Jobs in Port Elizabeth, France

Already Autism Health is looking to hire a Credentialing Coordinator to ensure that the company and its individual practitioners meet and maintain compliance with insurance and regulatory enrollment, eligibility and certification requirements that will provide reimbursable services to all clients in care as well as meet applicable clinical staff supervisory standards.

What you will be expected to do:

• Credential newly hired clinicians with applicable insurance payers for timely billing.
• Collect, Submit, & Track all necessary documentation.
• Process re-credentialing for existing clinicians as required by individual payers.
• Maintain a current, accurate database of all clinicians’ credentialing / licensure status, needs, expirations, issues, etc. Share with internal staff as applicable.
• Communicate & Coordinate with all levels of internal staff & external stakeholders to ensure timely & consistent qualification is met & maintained.
• Monitor expiring credentials to ensure ongoing compliance with regulatory guidelines.
• Investigate and resolve any issues that arise during the approval process.
• Under the direction of the RCM Manager, assist with site level enrollments or changes to contract.

What you need to have:

• Bachelor’s degree in healthcare administration or related field preferred.
• Minimum of 1-year related experience preferred
• Strong organizational and analytical skills with attention to detail
• Excellent verbal and written communication skills
• Ability to prioritize tasks and work independently
• Experience with Microsoft office products
• Familiarity with Medicaid & Commercial payer requirements

• Paid Company Holidays
• Paid Time Off (PTO)
• 401K Retirement Plan
• Medical, Dental and Vision
• Health Savings Accounts
• Short-Term and Long-Term Disability Benefits
• Supplemental Life Insurance with Accidental Death and Dismemberment Insurance

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