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Credentialing Specialist, Full-Time

Bend Health

Bend Health

Administration
United States
Posted on Wednesday, July 3, 2024

Position is remote.

Who we are:

Bend Health is revolutionizing the treatment of mental health conditions for kids and teens. Our innovative technology achieves better outcomes and leads to happier, healthier lives while ensuring stigma, costs, and logistics are no longer barriers. Come and be part of a fun, collaborative, supportive, motivated, and mission- and data-driven team that’s creating the first scalable and integrated model in mental healthcare for kids and teens. Help us shape the future of pediatric mental health and bend the healthcare system to work better for everyone.

Today’s world can be intense and stressful, and it’s taking an unprecedented toll on kids, teens, and families. Bend Health’s collaborative care model relies on an evidence-based approach to help families manage the ups and downs of everyday life. These challenges could involve managing emotions, challenging negative thinking, and reducing stress and anxiety.

We are looking for a full-time, Credentialing Specialist passionate about whole-person, whole-family mental health care to join our team. This position reports to the SVP of Revenue Cycle Management.

What you’ll do:

  • Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications
  • Maintain internal provider databases to ensure all information is accurate and logins are available
  • Update each provider’s CAQH database file timely according to the schedule published by CMS
  • Apply for and renew annually all provider licenses; Professional, DEA, Controlled Substance
  • Complete revalidation requests issued by government payers
  • Complete credentialing applications to add providers to commercial payers, Medicare, and Medicaid
  • Complete re-credentialing applications for commercial payers
  • Work closely with the billing staff to identify and resolve any denials or authorization issues related to provider credentialing
  • Maintain accurate provider profiles on CAQH, PECOS, NPPES, and CMS databases
  • Communicate with interdisciplinary teams on status of credentialing and needs to get work completed
  • Other duties as assigned

Who you are:

  • A great people person that is willing to work collaboratively with multiple departments and vendors
  • Extremely detail oriented and able to prioritize tasks accordingly
  • Educational background and certifications in healthcare and billing and/or credentialing required
  • 2 years healthcare experience preferably in billing, credentialing or comparable department
  • Database management experience preferred
  • Experience using project management tools preferred

The pay for United States residents is $20-$27/hour. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, Bend Health offers a comprehensive benefits package, incentive and recognition programs, equity, and 401k contribution (all benefits are subject to eligibility requirements). Come join us to expand access to quality mental health care for kids, teens, and families!

We want to inform you regarding fraudulent postings and communications from individuals posing as Bend Health employees to job seekers. Please look at our current openings to ensure they match with third-party job hosting sites. If you are applying for a position with us, we will always take the following steps:

  • We will only email you from the @bendhealth.com domain

  • Our screenings and interviews will be via phone or Zoom/Google Meets Video - Never chat or instant message

  • We will not send you a check until you are actively employed

  • We will never ask you for personal payment or require you to purchase equipment

We are here to help if you have any questions or concerns about a job posting. Please reach out directly to hiring@bendhealth.com for inquiries. Thank you again for your interest and we look forward to connecting with you!

At Bend Health, we believe that our diverse perspectives are our biggest strengths - and that embracing them will create real change in healthcare. As an equal opportunity employer, we are committed to building an inclusive environment where you can be you.