Full-Time Credentialing Coordinator
Job Description
Company Description
Eleanor Health is a best-in-class substance use disorder (SUD) care provider, utilizing Medication-Assisted Therapy (MAT), behavioral health therapy, and broader wellness and social support. Eleanor delivers accessible, evidence-based, and clinically excellent care supported by innovative technology as a multi-site clinical provider. Eleanor offers patients a sustainable path to recovery, by addressing behavioral and social determinants of substance abuse, in tandem with medical needs. The Eleanor team is led by an incredibly successful group of healthcare & technology leaders and top-notch investors. You’ll be joining a passionate, inspiring, supportive, and fun family.
Position Description
The Credentialing Coordinator will report to the Credentialing & Enrollment Team Lead. As a member of the Credentialing team, The Credentialing Coordinator is responsible for maintaining active status for all providers by successfully completing credentialing applications as required by commercial payers, Medicare and Medicaid.
Flexibility and a willingness to perform varying tasks to support the team and organization are a must.
Specifically, you will:
- Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications
- Maintain internal provider grid to ensure all information is accurate and logins are available
- Update each provider’s CAQH database file timely according to the schedule published by CMS
- Update all provider licenses; Professional, DEA, Controlled Substance and etc in softwares
- Complete revalidation requests issued by government payers
- Complete re-credentialing applications for commercial payers
- Rre-credential current providers
- Maintain accurate provider profiles on CAQH profiles
- Other duties as assigned
You’ll be a good fit if you:
- Bachelor’s degree in Healthcare Administration, Finance, or equivalent experience.
- Have a minimum of 2 years experience in medical group credentialing & enrollment
- Have prior experience working in a behavioral health setting preferred.
- Have strong written and verbal communication skills.
- Are a creative problem solver.
- Enjoy working in collaborative environments.
- Have solid experience with Excel (required), G Suite, Business Intelligence platforms (Mode, Tableau, etc), project management software, Practice Management systems (athenahealth preferred).
- Want to be a part of a mission driven company making a difference in the lives of the members we serve, and will serve in future.
- Knowledge of provider credentialing and its direct impact on the practice’s revenue cycle
- Detail oriented with above average organizational skills
- Plans and prioritizes to meet deadlines
- Excellent customer service skills; communicates clearly and effectively
How to Apply
https://boards.greenhouse.io/eleanorhealth/jobs/6250270002128 total views, 0 today