Credentialing Coordinator

BayMark Health Services; Lewisville (TX); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Competitive salary

Medical, dental, vision

401(k) plan

Generous PTO

Growth opportunities

Impactful work

Job summary

BayMark Health Services is seeking a Credentialing Coordinator to organize, verify, and manage credentialing for practitioners and facilities. The role involves maintaining current files and coordinating with licensing entities across states.

The ideal candidate will have strong communication, attention to detail, and experience with CAQH, NPPES, and PECOS systems, plus the ability to manage multiple credentialing projects in a fast-paced setting.

Qualifications

• High School Diploma required; Associate degree preferred.
• Three years of related experience in reviewing databases and auditing paperwork for accuracy.
• Two years of experience in substance abuse field preferred.
• Proficient with CAQH, NPPES, and PECOS systems; strong MS Office skills.

Responsibilities

• Process and review credentialing applications for completeness and accuracy.
• Prepare for license reviews and credentialing applications for facilities.
• Maintain and update databases for facilities and practitioners; ensure audit-trail documentation.

Skills

Oral and written communication

Analytical & organizational skills

Deadline-driven

Audit-trail documentation

Education

High School Diploma

Associate degree

Tools

CAQH

NPPES

PECOS

Microsoft Word

Microsoft Excel

Job description

Description

Position at BayMark Health Services

Full Time - Credentialing Coordinator

BayMark Health Services is looking for an organized Credentialing Coordinator to assist with administrative tasks pertaining to our practitioner and facility credentialing. The Credentialing Coordinator will organize, maintain and verify all aspects of the process, and maintain current files.

Essential Duties & Responsibilities

• Process and review applications for completeness and accuracy.
• Prepare for review - initial and renewal facility licenses and credentialing applications.
• Create and carry out various credentialing processes in relation to center practitioners (medical and counseling personnel).
• Collect and process verification and accreditation information.
• Maintain and update databases for facilities and practitioners.
• Maintain close communication with practitioners, leadership, and licensing/credentialing entities - both locally and in other states.
• Work with an array of departments and leadership (HR, legal, accounting), both locally and in other states in order to obtain information and process required applications.
• Other duties as assigned.

Qualifications

• High School Diploma required. Associates degree preferred.
• Preferred: Three (3) years of related experience in reviewing and maintaining informational databases and auditing paperwork such as application and licensing documentation for accuracy.
• Two years of experience working in the field of substance abuse preferred.
• Exceptional oral and written communication skills are required. Must be proficient in Microsoft Office, including Word and Excel.
• Proven ability to meet deadlines and possess strong analytical and organizational skills in managing multiple projects in different consecutive stages.
• Proficient with CAQH, NPPES and PECOS systems.
• Must be able to operate effectively in a fast-paced environment in which attention to detail and audit-trail documentation must be maintained in the face of multiple competing demands. Developing a positive rapport with licensing and credentialing entities, subcontractors and employees is critically important.
• Ability evaluate current and incoming projects for prioritization.
• Initiative to take charge of unforeseen situations, solve problems and adjust to schedule changes.

Benefits

• Competitive salary
• Comprehensive benefits package including medical, dental, vision and 401(K)
• Generous paid time off accrual
• Excellent growth and development opportunities
• Satisfying and rewarding work striving to overcome the opioid epidemic

Here Is What You Can Expect From Us

BayMark Health Services specializes in the treatment of opioid addiction. BayMark Health Services provides medication-assisted treatment services in a variety of modalities and settings through our divisions: BAART Community HealthCare, Health Care Resource Centers and MedMark Services, Inc. BayMark Health Services, also provides traditional primary health care services, as well as integrated primary care, in select locations.

BayMark Health Services is committed to Equal Employment Opportunity (EEO) and to compliance with all Federal, State and local laws that prohibit employment discrimination on the basis of race, color, age, natural origin, ethnicity, religion, gender, pregnancy, marital status, sexual orientation, citizenship, genetic disposition, disability or veteran's status or any other classification protected by State/Federal laws.