Alabama

Credentialing Specialist

Job description          

Pathway Healthcare provides highly effective, lasting treatment for opioid and other drug addictions and substance use disorders by utilizing the most advanced evidence-based treatment methods and medications in a supportive, professional outpatient environment. Pathway Healthcare’s mission, “To Help People” is passionately carried out by team members in a positive, non-judgmental manner.
The Credentialing Specialist is responsible for: Credentialing and re-credentialing all employed and contracted medical and behavioral health practitioners ensuring each file meets guidelines established by third-party payors, Joint Commission and government agencies. Maintaining and updating provider credential files and provider enrollment as provider credentials expire and are renewed. Communicate with third-party payors to identify and fill gaps in provider credential files. Working closely with clinical leadership and Human Resources to establish an efficient, thorough credentialing processes. Communicating with clinical leadership and HR when adverse information related to provider credentials is identified. Other responsibilities as the Credentialing processes grow as a result of the incumbent’s suggestions. Requirements: Associates degree and 2 or more years of previous credentialing experience in a multi-site outpatient office setting. Credentialing certification is preferred. Knowledge of managed care, Medicare and Medicaid credentialing.
Pathway Healthcare LLC Alabama jobs

Pathway Healthcare LLC

Alabama jobs

Alabama jobs

 Alabama jobs  Alabama jobs
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Pathway Healthcare LLC Alabama jobs

Pathway Healthcare LLC (Alabama jobs)

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Pathway Healthcare provides highly effective, lasting treatment for opioid and other drug addictions and substance use disorders by utilizing the most advanced evidence-based treatment methods and ...