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Posted : Wednesday, April 10, 2024 07:18 AM
BENEFITS
Competitive Medical, Dental, and Vision Plans*
Retirement Plan with Employer Match*
Continuing Education (After Probation)*
Work Laptop Provided*
Staff Appreciation!
* Employee must be full-time in order to be eligible for these benefit
ABOUT LIGHT COUNSELING:
Since 1991, Light Counseling has served more than 60,000 Individuals, Couples, & Families with professional, confidential, and distinctly Christian counseling services in Virginia and eight (8) other states! We take pride in incorporating God’s truth in the helping process.
Our mission is to bring hope to the hopeless and healing to those who are hurting by helping individuals realize their God-given, divine potential.
DESCRIPTION The Provider Enrollment & Credentialing Specialist is part of an integrated team and provides support to the mental health counseling staff and the Business Manager.
This position is the initial primary administrative contact for Light Counseling and is supervised by the Business Manager.
We are seeking an experienced and motivated individual to join our team as a Credentialing Specialist.
As part of our care team, your primary responsibility is to gather, review, process, and record initial credentialing and re-credentialing information/data to ensure that all Light Counseling providers are properly trained, licensed and certified as mandated by state and federal regulations.
you will be the first point of contact for current and potential clients, visitors, community partners and referral sources.
You will gather vital information to collect a complete referral (from another provider, self-referral, etc.
) and coordinate clients entry into our care system before placing them in our scheduling system.
You must have strong communication skills, experience with accurate data entry, and knowledge of common behavioral health and medical terminology.
The Credentialing Specialist will also provide support duties to include (but not limited to) greeting persons entering the office, handling client referrals, collecting registration paperwork and client payments, answering inquiries via in-person, phone, or email settings; and scheduling and rescheduling sessions.
LEVEL OF RESPONSIBILITY: Employment with Light Counseling is of a confidential nature and operates in accordance with federal and state privacy laws and practices (i.
e.
HIPAA).
All work is performed under supervision, but does require the ability to effectively function independently, with flexibility, initiative, maturity and decision-making within the framework of Light Counseling policy and procedures.
DUTIES AND RESPONSIBILITIES: Acts as a liaison between clinical staff, administration and healthcare plans; meet with providers to collect and review credentialing data Maintains copies of current state licenses, DEA certificates, malpractice coverage, and other required credentialing documents for all providers and tracks the expiration such documents.
Tracks license and certification expirations for all providers to ensure timely renewals.
Ensure practice locations/addresses are current with health plans, agencies, and other entities.
Ensure that all credentialing files are completed accurately and timely for Board review/approval Process and submit new credentialing applications for provider joining Light Counseling Process credentialing and re-credentialing applications for all providers that will include reviewing resumes, conducting background checks, contacting licensing boards, reviewing license applications, obtaining educational information and securing references Sets up and maintains provider information in an online credentialing database system Maintains corporate provider contract files.
Audits health plan directories for current and accurate provider information.
Strict adherence to all HIPAA, Light Counseling, state, federal and accreditation agency rules and regulations Learns and provides support for various electronic applications and platforms used by Light Counseling All other duties as assigned.
KNOWLEDGE, SKILLS, & ABILITIES Knowledge of office operations and customer service practices Ability to listen to others and interact well with the public Understanding of federal and state privacy and security laws, regulatory requirements, and standards for maintaining information security and confidentiality.
Knowledge of commercial and government insurance plan and coverage Knowledge of key insurance terms and how claims are processed by a health plan (i.
e.
coinsurance, deductibles, copays, etc.
).
Must demonstrate an understanding of and an appreciation for cultural diversity and inclusivity Ability to learn quickly new and existing tasks, platforms, and workflows Ability to effectively communicate information and respond to clients, staff, and community partners.
Demonstrate the ability to focus on details, complete assigned projects, meet deadlines, and prioritize multiple competing tasks in a fast-paced, team-based environment.
Ability to define problems, collect data, establish facts, research solutions, and draw valid conclusions.
Ability to problem-solve a variety of hardware and software issues; Ability to provide assistance with practice billing and collections Be detail-oriented, organized, self-motivated, and possess strong time management and problem-solving skills to handle multi-faceted conversations and situations Be proficient with operating Microsoft devices Be proficient with Microsoft Office 365 (Outlook, Word, Excel, Teams), and have the initiative to learn and become proficient with all other platforms and applications.
The Credentialing Specialist is an integral part of the team and must be willing to not only be flexible, but also learn and accept new responsibilities, work well with others, and contribute to the mission and values of Light Counseling.
The Credentialing Specialist must represent Light Counseling to all clients in a manner that reflects its values.
MINIMUM QUALIFICATIONS High School diploma or equivalent.
Bachelor’s Degree or equivalent related work experience, preferred Two years of relevant credentialing experience Preferred - Certified Provider Credentialing Specialist (CPCS) Knowledge and understanding of credentialing process Ability to organize and prioritize work and manage multiple priorities Ability to analyze data and develop effective solutions.
