Description
Behavior Frontiers is an industry leader in ABA (Applied Behavior Analysis) treatment for autism and other special needs. We are on a continuous journey to explore, assess, and develop only the highest quality ABA treatments and solutions delivered by best-in-class clinical professionals. We are rapidly expanding and seeking enthusiastic individuals who are ready to embark on a meaningful journey in one of the fastest growing fields in healthcare. Our Credentialing Manager position plays a critical role in our company, and we need an individual with great interpersonal skills, detail oriented, is great at multi-tasking and time management.
Hours: Full Time (Monday – Friday/40hrs a week)
Office Location: El Segundo, CA Headquarters (In-Office)
Compensation: $75,000 - $85,000 DOE
Responsibilities:
- Supervise/manage the day-to-day operational functions of credentialing and recredentialing process and personnel to include workflow management, troubleshooting, log management, process updates, reporting and training.
- Create and maintain individual provider files including credentialing status and supporting documentation.
- Track and ensure accuracy of new/promoted provider credentialing and/or application status in database, and make updates for existing providers.
- Act as a resource for other managers and coworkers and respond to internal and external requests for credentialing information and documentation.
- Work closely and transparently with internal departments and external partners.
- Regularly report updated provider and location rosters to funding sources and internal departments.
- Support contract develop goals to include researching new funding sources, unique contracting process requirements, data gathering, forms completion, submissions, tracking, follow up and reporting.
- Keep abreast of relevant legal, regulatory, and legislative changes related to credentialing, contracting and licensing.
- Maintain comprehensive working knowledge of contractual relationships including credentialing and contracting requirements by funding source.
- Develop and maintain positive and cooperative relationships with funding source representatives and coworkers.
- Contribute to the on-going development of new funding sources.
- Complete special projects as assigned.
- Maintain confidentiality in matters of company operations, personnel, and clients.
- Perform other duties, as assigned.
Qualifications:
- 3-5 years credentialing experience in the Behavior Health or related industry
- Knowledge of NCQA credentialing guidelines
- Experience developing and maintaining relationships with a variety of funding sources
- Must be self-directed, exercise initiative, discretion and seek guidance as appropriate
- Superior organizational and multi-tasking abilities with high attention to detail
- Ability to make sound decisions, prioritize effectively and problem solve
- Ability to effectively and professionally represent BF to funding sources and external partners
- Ability to work independently in a fast-paced environment, flexible and adaptable
- Excellent verbal and written communication skills
- Bachelor’s degree required
- Provide negative TB test results
- Ability to clear FBI & DOJ fingerprinting
Why Behavior Frontiers is perfect for you:
- Competitive pay with optional On-demand paychecks thru DailyPay - get paid on your own schedule!
- 401K Plan with company match after 6 months of employment
- Paid Personal Time Off
- Paid Holidays
- Paid Sick Leave
- Medical, Dental and Vision insurance
- Opportunities for career advancement
- Performance and promotion raise
- Paid Maternity Leave - Up to 9 Weeks
- Free Telehealth: Free 24/7 access to a doctor via telehealth for you and your dependents with no limits and no co-pays
- Free Telehealth Mental Health: Free access to a mental health counselor via telehealth for you and your dependents (over age 13) with no limits or co-pays
- Employee Assistance Program: Free access to some support services (financial, legal, counseling, etc.)
- Fitness: Discounted monthly gym membership to 12,000 gym locations nationwide, as well as free access to workout videos
- Deals: Exclusive discounts and savings to 500+ companies and more!
- Travel: Discounts on travel essentials including hotels, rental cars, flights, excursions, and more!
- Lab Testing Discounts: 10-80% off costs of routine lab work
- New Benefits Rx: Discounts on prescription medications from 10-80% at 60,000+ locations nationwide
Why work for Behavior Frontiers? Visit our benefits & perks page to learn more!
Behavior Frontiers is an Equal Opportunity Employer and will consider for employment all qualified applicants in a manner consistent with the requirements of the applicable federal, state, and local laws.