Credentialing Coordinator

ORGANIZATION

The Center for Autism and Related Disorders is seeking highly motivated professionals to join our team. As a member of our growing, founder-owned organization, you’ll have the opportunity to join a well-established, mission-driven industry leader focused on helping people with autism live their best lives. CARD offers a dynamic work environment where your talents and skills will be valued and rewarded. The Center for Autism and Related Disorders (CARD) is among the world’s largest and most experienced organizations effectively treating individuals of all ages who are diagnosed with autism spectrum disorder. CARD treats autistic individuals using the principles of applied behavior analysis (ABA), which is empirically proven to be the most effective method addressing the behaviors and deficits commonly associated with autism. With locations throughout the US, CARD’s mission is to provide top-quality services that help every patient fulfill their potential and live joyful lives. Through its network of trained behavior technicians, Board Certified Behavior Analysts, and researchers, CARD develops and implements quality, comprehensive, and individualized treatment programs that lead to success.

Hourly Rate: $20.00

POSITIONOVERVIEW:

The Credentialing Coordinator will work under the supervision of the Manager of Credentialing. This position works closely with CARD satellite centers, clinics, and departments to provide them support and assistance with enrollment and credentialing for all CARD providers in managed care plans. This position initiates all tasks related to the enrollment and credentialing functions, including continuous monitoring of provider’s credentials and related requirements for their respective job roles. This is a full- time, hourly, non-exempt position. This position is expected to represent CARD professionally and ethically to internal and external stakeholders.

ESSENTIAL DUTIES ANDRESPONSIBILITIES:

• Facilitate the credentialing and primary source verification process for the initial and recredentialing of providers in accordance with state and federal regulations and accreditation and CARD standards

• Complete and submit provider payer applications, initial, re-credentialing and assist with obtaining attestations from providers

• Monitor status of various provider credentials and related requirements and obtain current documentation to ensure ongoing compliance with network participation requirements

• Processes applications expeditiously and efficiently according to the established priorities and time frames

• Maintain up-to date data for each provider in credentialing databases and related systems

• Track progress of provider applications and provide timely follow up with providers and payers, as needed

• Communicate with stakeholders (external and internal) insurance companies and other agencies required via phone and email

• Provider Data Management. Support internal stakeholders on the loading and validation of their data.

• Create reports which are submitted to external stakeholders on departmental data and provider records

• Ensure accuracy and compliance within all HPPA guidelines

REQUIREMENTS:

• High school diploma or equivalent required

• Associate or bachelor’s degree preferred

• 2 + years of work experience with provider enrollment/credentialing preferred, but not required

KNOWLEDGE, SKILLS, ANDABILITIES:

• Excellent written and communication skills

• Knowledge of Excel, Word and PowerPoint necessary

• Experience with Customer Service whether the “customer” is internal or external

• English proficiency, both verbal and written, is required

WORKENVIRONMENT:

• Includes a typical remote office environment, with minimal exposure to excessive noise or adverse environmental issues.

PHYSICALREQUIREMENTS:

• Ability to sit for prolonged periods of time

• Ability to work on a computer throughout the majority of the day, as tasks require

• Ability to use and speak on the phone, as needed throughout the day

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