Provider Enrollment Coordinator
4 days ago
About Us
\CoolBlue VA is a leading provider of mental health services, dedicated to delivering high-quality care to our patients and community. Our team is passionate about ensuring seamless provider credentialing, which allows us to focus on what matters most – providing exceptional care.
\About the Job
\This role requires a detail-oriented and organized individual who can manage multiple tasks simultaneously. The ideal candidate will have excellent communication and problem-solving skills, as well as the ability to work independently with minimal supervision.
\Responsibilities
\- \
- Manage the credentialing lifecycle for our mental health professionals.\
- Verify and maintain provider qualifications, licenses, and certifications.\
- Coordinate with providers to collect and submit necessary documentation.\
- Work with insurance companies and CAQH to ensure provider enrollment and network participation.\
- Ensure compliance with relevant regulations and laws.\
- Track expiration dates for licenses and initiate re-credentialing.\
- Resolve credentialing issues to prevent billing disruptions.\
- Qualifications:\
- \
- HIPAA Certified with 2-5 years of mental health provider credentialing experience.\
- Strong knowledge of payer-specific requirements and mental health credentials.\
- Familiarity with insurance panels (Aetna, BCBS, Cigna, Humana, Tricare, UnitedHealthcare).\
- Proficiency in credentialing software, Microsoft Office, and provider databases.\
- Excellent organizational and communication skills.\
- Must have a work-from-home setup.\
- \
- Certified Provider Credentialing Specialist (CPCS) or similar certification.\
- Experience in a mental health group practice.\
- We're looking for a proactive, detail-oriented professional who can work with minimal supervision.\
- \
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