Credentialing Specialist in Carlsbad, CA at Acadia Healthcare

Date Posted: 9/7/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Carlsbad, CA
  • Experience:
    1 to 3 years
  • Date Posted:
    9/7/2018

Job Description

Overview

Credentialing Specialist

Acadia Healthcare’s Comprehensive Treatment Center Division is seeking a Credentialing Specialist at our Carlsbad Business Office.

The CTC Division is part of Acadia Healthcare, the nation's leading provider of treatment and educational programs for individuals who are struggling with chemical dependency. The CTC Division provides clinically sound, research-based treatment options at 112 facilities conveniently located throughout the United States.

Position Summary:
Acadia Healthcare’s Comprehensive Treatment Center Division is seeking a Credentialing Specialist to join its team. The primary duty of the Credentialing Specialist is to manage the credentialing portion of the contract process. They will partner with facilities to prepare the proper documentation for initial and re-credentialing application submissions to meet required deadlines, assist in the completion of Medicaid enrollments, and will be responsible for completing POAs. The Credentialing Specialist maintains the department work flow to ensure accuracy and completion of tasks in a timely manner. 

Responsibilities
  • Prepare and submit initial and re-credentialing documentation.
  • Track and monitor incoming and outgoing credentialing requests, including maintenance of credentialing files.
  • Maintain various database systems.
  • Prepare and submit state Medicaid enrollments and re-validations.
  • Work directly with payers and the Contracting Department to resolve disputes.
  • Prepare and administer routine correspondence, memoranda, and notifications.
  • Work closely with the Contracting Department to ensure efficiency of processes and create new work flow tools as needed.
  • Update and maintain in-house documents.
  • Other special projects or duties as assigned.

Job Requirements

  • BA/BS degree preferred
  • 1-3 years of healthcare related experience required
  • 1-3 years healthcare credentialing experience preferred

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