Licensing and Credentialing Specialist - Behavioral Health
Join our team as a License and Credentialing Specialist and serve as the subject matter expert and leader of credentialing and licensing, with high attention to alert leadership of essential changes and required actions to ensure compliance across all state and federal requirements.
What you'll need:
Bachelor's degree preferably in healthcare administration or related field, or equivalent experienceCPCS and/or PESC certifications a plus but not requiredAt least 3
years of experience tracking and managing medical licenses of all billable provider types and payer credentialing of large-scale clinical teams across multiple payers.
Ideally, across multiple states.
Deep understanding of medical licensure and credentialing nuances across payers and states, with keen attention to risk management.
Mental Health and/or Substance Use Disorder industry experience a plusProficiency in MS Office (Word, Excel, Outlook)Strong collaboration skills with ability to clearly articulate ideas and build alignment within your team and across the organizationAbility to distill complex licensing and credentialing concepts into clear frameworks, operational flows, training materials and KPIs for measurement Proactive in thought and naturally considers impact of all decisions to mitigate risks and drive outcomes Strong organizational and project management skillsAbility to oversee, manage and effectively prioritize multiple projects Centered on customer satisfaction and demonstrated ability to manage 3rd party relationships and meet essential deadlinesAbility to describe (verbal & written) step-by step processes and provide insight into common potential challenges as well as recommended solutions to successfully navigate the credentialing process Detail-oriented with demonstrated ability to independently manage multiple key stakeholders needs through effective communication, data driven decision making, and timeliness of updates is essentialProactive in identifying operational and workflow gaps and swiftly building and documenting efficient solutions in alignment with relevant stakeholders to ensure decisioning is well-informedThrive in an entrepreneurial environment, comfortable with ambiguity and confident in making decisions with a passion for challenging the status quo in healthcare Operate with high integrity and accountability for resultsWhat you'll do:
Lead licensing and payer credentialing process as we scale our clinical care team across multiple states and payersDevelop and maintain a detailed database of required state licenses, certifications, and credentials of each provider in the Amatus Health Roster by facility in Salesforce with Task reminders for continued follow up in advance of any term or expiring dates.
The maintenance of the provider roster would include identification and flagging of gaps or potential risks, monitoring and addressing of relevant timelines associated with expirations/renewals (ensuring recertification occurs timely), and ensuring all appropriate documentation is filed with appropriate entitiesCross-Licensure Oversight:
Partner with relevant vendors and/or providers to identify and manage key cross-licensure opportunities as we grow and scale our clinician team.
This includes serving as the project manager to drive forward an internal process including communication with providers as well as regular reporting to the Operations teams on licensure and credentialing statuses and timelines to align the launch and implementation of new businessOwn relationship-management with relevant 3rd party partnerships including but not limited to licensure & credentialing partners, state boards, and health plan payers.
This may include providing necessary resources, and deliverables to ensure effective management of the provider roster to mitigate any risks associated with growth and expansion as well as to drive efficiencies in processAssist Human Resources in provider onboarding as it relates to primary source verification, initial credentialing, and other key requirements to inform key decisions on hiring and onboarding.
HR serves as the initial reviewer; the Licensing Specialist is the final reviewer of the provider/applicant's licensing and medical credentialing applications to ensure compliance with each entity's specific requirements and standards including state and federal regulatory requirements.
Backed by Amatus Health as the parent company, you'll enjoy medical, dental, and vision benefits and a generous 401(k) match, and have a large family of other recovery center facilities to connect with and advance in your career! APPLY TODAY!#ZR.
Estimated Salary: $20 to $28 per hour based on qualifications.
What you'll need:
Bachelor's degree preferably in healthcare administration or related field, or equivalent experienceCPCS and/or PESC certifications a plus but not requiredAt least 3
years of experience tracking and managing medical licenses of all billable provider types and payer credentialing of large-scale clinical teams across multiple payers.
Ideally, across multiple states.
Deep understanding of medical licensure and credentialing nuances across payers and states, with keen attention to risk management.
Mental Health and/or Substance Use Disorder industry experience a plusProficiency in MS Office (Word, Excel, Outlook)Strong collaboration skills with ability to clearly articulate ideas and build alignment within your team and across the organizationAbility to distill complex licensing and credentialing concepts into clear frameworks, operational flows, training materials and KPIs for measurement Proactive in thought and naturally considers impact of all decisions to mitigate risks and drive outcomes Strong organizational and project management skillsAbility to oversee, manage and effectively prioritize multiple projects Centered on customer satisfaction and demonstrated ability to manage 3rd party relationships and meet essential deadlinesAbility to describe (verbal & written) step-by step processes and provide insight into common potential challenges as well as recommended solutions to successfully navigate the credentialing process Detail-oriented with demonstrated ability to independently manage multiple key stakeholders needs through effective communication, data driven decision making, and timeliness of updates is essentialProactive in identifying operational and workflow gaps and swiftly building and documenting efficient solutions in alignment with relevant stakeholders to ensure decisioning is well-informedThrive in an entrepreneurial environment, comfortable with ambiguity and confident in making decisions with a passion for challenging the status quo in healthcare Operate with high integrity and accountability for resultsWhat you'll do:
Lead licensing and payer credentialing process as we scale our clinical care team across multiple states and payersDevelop and maintain a detailed database of required state licenses, certifications, and credentials of each provider in the Amatus Health Roster by facility in Salesforce with Task reminders for continued follow up in advance of any term or expiring dates.
The maintenance of the provider roster would include identification and flagging of gaps or potential risks, monitoring and addressing of relevant timelines associated with expirations/renewals (ensuring recertification occurs timely), and ensuring all appropriate documentation is filed with appropriate entitiesCross-Licensure Oversight:
Partner with relevant vendors and/or providers to identify and manage key cross-licensure opportunities as we grow and scale our clinician team.
This includes serving as the project manager to drive forward an internal process including communication with providers as well as regular reporting to the Operations teams on licensure and credentialing statuses and timelines to align the launch and implementation of new businessOwn relationship-management with relevant 3rd party partnerships including but not limited to licensure & credentialing partners, state boards, and health plan payers.
This may include providing necessary resources, and deliverables to ensure effective management of the provider roster to mitigate any risks associated with growth and expansion as well as to drive efficiencies in processAssist Human Resources in provider onboarding as it relates to primary source verification, initial credentialing, and other key requirements to inform key decisions on hiring and onboarding.
HR serves as the initial reviewer; the Licensing Specialist is the final reviewer of the provider/applicant's licensing and medical credentialing applications to ensure compliance with each entity's specific requirements and standards including state and federal regulatory requirements.
Backed by Amatus Health as the parent company, you'll enjoy medical, dental, and vision benefits and a generous 401(k) match, and have a large family of other recovery center facilities to connect with and advance in your career! APPLY TODAY!#ZR.
Estimated Salary: $20 to $28 per hour based on qualifications.
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