Credentialing Specialist

Cummins Behavioral Health Systems, Inc. is currently seeking a professional for a full time position as Credentialing Specialist at our administrative office in Avon, Indiana.

Job Summary

Under the supervision of the Chief Compliance Officer, the Credentialing Specialist performs essential functions pertaining to credentialing and re-credentialing providers and the organization with third party contracts. This includes verifying qualifications, maintaining accurate records, and ensuring compliance with regulatory requirements.

Essential Functions

Regular and reliable attendance is necessary to perform the following essential functions of the position.

• Completes credentialing and re-credentialing applications for providers and the organization for third party contracts timely and accurately.
• Verify provider qualifications, including education, training, licensure, and certifications.
• Tracks and reports on the status of credentialing and re-credentialing on a routine basis.
• Communicate with providers, insurance companies, and regulatory agencies to resolve credentialing issues.
• Maintains a good working relationship with other staff members throughout the organization.
• Adherence to and promotion of the Corporate Compliance Program at Cummins Behavioral Health Systems, Inc.
  
  

Training And Development

Participates in continuing education programs and in-service training consistent with internal standards or as deemed appropriate to increase personal and professional effectiveness and improve the service quality provided to the people we serve.

Education And/or Experience

• High school diploma, associate or bachelor’s degree preferred.
• Minimum of 5 years of experience in credentialing or a related field.
• Knowledge of credentialing standards and regulatory requirements.
• Proficiency in Microsoft Office applications
  
  

Cummins is one of the State's top-rated community behavioral health and addiction providers in Customer Satisfaction as recognized by the Indiana Division of Mental Health and Addiction.

As a proud recipient of Platinum level certification for Mental Health America's Bell Seal for Workplace Mental Health, Cummins Behavioral Health Systems puts mental health at the forefront of employee health and well-being.

Benefits Include

• Excellent work life balance (paid time off and holidays)
• Diverse career tracts
• Competitive salaries
• Matching contributions to your 401K program
• Comprehensive insurance package
  
  

We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

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