Credentialing Specialist (Information Technology)
Nystrom & Associates, Ltd. is a team of mental health professionals that specialize in psychiatric evaluations, clinical social work, and family therapy. We are committed to helping patients in our community who are experiencing personal, emotional, marriage, family or psychological problems. Founded in 1991, we offer an intensive outpatient chemical dependency program, psychological testing, and behavioral health and medication management services.
We are currently seeking a full-time Credentialing Specialist to join our team. In this role, you would be responsible for credentialing/re-credentialing of clinicians in all Nystrom programs.
Work Environment: Work from home with occasional in office meetings/trainings.
Other duties include:
Credentialing/re-credentialing of Clinicians in all Nystrom programs
Submit necessary documents to insurance payers 60-90 days prior to new hire start date for providers who are not currently credentialed.
Submit transfer request forms for currently credentialed new hires allowing at least 30 days prior to start date.
Create and keep up-to-date credentialing progress logs for new hires pending credentialing.
Keep up-to-date credentialing instruction sheets.
Keep an up-to-date credentialing contact list per insurance plan.
Acquire NPI numbers or update NPI information on NPPES as needed.
Obtain providers updated license(s) and malpractice insurance prior to their expiration date.
Update insurance payers with current malpractice and license documents prior to document expiration.
Term clinicians from networks as clinicians leave Nystrom.
Update and distribute insurance lists as changes occur.
Troubleshoot credentialing, billing, insurance issues with billing/insurance staff and supervisor as needed.
Immediately report to supervisor any communication/correspondence that has bearing on employee or organization.
Picking up mail from the New Brighton location when needed
Other duties as determined
Qualifications:
BA or BS degree is preferred in a business related area
Excellent communication and organizational skills
Excellent attention to detail
Positive attitude and a team player
Must be proficient in the use of computers, specifically Microsoft Word, Excel and the use of email.
Benefits:
Nystrom & Associates, Ltd. prides itself on the benefits and compensation offered to staff, including:
Medical & Dental insurance
Opportunities for professional growth and career advancement
Health Savings Account (HSA)
Flexible Spending Account (FSA) for applicable medical and dependent care expenses
Paid Time Off (PTO)
Paid Holidays
401(K) Retirement Plan with a generous employer matching program
Supplemental insurances, such as short term disability, cancer insurance, and accident insurance
