Duties and Responsibilities
- Multistate payer enrollment and re-credentialing
- Maintaining Credentialing software and Payer Portals
- Demonstrates ability to balance competing deadlines with accuracy and professionalism
- Ensure that the company complies with federal and state regulations regarding licensure and certification of all professionals
- Maintain data for all providers and track the expiration of certifications and licenses
- Ensure that company provider/professionals timely update certification or licensing as required
- Understand and adhere to HIPAA policies
- Adhere to Cultivate policies and procedures
- Perform other duties as assigned
Qualifications
- Associate degree or equivalent training
- Minimum of three (3) years of experience
- Credentialing certification is preferred
Knowledge, Skills and Abilities:
- Process driven and detail-oriented
- Excellent organizational and time management skills including the ability to effectively multi-task and prioritize appropriately to deliver timely results
- Highly motivated and energetic during work hours
- Communication skills, both oral and written, that are clear, confident, exhibit leadership, professionalism, empathy, and inspire confidence
- Advanced problem-solving skills and the ability to think ‘big picture’ and execute defined goals and plans
- Ability to work full-time (40 hours/week), including some flexibility regarding schedule changes required to accommodate patient and staff needs
- Basic understanding of technology utilized in the field of ABA, including data collection software, to execute high quality services with the ability to learn and oversee practice management tools
- Experience and competency with Microsoft Office Suite including Word, Excel, PowerPoint, and Outlook email and Calendar
- Ability to successfully complete and pass a Background and Drug Screen
Working/Physical Conditions:
- Ability to bend, kneel, crouch, and stand as well as an ability to lift items up to 25 lbs.
- Endurance to move rapidly from a seated position to a standing position to perform required tasks
- Requires eye-hand coordination and manual dexterity enough to operate office equipment, etc.
- Clerical responsibilities and administrative work require appropriate levels of vision and hearing abilities
- Ability to communicate effectively using a variety of audio and video meeting platforms and electronic devices