Related experience in customer service Experience with behavioral health credentialing preferred Strong attention to detail Moderate computer proficiency Excellent oral and written communication skills.
Valid Driver's License and acceptable driving record.
Be proficient with Microsoft Office 365 Complete all required background checks and drug testing.
Our mission is to bring hope to the hopeless and healing to those who are hurting by helping individuals realize their God-given, divine potential.
DESCRIPTION The Provider Enrollment & Credentialing Specialist is part of an integrated team and provides support to the mental health counseling staff and the Business Manager.
This position is the initial primary administrative contact for Light Counseling and is supervised by the Business Manager.
We are seeking an experienced and motivated individual to join our team as a Credentialing Specialist.
As part of our care team, your primary responsibility is to gather, review, process, and record initial credentialing and re-credentialing information/data to ensure that all Light Counseling providers are properly trained, licensed and certified as mandated by state and federal regulations.
you will be the first point of contact for current and potential clients, visitors, community partners and referral sources.
You will gather vital information to collect a complete referral (from another provider, self-referral, etc.
) and coordinate clients entry into our care system before placing them in our scheduling system.
You must have strong communication skills, experience with accurate data entry, and knowledge of common behavioral health and medical terminology.
The Credentialing Specialist will also provide support duties to include (but not limited to) greeting persons entering the office, handling client referrals, collecting registration paperwork and client payments, answering inquiries via in-person, phone, or email settings; and scheduling and rescheduling sessions.
LEVEL OF RESPONSIBILITY: Employment with Light Counseling is of a confidential nature and operates in accordance with federal and state privacy laws and practices (i.
e.
HIPAA).
All work is performed under supervision, but does require the ability to effectively function independently, with flexibility, initiative, maturity and decision-making within the framework of Light Counseling policy and procedures.
DUTIES AND RESPONSIBILITIES: Acts as a liaison between clinical staff, administration and healthcare plans; meet with providers to collect and review credentialing data Maintains copies of current state licenses, DEA certificates, malpractice coverage, and other required credentialing documents for all providers and tracks the expiration such documents.
Tracks license and certification expirations for all providers to ensure timely renewals.
Ensure practice locations/addresses are current with health plans, agencies, and other entities.
Ensure that all credentialing files are completed accurately and timely for Board review/approval Process and submit new credentialing applications for provider joining Light Counseling Process credentialing and re-credentialing applications for all providers that will include reviewing resumes, conducting background checks, contacting licensing boards, reviewing license applications, obtaining educational information and securing references Sets up and maintains provider information in an online credentialing database system Maintains corporate provider contract files.
Audits health plan directories for current and accurate provider information.
Strict adherence to all HIPAA, Light Counseling, state, federal and accreditation agency rules and regulations Learns and provides support for various electronic applications and platforms used by Light Counseling All other duties as assigned.
KNOWLEDGE, SKILLS, & ABILITIES Knowledge of office operations and customer service practices Ability to listen to others and interact well with the public Understanding of federal and state privacy and security laws, regulatory requirements, and standards for maintaining information security and confidentiality.
Knowledge of commercial and government insurance plan and coverage Knowledge of key insurance terms and how claims are processed by a health plan (i.
e.
coinsurance, deductibles, copays, etc.
).
Must demonstrate an understanding of and an appreciation for cultural diversity and inclusivity Ability to learn quickly new and existing tasks, platforms, and workflows Ability to effectively communicate information and respond to clients, staff, and community partners.
Demonstrate the ability to focus on details, complete assigned projects, meet deadlines, and prioritize multiple competing tasks in a fast-paced, team-based environment.
Ability to define problems, collect data, establish facts, research solutions, and draw valid conclusions.
Ability to problem-solve a variety of hardware and software issues; Ability to provide assistance with practice billing and collections Be detail-oriented, organized, self-motivated, and possess strong time management and problem-solving skills to handle multi-faceted conversations and situations Be proficient with operating Microsoft devices Be proficient with Microsoft Office 365 (Outlook, Word, Excel, Teams), and have the initiative to learn and become proficient with all other platforms and applications.
The Credentialing Specialist is an integral part of the team and must be willing to not only be flexible, but also learn and accept new responsibilities, work well with others, and contribute to the mission and values of Light Counseling.
The Credentialing Specialist must represent Light Counseling to all clients in a manner that reflects its values.
MINIMUM QUALIFICATIONS High School diploma or equivalent.
Bachelor’s Degree or equivalent related work experience, preferred Two years of relevant credentialing experience Preferred - Certified Provider Credentialing Specialist (CPCS) Knowledge and understanding of credentialing process Ability to organize and prioritize work and manage multiple priorities Ability to analyze data and develop effective solutions.
Related experience in customer service Experience with behavioral health credentialing preferred Strong attention to detail Moderate computer proficiency Excellent oral and written communication skills.
Valid Driver's License and acceptable driving record.
Be proficient with Microsoft Office 365 Complete all required background checks and drug testing.
• Phone : NA
• Location : Lynchburg, VA
• Post ID: 9115471632
