Credentialing Specialist

Acorn Health; Jackson (MS); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading ABA treatment provider in Jackson, MS is seeking a Credentialing Specialist to join their dedicated team. The position focuses on processing credentialing files and ensuring compliance with state and federal regulations. Candidates should possess strong communication skills and at least two years of relevant experience in a healthcare environment. This role offers a competitive pay structure and the chance to contribute to impactful, compassionate care.

Benefits

Paid time off

Paid holidays

Medical, dental, and vision insurance

Retirement plan

Employee assistance program

Qualifications

• 2 years relevant experience in healthcare credentialing preferred.
• High school diploma required, Bachelor's degree preferred.
• Excellent communication and organizational skills.

Responsibilities

• Process credentialing and re-credentialing files for compliance.
• Maintain accurate documentation for credentialing committee reviews.
• Ensure timely OIG verification to comply with regulatory requirements.

Skills

Communication

Customer Service

Organizational Skills

Problem Solving

Leadership

Education

High school diploma

Bachelor's degree

Tools

Microsoft Office Suite

Job description

Acorn Health is an Applied Behavioral Analysis (ABA) treatment provider dedicated to providing the best quality care for our clients. We aim to continually establish best-in-class standards in integrity and quality for not only ourselves, but also in the field of ABA. We work courageously and with accountability to focus on the individuality of each child, collaborate with client families, and generate permanence in client outcomes. We strive to hire and to invest in our greatest asset - our employees, who are the heart of Acorn Health.

Acorn Health is a standard-setting family of ABA treatment providers. We believe the best employees want to work with companies who share their beliefs, and that is true for families who entrust us with children they love. Every day and every interaction, we strive to demonstrate our Five Core Values.

At the heart of our mission is a commitment to excellence—and as a Credentialing Specialist, you’ll play a critical role in making that possible. You’ll be responsible for processing credentialing and re-credentialing files with precision, ensuring compliance with internal policies, state and federal regulations, and accrediting body standards.

Your work directly supports our ability to deliver care, maintain strong partnerships, and ensure timely reimbursement. In short: you help keep everything running.

Duties/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
• E nsure 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.
• M aintain 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.

Why Acorn Health?

Here’s what makes us a great place to grow your career:

• Purpose-Driven Work – Be part of a team that’s changing lives through compassionate, evidence-based care.
• Career Growth – Thrive in a growth-focused culture with ongoing development and advancement opportunities.
• Enjoy the flexibility of a 100% remote position (EST).
• Competitive Pay – Earn up to $22 per hour, based on experience and qualifications.
• Time to Recharge – Paid time off and paid holidays to support your well-being.
• Comprehensive Benefits – Medical, dental, and vision insurance to keep you and your family healthy.
• Retirement Planning – Access to a retirement plan to invest in your future.
• Extra Support – Additional benefits like life insurance and an employee assistance program (EAP).

Knowledge, Skills & Abilities:

What knowledge, skills and abilities are necessary to deliver on the duties described above?

• 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.

Applicants must be located in the Eastern Time Zone and have access to a reliable, high-speed internet connection to ensure smooth and timely communication.

Education and Experience:

• High school diploma
• Bachelors degree is highly preferred
• At least two years related experience in credentialing experience in healthcare environment.

Physical Requirements:

• Remain in a stationary position: More than 2/3
• Traverse or move around work location: less than 1/3
• Operate or use department specific equipment: More than 2/3
• Ascend/Descend equipment or ladder: none
• Constantly position self to accomplish the Essential Functions of the role: More than 2/3
• Receive and communicate information and ideas for understanding: More than 2/3
• Transport, position, and/or exert force: none
• Up to 10 pounds: none
• Up to 25 pounds: none
• Up to 50 pounds: none
• Up to 100 pounds: none
• More than 100 pounds: none

The above statements are intended to describe the general nature and level of work being performed by employees in this classification.

Acorn Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, creed, national origin or ancestry, ethnicity, sec (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship or immigration status, veteran status, genetic information, height, weight, hair or hairstyle, familial status, marital status, or any other protected status covered by applicable federal, state, or local law.

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