Assembly Health
Healthcare
BHProviderRelationsSpecialist
Neural analysis suggests this role is
optimal for Mid+ candidates.
“BH Provider Relations Specialist at Assembly Health. Skills: Credentialing, Provider relations, Enrollment. Complete enrollment applications. Complete credentialing applications”
Industry & Context.
Research and resolve claim issues
Prolonged periods of sitting, Working at a computer, Ability to lift 10 pounds
What They're Looking For.
Must Have
Proven experience managing credentialing processes, Experience in medical billing, Experience in healthcare provider relations, Customer service experience, Client relations experience, Claims resolutions experience, Proficient in Microsoft Office Suite
Nice to Have
Familiarity with Medicare, Familiarity with Medicaid, Experience working with healthcare facilities, Experience working with healthcare institutions, Experience with Ketamine therapy credentialing, Experience with Spravato credentialing
What You'll Do.
Complete enrollment applications
Complete credentialing applications
Complete re-credentialing applications
Serve as subject matter expert
Serve as primary liaison
Maintain detailed log
Communicate application results
Communicate application status
Maintain physician enrollment profiles
Maintain CAQH profiles
Documentation within enrollment database
Coordinate signatures
Research claim issues
How You'll Work.
Team & Collaboration
Work independently; Work in team environment
Communication Scope
Written communication; Verbal communication
Full Job Description
Become an Assembler! If you are looking for a company that is focused on being the best in the industry, love being challenged, and make a direct impact on our business, then look no further! We are adding to our motivated team that pride themselves on being client-focused, biased to action, improving together, and insistent on excellence and integrity. We are looking for a Credentialing Specialist to join our Behavioral Health division. If you are looking for a company that is focused on being the best in the industry, love being challenged, and make a direct impact on our business, then look no further! We are adding to our motivated team that pride themselves on being client-focused, biased to action, improving together, and insistent on excellence and integrity. This is a full-time non-exempt position. The compensation range for this position is $20 - $25 per hour. What You Will Do: Complete enrollment/credentialing and re-credentialing applications for individuals and group practices. Serve as the subject matter expert and primary liaison for contracting, credentialing, and enrollment with participating customers, ensuring clear and timely communication on project tasks and deadlines. Maintain a detailed log of all pending and completed work. Communicate the results and status of the applications to physicians, payers, managers, and co-workers. Maintenance of physician enrollment and CAQH profiles. Documentation within enrollment database. Coordinate signatures. Payer processing and research. Involves extensive phone work and internet. Research and resolve claim issues related to physician enrollment. Other tasks as needed. What it takes to join the family: Proven experience managing credentialing processes across multiple states for individual providers and group practices, ensuring compliance with varying regulatory requirements. Experience in the medical billing field and/or healthcare provider relations. Customer service, client relations, and claims resolu
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