What are the responsibilities and job description for the Credentialing & Licensing Specialist position at BetterNight?
Description
Come be a part of the future of Sleep Medicine! Join our Contracting & Credentialing team and help us improve the lives of countless patients suffering from sleep apnea! We’re on a mission to make a positive impact on the lives of patients living with sleep disorders by simplifying the complex process from diagnosis to treatment.
The Credentialing & Licensing Specialist is responsible for the coordination of functions related to the credentialing/privileging, re-credentialing/re-privileging, licenses and renewal of licenses for Sleep Data Services LLC, its client entities, and its professionals. Our expectation of this position is to provide a first-class service experience, with every interaction.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
- Receive/process all initial credentialing/re-credentialing/licensing requests
- Complete enrollment applications (Medicare, Medicaid, Managed Care, State Licensure, etc)
- Communicate with physicians and clients to obtain credentialing documents
- Ensure all partitioner credentials are current and legible
- Manages the collection of data related to provider credentialing/re-credentialing and contracting
- Maintains up-to-date provider files in the credentialing software Modio
- Maintains accurate/complete records on application status to be presented to management
- Knowledge of CAQH, PECOS, NPDB, Joint Commission, etc.
- Maintains a strict level of confidentiality
- Follow up with payers for application status
- Follow up with Licensing Boards for application status
- Knowledge of basic Excel, Word, medical terminology, insurance terminology, and excellent customer service/interpersonal communication skills
- Other duties as assigned
EDUCATION and/or EXPERIENCE
College degree in related field, or equivalent work experience plus 3 years credentialing/licensing experience in the healthcare/medical field. Proficient in using MS Office, and general computer skills.
Medical, Dental, Vision, 401k, Sick, Holiday & Vacation time off
$25.00 - $29.00 / hour
BetterNight is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability. The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with contractor's legal duty to furnish information. 4I CFR 60-I.35(C).
Salary : $25 - $29
