Lead Credentialing Specialist
Company: Beacon Behavioral Support Services
Location: Baton Rouge
Posted on: May 7, 2025
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Job Description:
Beacon Behavioral Partners is looking for a Lead Credentialing
Specialist to join our team. This full-time position has the
opportunity to work with our Revenue Cycle Team at the opportunity
to work onsite at our corporate office located in Plano, TX. We are
a growing network of physician-driven psychiatric practices with
over 25 years of management experience within the behavioral health
industry. Committed to reducing the barriers and burdens that come
with owning private practice, Beacon fully manages administrative
responsibilities while allowing practices to maintain clinical
autonomy. This approach allows physicians to focus on what they do
best taking care of patients.Beacon Behavioral Partners now guides
practices across Louisiana, Arkansas, Mississippi, Florida, Texas
and multiple other states across the US. Beacon Behavioral Partners
leverage access to an expansive network of over 1000 staff members,
including psychiatrists, psychologists, nurse practitioners, mental
health therapists and recreational therapists at the forefront of
the industry. Its experienced and forward-thinking physician
advisory board provides clinicians with a supportive community for
building best practices and sharing insights for an enhanced
patient experience.RESPONSIBILITIES AND DUTIESResponsible for
Compiling and maintaining current and accurate data for all
providersResponsible for Data entry and maintaining provider
information in online credentialing databases and system
(Credential My Doc, CAQH, PECOS, NPPES, and SharePoint)Responsible
for primary source verification of State license, DEA, and Board
certificationResponsible for completing provider initial and
re-credentialing applicationsAudits applications for accuracy and
completenessResponsible for revalidation requests issued by all
payersResponsible for submitting completed credentialing
application and supporting documentation to all requested
payersResponsible for monitoring application progress and following
up with payers as needed until confirmation of in network status
has been receivedResponsible for maintaining copies of current
state licenses, DEA certificates, malpractice coverage and any
other required credentialing documents for all providers. As well
as tracking all state license, DEA, and board certification
expirations for all providers to ensure timely renewalsResponsible
for tracking CME and, sending quarterly updates to
providersUtilizes strong research skills to gather pertinent
information regarding providersAnd all other duties as
assignedMaintain billing insurance grid, provider insurance grid,
and each physicians spreadsheet up to date on current insurance
changes.Maintain practitioner electronic file by keeping all
applications/licensures current.Collects and validates documents to
ensure accuracy of all credentialing elements.Assists in training
and monitoring of credentialing specialists, assign work and review
for accuracy.Assist in streamlining credentialing process,
onboarding and offboarding for providers and new centers.Escalate
any personnel issues to Credentialing SupervisorReport and/or
escalate provide enrollment issues to RCM
leadership.Qualifications:Bachelor's degree in healthcare
administration, business administration, or a related field
preferred.Minimum of 3 years of experience in provider enrollment
and credentialing.Extensive knowledge of provider enrollment
regulations and guidelines, including Medicare, Medicaid, and
commercial payer requirements.Strong understanding of credentialing
processes and best practices.Experience with various payer
enrollment portals and systems.Excellent communication,
interpersonal, and organizational skills.Ability to manage multiple
projects simultaneously and meet deadlines. Detail-oriented and
highly accurate.Strong analytical and problem-solving
skills.Proficiency in Microsoft Office Suite (Word, Excel,
PowerPoint)Certified Provider Credentialing Specialist (CPCS)
certification preferred.Only those selected for interviews will be
contacted. Pre-employment screenings and verification of
credentials (if applicable) is required prior to start date. Beacon
uses E-verify to confirm the employment eligibility of all newly
hired employees. To learn more about E-verify, including your
rights and responsibilities, please visit www.dhs.gov/E-verify
(http://www.dhs.gov/E-verify).Beacon is an Equal Opportunity
Employer.by Jobble
Keywords: Beacon Behavioral Support Services, Baton Rouge , Lead Credentialing Specialist, Other , Baton Rouge, Louisiana
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