Credentialing Specialist - Reimbursement & Compliance

Comprehensive Healthcare; Yakima (WA); On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

Competitive salaries

Healthcare coverage

Retirement plan

Tuition reimbursement

Student loan repayment assistance

Job summary

Comprehensive Healthcare in Yakima, WA provides innovative behavioral health and integrated healthcare services for clients of all ages. This Credentialing Specialist role ensures facilities, clinicians and staff are properly credentialed to enable reimbursement for services, requiring collaboration with insurers and state agencies.

The position emphasizes organized credentialing workflows, timely submissions, and strong communication with external parties.

Qualifications

• Associate degree in a business-related field is required.
• One year of work experience in provider credentialing and working with insurance payors.
• CPCS or similar certification strongly preferred.

Responsibilities

• Complete and submit credentialing applications for staff and facilities.
• Verify staff credentials and process fee reimbursements.
• Coordinate with insurance companies and payers to ensure timely submissions.
• Maintain up-to-date credentialing files and tracking.
• Prepare files for leadership committee review.

Skills

Credentialing

Communication

Multitasking

Organization

Education

Associate degree in a business-related field

Certified Provider Credentialing Specialist (CPCS)

Job description

Comprehensive Healthcare in Yakima, WA provides innovative behavioral health and integrated healthcare services for clients of all ages. This Credentialing Specialist role ensures facilities, clinicians and staff are properly credentialed to enable reimbursement for services, requiring collaboration with insurers and state agencies.

The position emphasizes organized credentialing workflows, timely submissions, and strong communication with external parties.