Provider Credentialing Specialist
- El Paso, TX
- $10.00-18.00 per hour
- Permanent
- Full-time
We are looking for individuals who have experience working in the mental or behavioral health insurance environment, who have 2-3 years of mental health credentialing and contracting experience. These individuals may have experience working in a hospital, large group practice, or provider office where they gained astute knowledge of the provider credentialing/clinic contracting process for several mental health insurance networks.Provider Credentialing Specialist Responsibilities:
- Review accuracy and completeness of all applications prior to submission
- Communicate with physicians and other providers in a professional and friendly manner regarding required documents and the status of credentialing
- Manage correspondence timely and effectively with insurance networks and client accounts
- Detailed documentation on all Credentialing Status Reports
- Communicate with team members regularly, ask questions as needed, and have a strong desire to learn
- Submit applications to join provider networks within 10-14 days of receiving provider credentialing packets
- Astutely and proactively follow up on all submitted applications to join payer networks
- Follow up with each payer network regarding the status of the application a minimum of once every two weeks
- Prepare credentialing reports and send to providers every other Friday
- Associate’s degree preferred
- Prior Authorization Certification Highly Desired
- Experience in mental health required (must have worked in an insurance setting for behavioral health or in a prior authorization or credentialing role)
- 3+ years of mental health physician credentialing and contracting experience with behavioral health payer networks
- Understanding of CPT codes
- Detail-orientation is a MUST
- Organizational skills are a MUST
- Excellent verbal, written, and customer service skills are a MUST
- Ability to work independently, meet deadline,s and be flexible is a MUST
- Ability to perform tasks accurately, efficiently, and meet deadlines is a MUST
- Proficient typing/keyboarding skills
- Proficient knowledge of MS Office, Excel, Adobe, and Outlook is a MUST
- Ability to multitask is a MUST
- Complete understanding of HIPAA is a MUST
- $10 - $18/hour (Dependent on Experience)
Integrated Human Capital is an equal opportunity employer committed to fostering diversity and providing employment opportunities to all qualified individuals without regard to race, color, religion, sex, national origin, age, disability, or any other protected status. We actively promote affirmative action by encouraging minorities, women, individuals with disabilities, and veterans to apply for positions for which they are qualified. Additionally, Integrated Human Capital participates in the E-Verify program to verify the identity and employment eligibility of all newly hired employees, ensuring compliance with immigration laws. Candidates are required to present documents confirming their identity and eligibility to work in the United States during the employment verification process.#ELP