Credentialing Specialist

Center Locations:  Castleton, Indianapolis, Indiana

About ABC:

As the longest-running ABA therapy provider in the Indianapolis area, we are looking for caring and passionate individuals to work with our patients. With over 300 employees, 12 ABA centers, clinical research teams, family support resources, an ever-expanding portfolio of community outreach partnerships, and an experienced leadership and support team we are committed to providing patients the highest quality programming and services possible.

Position Description:

• Completes the clinical staff (BCBA, SLP, OT, HSPP) credentialing process and maintains records for the clinical staff
• This encompasses all new appointments and re-appointment processes, including but not limited to biographical information, committee listings, name/address listings, continuing education information, reappointment listings, office listings, attendance, records, minutes, all reports, activities, and correspondence relating to credentialing functions, i.e., communications with licensure boards, insurance carriers, etc
• Assures all elements of background checks are completed with due diligence
• Contacts clinical staff members to relay information or obtain approval on specific issues
• Ensures all elements of the application are completed and signed by the provider and authorized official
• Coordinates and, as applicable, enrolls providers with Managed Care plans, Networks, Third Party Administrators, and any other paying or adjudicating entity requiring the registration or enrollment of our providers as a condition of reimbursement
• Responsible for obtaining CAQH and NPI numbers for providers who do not have these identifying billing numbers and maintaining these profiles while to provider is on staff
• Maintain Master Spreadsheet for payor enrollment
• Complete delegated credentialing items, as needed
• Follows up on patient, family or visitor concerns
• Participate in department meetings, learning opportunities
• Cooperates with others to balance the workload and meet project deadlines of the department
• Other duties as assigned, requested and/or necessary

Qualifications:

• This person must be comfortable with computers, general office tasks, and excel at both verbal and written communication
• Most importantly, this person should have a genuine desire to meet the needs of others
• Proficiency in Word, Excel, , generating reports, creating presentations and conducting research
• Must possess the ability to use specialized software programs for credentialing, database management and document management
• Education Required: High School diploma required
• Experience Required: 2+ years experience in credentialing and or/network enrollment
• Certifications: Credentialing certification (CPCS) recommended, not required
• Knowledge of insurance credentialing for providers.
• CIGNA, UHC, Anthem and Indiana Medicaid knowledge preferred.
• CAQH maintenance
• NPPES knowledge
• Training

Competitive Pay and Benefits

• Pay range, $17-$19 depending on experience
• 3.5 % Match 401k Plan
• At least 9 Paid PTOs days, 9 Unpaid days, & 9 Paid Holidays (Additional PTO with each year of Service) or more
• Full Health, Dental, Vision, Life, & Voluntary Life Insurance Coverage
• Health Savings Accounts & Matching
• Employee Assistance Program (EAP)
• Wellness Programs
• Health Coaching
• Referral Bonus System
• Employee Discounts
• Dedicated Research Department
• Structured BACB Supervision Program
• 3 Level BCBA Program with Lead Branch BCBA Opportunities
• Supportive & Collaborative Teamwork
• Consistent Company-Wide Communication (2x Week)
• The ability for Advancement both Clinically & Non-Clinically
• 7 Tier Progressive Leveling System for Therapists
• Community Service and Organizational Support

Job Type: Full-time

Salary: $17.00 – $19.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• AD&D insurance
• Dental insurance
• Employee assistance program
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Education:

• High school or equivalent (Required)

Experience:

• Credentialing: 2 years (Required)

Work Location: One location

To apply, please submit your online application, along with your resume.

We are an Equal Opportunity Employer and encourage all applicants.