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Our goal is to make that process as easy as possible for you. Start your journey with us by browsing available jobs.

At Workplace Options, we are committed to and are accountable for building a workplace where individuals feel empowered to bring their whole selves to work, free from judgment or fear of discrimination. We understand that having a diverse organization is only the beginning and it will require nurturing and care to thrive. We will continue to take action to ensure we achieve equitable and measurable outcomes.

We strive to cultivate a space where diverse voices are not only heard but actively sought out and valued for the unique insights they bring. By embracing and promoting authenticity, we aim to build a vibrant and inclusive community that fosters collaboration, innovation, belonging and personal growth.

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Nous savons que la recherche d'un emploi intéressant et gratifiant peut être un long parcours.

Notre objectif est de rendre ce processus aussi facile que possible pour vous. Commencez votre parcours avec nous en consultant les offres d'emploi disponibles.

Chez Workplace Options, nous nous engageons à construire un lieu de travail où les individus se sentent habilités à apporter leur entièreté au travail, sans jugement ni crainte de discrimination, et nous en sommes responsables. Nous comprenons qu'une organisation diversifiée n'est qu'un début et qu'elle aura besoin de soins et d'attention pour s'épanouir. Nous continuerons à prendre des mesures pour obtenir des résultats équitables et mesurables.

Nous nous efforçons de cultiver un espace où les différentes voix sont non seulement entendues, mais aussi activement recherchées et appréciées pour les perspectives uniques qu'elles apportent. En embrassant et en promouvant l'authenticité, nous visons à construire une communauté dynamique et inclusive qui favorise la collaboration, l'innovation, l'appartenance et l'épanouissement personnel.

Credentialing Coordinator

Birmingham, AL

Full Time

Credentialing

Mid Level

About this opportunity:

Workplace Options is proud to support our sister organisation, Behavioral Health Systems (BHS), in recruiting a Provider Relations Credentialing Coordinator. This is an exciting opportunity to contribute to a growing organization, ensuring strong provider partnerships and the highest credentialling standards.

BHS operates one of the nation’s largest specialty preferred provider organizations (PPO), which is comprised of psychiatrists, psychologists, social workers, EAP providers as well as facility networks including hospitals, rehab/residential treatment centers, partial hospitalization programs and intensive outpatient programs. BHS fully credentials and panels their own network of providers.

Current Opportunity: Provider Relations Credentialing Coordinator

Location: Alabama (Birmingham)

Full-time/Part-time: This is a full-time (40 hours per week) position.

What you will do:

Reporting to the Vice President, Provider Relations, and with general responsibility to the Provider Relations division, this position is responsible for researching and resolving claims issues, managing credentialing and referral agreements, initiating and reviewing provider credentialing processes, and maintaining accurate provider data systems. It also serves as a liaison between Credentialing and other internal departments.

Responsibilities:

Research and resolve claims and the related issues as requested by Claims Administration.
Enter Case Specific Agreements into MCS.
Enter Referral Agreements into MCS.
Initiate (re)credentialing process upon receipt of application. Review provider and primary source responses. Refer all responses not meeting BHS credentialing criteria to Vice President, Provider Relations.
Maintain computerized provider system, including preparing data conversions for network providers, and entering current credentialing/quality assurance information.
Work with Network Development/Clinical/Claims Administration whenever they have questions regarding claims and need information and assistance in getting the claims entered and/or approved.
Act as the primary liaison between Credentialing and other divisions within the company whenever there are questions to include responding to or routing emails and/or phone calls to the appropriate parties, researching and/or resolving provider credentialing-related issues, and managing tasks submitted through internal provider management system.
Learn all other Credentialing Specialist job duties.
Prepare reports as requested.
Attend quarterly credentialing committee meetings, as requested.
Maintain all information in a confidential manner.
Adhere to established policies and procedures as directed.
Perform other related duties and special projects as directed.

Qualifications/Skills:

High school diploma, some college preferred
3 years extensive data entry experience
Minimum 60 WPM typing
Proficiency in MS Word and Access required
Advanced PC computer software skills (i.e., spread sheets, special programs)
Accuracy and attention to detail
Excellent proofreading skills
Good organization and written communication skills
Ability to meet deadlines/handle interruptions/problem-solve
Cooperative attitude and self-starter
Superior disposition and telephone communication skills
Dependability and punctuality
Ability to work with a minimum of supervision
Alabama driver’s license and dependable transportation
Provider credentialing or provider systems experience (or related provider relations experience) required

For further information about BHS please see https://behavioralhealthsystems.com/providers/

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