Jobs and Careers

Credentialing Enrollment Coordinator (Hybrid)

Lewisville, United Statesfull_timeVerifiedPosted 3 Dec 2024

About the role

Credentialing Enrollment 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)..
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.
Ensure compliance with Texas Medicaid requirements and behavioral health program standards.
Proficient in Medicare/Medicaid State Enrollment Applications.
Included in these activities are the processing of Commercial and Governmental applications and re-applications, initial mailing, review, and loading into the database tracking system ensuring timing and quality standards are maintained.
Securing and maintaining all health insurance plan enrollment and re-enrollment for the Company.
Experience with re-validations and re-enrollments.
Completing commercial plan facility credentialing and re-credentialing applications and forms.
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.