Credentialing Administrator
Key Skills for This Role
Full Job Posting
What we offer
- Competitive Pay
- 15 Days of Paid Time Off
- Medical, Dental, & Vision Insurance
- Company Discounts & Incentives
- Professional Development and Leadership Growth Opportunities
- State of the Art Facilities & Technology
What you will do
- Maintain credentialing and recredentialing of all Therapy, Developmental Preschool, Management, and RISE team members.
- Implement and utilize the HR database, including ways to improve efficiency by use of the database.
- Compile and maintain current and accurate data for all providers in HCM and deTASO.
- Maintain and update Council for Affordable Quality Healthcare (CAQH) online credentialing application for all providers quarterly.
- Coordinate credentialing with RehabNet for all insurances they cover.
- Monitor expirations of providers’ (RBTs and BCBAs) CPR certification for Tricare.
- Complete provider credentialing and recredentialing applications; monitor applications and follow-up as needed.
- Maintain documentation and reporting regarding provider enrollments in process.
- Maintain copies of malpractice coverage, current state licenses, and any other required credentialing documents for all providers.
- Maintain updated roster of providers for Professional Liability Insurance.
- Notify applicable insurance companies of provider terminations.
- Track license and certification expirations for all providers to ensure timely renewals and updates health plans accordingly.
- Ensure practice addresses are current with health plans.
- Maintain confidentiality of provider information.
- Update job knowledge by some or all of the following: participating in educational opportunities; reading professional publications; maintaining personal networks and/or participating in professional networks.
- Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions .
What you have
Ability to communicate effectively and professionally with a wide variety of people.
Strong organizational skills with attention to detail and accuracy.
Computer skills which include a working knowledge of databases, word processing, spreadsheets, and internet software.
Ability to handle multiple tasks in a very busy environment.
Ability to read and interpret documents such as safety rules, policies, and other company documents.
Ability to write routine reports and correspondence.
Ability to effectively present information in one-on-one and small group situations.
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
Reports for work dressed appropriately and complies with company policies regarding the dress code.
Ability to maintain regular and punctual attendance.
Ability to complete tasks in a timely manner.
Required Qualifications
- High School Diploma or equivalent.
Physical Demands
While performing the duties of this job, the employee is frequently required to accurately communicate information and ideas so others will understand through sight and hearing. The employee is regularly required to move including walking, running, jumping, and sitting. The employee is regularly required to use hands and fingers to handle, lift, reach, and feel. The employee is frequently required to stand and stoop, twist, bend, kneel, crouch, or crawl. The employee must frequently lift and/or move up to 50 pounds. Specific vision abilities required by this job include near and distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
About Pediatrics Plus
Private pediatric healthcare provider delivering physical, occupational, speech, and ABA therapy plus developmental preschool to children.
Visit company websiteJobs and hiring trendsApply for this job in 1 click
Skip the repetitive application forms
Install the Base Career Chrome Extension and autofill job applications across major job boards with your profile.
Trusted by over 500,000 job seekers on Base Career
More from this employer
More jobs at Pediatrics Plus
Family Relations Specialist - Arkansas
Conway, USA
Are you passionate about helping children succeed? Do you want to join a team of dedicated professionals committed to creating an environment where children thrive? At Pediatrics Plus, we work to empower children to conq
Registered Nurse - Alma
Alma, USA
Are you passionate about helping children succeed? Do you want to join a team of dedicated professionals committed to creating an environment where children thrive? At Pediatrics Plus, we are looking for a Registered Nur
Early Childhood Behavior and Classroom Coach - Conway
Conway, USA
Are you a compassionate and enthusiastic individual looking to positively impact the life of children with special needs? At Pediatrics Plus, you can do just that! We are currently seeking an Early Childhood Behavior and
Regional Administrative Team Specialist - Central Arkansas
Little Rock, USA
Preschool Lead Teacher - Little Rock
Little Rock, USA
Are you passionate about helping children succeed? Do you want to join a team of dedicated professionals committed to creating an environment where children thrive? At Pediatrics Plus, we work to empower children to conq
Billing Specialist - Texas
Prosper, USA
Are you passionate about helping children succeed? Do you want to join a team of dedicated professionals committed to creating an environment where children thrive? At Pediatrics Plus, we work to empower children to conq
Preschool Teaching Assistant - North Little Rock
North Little Rock, USA
Are you passionate about helping children succeed? Do you want to join a team of dedicated professionals committed to creating an environment where children thrive? A t Pediatrics Plus you can do just that! We are curren
Preschool Teaching Assistant - Conway
Conway, USA
Are you passionate about helping children succeed? Do you want to join a team of dedicated professionals committed to creating an environment where children thrive? At Pediatrics Plus you can do just that! We are current
Family Relations Specialist - Arkansas
Conway, USA
Registered Nurse - Alma
Alma, USA
Early Childhood Behavior and Classroom Coach - Conway
Conway, USA
Regional Administrative Team Specialist - Central Arkansas
Little Rock, USA
Preschool Lead Teacher - Little Rock
Little Rock, USA
Billing Specialist - Texas
Prosper, USA
Preschool Teaching Assistant - North Little Rock
North Little Rock, USA
Preschool Teaching Assistant - Conway
Conway, USA