent organizational skills and thrives in paying attention to details in high volume atmosphere
Excellent time management skills with a proven ability to meet deadlines
Strong analytical and problem-solving skills
Successful demonstration of leadership skills
Ability to prioritize tasks and to delegate them when appropriate
Proficient with Microsoft Office Suite or related software
Company
Acorn Health
Acorn Health is a provider of clinical services to children with autism.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
unknown2021-08-27Acquired
Leadership Team
Mony Iyer
President and CEO
Recent News
Behavioral Health Business
2025-10-23
Behavioral Health Business
2025-10-10
2025-08-22
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