Full-Time
Medical Credentialing and Billing Specialist
Posted on 4/18/2024
Telebehavioral healthcare for specialized communities
Mid
Middletown, CT, USA
- Certified Credentialing Specialist Certification
- Proven experience in credentialing or related administrative roles within the healthcare industry for at least 3 years
- Proficiency in database management, such as CAQH & NPDB querying
- Full understanding of NPPES & PECOS platforms
- Strong understanding of regulatory requirements and standards related to clinician credentialing
- Primary sourcing of clinician credentials, including licensing, education verification, and other relevant documentation
- Maintain up-to-date records of clinician credentials and ensure timely renewal of licenses and certifications
- Collaborate with HR to facilitate the timely collection of immunization records, identification verification, background checks, and drug screenings
- Communicate directly with clinicians and facilities to obtain necessary documentation and provide assistance with credentialing and licensing processes
- Verify clinician for any sanctions from OIG, SAM, and Medicare Opt Outs
- Assist in obtaining current collaborative agreements for nurse practitioners, ensuring compliance with regulatory requirements
- Responsible for scanning credentialing and enrollment correspondence, and sharing pertinent information with enrollment, billing, and intake teams
- Other duties as assigned
MediTelecare offers technology-enabled integrated behavioral healthcare services for post-acute, long-term care, aging, and intellectually disabled communities, providing comprehensive care through telebehavioral and in-person psychology and psychiatry health services. The company utilizes state-of-the-art televideo technology to connect world-class clinicians, including psychologists, nurse practitioners, psychiatrists, and clinical social workers, to improve access to specialized care for those who wouldn't otherwise have physical access.
Company Stage
M&A
Total Funding
N/A
Headquarters
Middletown, Connecticut
Founded
1979