Credentialing Coordinator

Full Time
Remote
Posted
Job description

Greenbrook TMS is seeking a full-time remote Credentialing Coordinator who will be responsible for credentialing and re-credentialing providers with insurance companies, state and federal payors, and other third-party payors. While working collaboratively with other internal departments, the Credentialing Coordinator will also establish and maintain positive relationships with payors. High organizational skills, attention to detail, and highly effective and professional communication is required for this role. The Credentialing Coordinator can expect a fast pace and high-volume work environment.

Essential Functions and Job Responsibilities:

  • Review all onboarding documentation for new hires to ensure it meets payor/state guidelines and requirements for credentialing.
  • Partner with onboarding specialists and Credentialing Manager to identify any barriers to credentialing new providers
  • Submit all verifications, credentialing applications, and other documentation within organization guidelines for newly onboarded providers
  • Maintain accurate and complete credentialing files for providers in appropriate storage systems and platforms
  • Effectively and professionally communicate status updates as requested to internal partners regarding credentialing of providers
  • Provide clear timelines and requests for updated information for re-credentialing to providers as appropriate
  • Responsible for the security and privacy of any and all protected health information
  • Build, improve, and maintain positive working relationship with payors through frequent communication and follow up on provider credentialing
  • Frequent communication with credentialing manager regarding updated payor requirements and guidelines
  • Attend and participate in all team related meetings
  • Under direct supervision learns the credentialing and verification process
  • Maintain physicians’ license expirations
  • Conduct verification of credentialing elements using system resources and approved departmental tools and document status within credentialing database(s)
  • Files all information promptly
  • Works with physicians to complete and obtain documentation
  • Ability to compile and maintain current and accurate data for all providers
  • Ability to complete provider credentialing and recredentialing applications in coordination with third party credentialling resource
  • Ability to maintain copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers
  • Tracks license, DEA and professional liability expirations, Nurse protocols and certifications for providers
  • Knowledge of initiating and completing provider CAQH profiles
  • Knowledge of current managed care plans and government requirements for credentialing providers

Education and Experience Requirements:

  • Associate's or bachelor’s degree required
  • Minimum 2 years credentialing experience preferred
  • Experience with managed care systems and electronic medical records
  • Demonstrated attention to detail, problem solving and critical thinking skills, and ability to prioritize and meet deadlines
  • Proficiency with PC-based computer systems with the ability to learn new information systems and software Must be very organized and able to establish priorities and drive results
  • Must communicate professionally and effectively with all departments, clients, and external partners

We offer a competitive pay range of $50,000 - $60,000/year (based on education level and prior experience) PLUS a generous benefits package including 401(k) with company match, paid time off, and medical/dental/vision benefits.

Who we are:

Operating through over 200 Company-operated treatment centers, Greenbrook is a leading provider of Transcranial Magnetic Stimulation (“TMS”) therapy, an FDA-cleared, non-invasive therapy for the treatment of Major Depressive Disorder and other mental health disorders, in the United States. TMS therapy provides local electromagnetic stimulation to specific brain regions known to be directly associated with mood regulation. Greenbrook has provided more than one Million TMS treatments to over 27,000 patients struggling with depression.

Over 16 million Americans are affected by depression. Greenbrook TMS is changing the way that depression is treated, and YOU can be part of making a positive difference in the lives of patients by joining our amazing team!

To learn more about our WHY, click here: https://youtu.be/yrr-wlFftT0

For patient testimonies on HOW we are transforming lives for the better, click here: https://www.greenbrooktms.com/patient-stories

Greenbrook TMS is a growing company seeking dedicated individuals who will be key employees as we expand - come join us!

GBSP22

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