Credentialing / Reimbursement Specialist

Company name: Aliviane Inc

Title of position: Credentialing / Reimbursement Specialist

Position type: Full Time

Pay: $17.00 - $18.00

Location: Remote / Office

1626 Medical Center St. El Paso, Texas 79902

Benefits:

We offer our team –

• Medical, dental, and vision insurance and 401(k)

• Generous paid time off, extended illness leave, and paid holidays

• Mental Health Hours

• Excellent growth and development opportunities

• Satisfying and rewarding work helping clients overcome substance abuse

• Flexible Schedule

• Half day Friday

As well as company-paid benefits such as life insurance and short-term disability!

About Us

Aliviane Inc. is committed to providing treatment to members of our community who struggle with substance abuse. Through substance use and mental health services, education, and awareness we help people recover from addiction as they embrace their voice, discover their journey, and engage their community. The success of our mission is made possible by the skills and contributions of our diverse team. Become a part of a unique organization that is spearheading substance use treatment in Texas. Become a part of Aliviane!

Job Summary

This position's main responsibility will be submitting, tracking, and responding to credentialing and Contracting requests. Will also assist billing department with specific assignments

Essential Duties and Responsibilities

· Collaborate with management to plan and track facility/group and individual provider licensure and credentialing.

· Connect with new providers to gather needed information and facilitate the completion of credentialing.

· Monitor and track staff credentials and licensure.

· Consistently follow up and track the status of all applications and provide up to date reports.

· Ability to work independently, set priorities and meet deadlines with a strong sense of urgency.

· Performs other duties as assigned.

· Assist with billing projects.

Additional Eligibility Qualifications

· Excellent verbal and communication skills.

· Attention to detail in composing, typing, and proofing materials, establishing priorities, and meeting deadlines.

· Excellent knowledge of applicable payer requirements for the different provider types.

· Excellent knowledge of PEMS, CAQH and CMS.

Required/Preferred Education and Experience

· Associate degree or completion of technical school program

· 5 years similar work experience

· Certified Provider Credentialing Specialist (CPCS) or similar certification preferred.

· Experience in Behavioral Health (Preferred)