Job description
POSITION SUMMARY
The Credentialing Specialist is responsible for preparing and submitting credentialing applications to all Bayless payers, and ensures practitioners and managed practices follow Federal, State and other licensing standards by maintaining credentials for practitioners, licensed agencies, private payers and managed care companies.
Primary Job Responsibilities:
· Credentialing specialists maintain regular cooperation and compliance with all regulatory, accrediting, and membership-based organizations.
· Create and carry out various credentialing processes in relation to physicians, clinical therapists, physician assistants, nurse practitioners and various other healthcare professionals.
· Ensure that all personnel and services adhere to facility and staff policies, department guidelines, regulations, and government laws.
· Process applications and reappointment paperwork for practitioners and facilities, checking for full completeness and accuracy.
· Constantly collect and process significant amounts of verification and accreditation information, and thus must constantly maintain and update accurate databases for both practitioners and facilities.
· Maintain NHSC information for employees.
· Maintain close communication with all appropriate practitioners to ensure that records are up-to-date and consistent.
· Other duties as assigned.
QUALIFICATIONS
Education, Certification, and Experience Requirements
· Associate’s or bachelor’s degree in a related field
· One to three years’ experience preferred
· Exceptional communication and time management skills
· Experience with public and private insurers a plus
· Demonstrated leadership skills and the ability to work independently
ABOUT BAYLESS INTEGRATED HEALTHCARE
Bayless Integrated Healthcare is committed to improving lives and transforming healthcare. We utilize our Core Values as the foundation for all we do:
_ Compassionate: Compassion is the humane quality of understanding the needs of others and wanting to do something about it. We show kindness and a willingness to help others. We always provide care for our colleagues, our patients and our community._
Adaptable: The ability of our team to adapt to different environments, conditions and changes is imperative to deliver high quality care. Adaptable people are open to others while realizing the impact of their own words, tone and body language on others.
Innovative: Our team must have creative and critical thinking in order to introduce new ideas. Our commitment is creating a comprehensive healthcare delivery system like nothing done, experienced or created before.
Reliable: As a patient and community centric organization, being reliable is of the utmost importance. In order to achieve results, we must have a team comprised of consistent and trustworthy individuals that can be counted on to follow through.
Relentless: We have an unwavering commitment to improve the healthcare system, disrupt the status quo, and create a better community. We are driven individuals that exemplify intensity and the pursuit of excellence. A strong work ethic and enthusiasm are necessary in order to help our patients, improve our community, and accomplish our goals.
Job Type: Full-time
Pay: From $20.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- Monday to Friday
Supplemental pay types:
- Bonus pay
Ability to commute/relocate:
- Phoenix, AZ 85012: Reliably commute or planning to relocate before starting work (Required)
Application Question(s):
- What is your salary expectation for the role?
- Have you received your COVID vaccination?
- Have you or your family ever received Behavioral Health or Psychiatry services from Bayless?
Experience:
- Credentialing: 1 year (Required)
Work Location: One location
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