Behavioral Health Credentialing Specialist

Integratedservice; Newark (OH); On-site; USD 50,000 - 58,000; Full time

Benefits offered by this job

Great salary

Generous paid time off

Strong benefits package

Job summary

Integrated Services for Behavioral Health in Southeast Ohio is hiring a Credentialing Specialist to maintain provider files, manage CAQH/NPPES/PECOS portals, and coordinate recredentialing with insurers. A valid driver’s license and familiarity with EHR systems are required.

Minimum 1 year of credentialing experience in Ohio Behavioral Health Medicaid is required; bachelor’s degree in accounting or credentialing is preferred. Competitive pay and benefits offered.

Qualifications

• 1 year of credentialing experience in Ohio Behavioral Health Medicaid required.
• Experience with electronic health record systems to process claims preferred.
• Bachelor’s degree in accounting or credentialing preferred.

Responsibilities

• Maintain provider files and credentialing applications with up-to-date information.
• Track CAQH, PECOS, NPPES, CMS portals and ensure logins are active.
• Update NPI applications and coordinate recredentialing timelines.
• Terminate enrollments with payers when providers resign or are terminated.
• Maintain provider profiles across CAQH, PECOS, NPPES, and CMS databases.
• Coordinate credentialing and contracting processes with insurers.

Skills

Credentialing

CAQH

NPPES

PECOS

CMS

Communication

Time management

Driving license

Education

High school Diploma or GED

Bachelor’s degree in accounting or credentialing (preferred)

Tools

CAQH portal

PECOS

NPPES

CMS databases

Job description

Integrated Services for Behavioral Health in Southeast Ohio is hiring a Credentialing Specialist to maintain provider files, manage CAQH/NPPES/PECOS portals, and coordinate recredentialing with insurers. A valid driver’s license and familiarity with EHR systems are required.

Minimum 1 year of credentialing experience in Ohio Behavioral Health Medicaid is required; bachelor’s degree in accounting or credentialing is preferred. Competitive pay and benefits offered.