Description

• Process and review applications for completeness and accuracy.
• Prepare for review - initial and renewal facility licenses and credentialing applications.
• Create and carry out various credentialing processes in relation to center practitioners (medical and counseling personnel)..
• Maintain and update databases for facilities and practitioners.
• Maintain close communication with practitioners, leadership, and licensing/credentialing entities – both locally and in other states.
• Work with an array of departments and leadership (HR, legal, accounting), both locally and in other states in order to obtain information and process required applications.
• Ensure compliance with Texas Medicaid requirements and behavioral health program standards.
• Proficient in Medicare/Medicaid State Enrollment Applications.
• Included in these activities are the processing of Commercial and Governmental applications and re-applications, initial mailing, review, and loading into the database tracking system ensuring timing and quality standards are maintained.
• Securing and maintaining all health insurance plan enrollment and re-enrollment for the Company.
• Experience with re-validations and re-enrollments.
• Completing commercial plan facility credentialing and re-credentialing applications and forms. 
• Other duties as assigned.

• High School Diploma required.  Associates degree preferred.
• Preferred: Three (3) years of related experience in reviewing and maintaining informational databases and auditing paperwork such as application and licensing documentation for accuracy.
• Two years of experience working in the field of substance abuse preferred.
• Exceptional oral and written communication skills are required. Must be proficient in Microsoft Office, including Word and Excel.
• Proven ability to meet deadlines and possess strong analytical and organizational skills in managing multiple projects in different consecutive stages.
• Proficient with CAQH, NPPES and PECOS systems.
• Must be able to operate effectively in a fast-paced environment in which attention to detail and audit-trail documentation must be maintained in the face of multiple competing demands. Developing a positive rapport with licensing and credentialing entities, subcontractors and employees is critically important.
• Ability evaluate current and incoming projects for prioritization.
• Initiative to take charge of unforeseen situations, solve problems and adjust to schedule changes.

• Competitive salary
• Comprehensive benefits package including medical, dental, vision and 401(K)
• Generous paid time off accrual
• Excellent growth and development opportunities
• Satisfying and rewarding work striving to overcome the opioid epidemic