Credentialing Specialist

 Posted 8 hours ago
     
2-5 years experience
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AI Summary

The role involves managing the credentialing and re-credentialing of provider files through data entry and report generation. The specialist is responsible for contacting providers to obtain missing information and identifying high-risk files for resolution.

About ComPsych

ComPsychⓇ is the worldwide leader in organizational mental health, well-being, and absence management, dedicated to igniting human potential in workplaces across the globe. For over 40 years, we have combined the best in technology with unmatched human expertise to help individuals and their organizations thrive. Our GuidanceResourcesⓇ and AbsenceResourcesⓇ solutions deliver end-to-end mental health, well-being, work-life, health navigation, and absence support to more than 75,000 customers worldwide,  touching more than 160 million lives across 200 countries. Visit compsych.com to find out why 40% of the Fortune 500 choose ComPsych for their mental health and absence management needs.

Job Summary

As a Credentialing Specialist, you will be responsible for credentialing/re-credentialing provider files, which includes data entry, contacting providers, obtaining missing application information and report generation.

Primary Responsibilities

  • Review and complete credentialing/re-credentialing files submitted to ComPsych
  • Contact providers, by phone or mail, to request missing information
  • Complete credentialing/re-credentialing process on submitted files within designated timeframes
  • Appropriately identify "red flag" files and route files for resolution
  • Perform queries on designated providers to obtain written reports, review for incidents within designated timeframes
  • Other duties as assigned

Job Qualifications

  • 2 years of data extry work experience preferred 
  • Associates Degree minimum and/or applicable experience required.
  • Ability to multi-task; great organization skills
  • Strong attention to detail and follow-up skills
  • Superior communication skills

Benefits and Perks

  • Full benefits package, including Paid Time Off (PTO), medical, dental, vision, 401(k) with match, robust EAP, wellness program, and much more
  • The salary range for this position is XX,XXX - XXX USD. The base salary range represents the anticipated low end and high end of the range for this position. The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, and scheduled hours. 

 

EEO

 

ComPsych is an equal opportunity employer.  All applicants will be considered for employment regardless of race, color, age, genetics, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status and any other characteristic protected by federal, state or local laws. ComPsych Corporation maintains a drug free workplace.

 

ComPsych Corporation and its affiliates is committed to the responsible and transparent handling of your personal data. Information collected during the recruitment process will be used to assess your application and, where applicable, to prepare and administer an offer of employment. Your personal data will be processed in accordance with the privacy laws applicable in your country or jurisdiction of residence, which may include the California Consumer Privacy Act (CCPA), the EU General Data Protection Regulation (GDPR), Canada's Personal Information Protection and Electronic Documents Act (PIPEDA) and applicable provincial privacy legislation, and other applicable national or local privacy laws. For full details on what personal data we collect, how we use it, your rights as an Applicant, and how to contact us with privacy-related questions, please review the relevant Applicant Data Privacy Notices: US Applicant Data Privacy Notice & Canada Data Privacy Notice. 

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