Credentialing Specialist
Merakey

Merakey is seeking a Payer Credentialing Specialist to join our Business Operations team. Successful candidate will be based in the Harrisburg or Erdenheim, PA area.

POSITION OVERVIEW

The Payer Credentialing Specialist will develop and maintain relationships with practitioners, site and program directors along with the provider support specialists at the various payer sources.

Responsibilities include but are not limited to the following:

• Ensure that appropriately completed credentialing and re-credentialing applications are submitted to every contracted payer for each Merakey employed or contracted Physician, Practitioner, other licensed providers (NP, Physician Assistant, Psychologist, LCSW, LPC, etc) in timely fashion.

• Ensure and maintain active Medicare and Medicaid enrollments for all qualified Physicians, Practitioners, other licensed providers.

• Respond timely to all written, verbal, and electronic payer request regarding missing or additional information necessary to complete the credentialing/re-credentialing process for each Physician, Practitioner, other licensed provider.

• Maintain the accuracy of Physician/Practitioner payer credentialing records in CAQH, PROMISE, PECOS, (credentialing software), and other formats accepted by contracted payers.

• Maintain copies of current state licenses, DEA certificates, malpractice coverage, and other required credentialing documents for all.

• Provide periodic updates with regard to credentialing status of any new Physician/Practitioner.

• Research and respond to all inquiries from Merakey sites and CBO staff related to claims denied for "provider not credentialed" and other related set-up issues.

• Assist with special projects as assigned by supervisor.

• Participate in Activities Management meetings/calls as requested or assigned.

• This position may require minimal travel, 0-10% between Admin Buildings.

BENEFITS

Merakey offers Medical, Dental, Vision insurance plans, competitive compensation plans, Work/Life balance, flexible schedules, cell phone discount plan, employee referral bonuses, tuition reimbursement and much more!

To fill out an on-line application: www.merakey.org/careers

Requisition number: 73202

ABOUT MERAKEY

Merakey is a leading developmental, behavioral health, and education non-profit provider with a fifty-year history. We offer a breadth of integrated services to individuals and communities across the country. Our belief that every individual has the right to achieve growth, dignity, and fulfillment guides all of our decisions. At Merakey, we care about each other and are committed to providing the very best care to those we serve. Merakey strictly follows a zero-tolerance policy for abuse.

Merakey is proud to be an Equal Opportunity Employer! We deeply value diversity and do not discriminate on the basis of race, religion, color, national origin, ethnic background, sex, gender, gender identity, sexual orientation, age, marital status, veteran status, genetic information, or disability status. Moreover, we are committed to creating teams that reflect the diversity of the communities we serve and encourage applicants from underrepresented backgrounds to apply.

• Associates Degree, Bachelor's Degree, and/or equivalent work experience.

• At least 2 years credentialing experience working with CAQH, Provider Enrollment, etc.

• Proficient in Microsoft Word, Excel, and Outlook.

• Experience using time management skills such as prioritizing/organization and tracking details and meeting deadline of multiple projects with varying completion dates.

• Ability to work independently and within a group, with minimal daily supervision.

• Strong analytical and problem solving skills.

• Excellent writing and verbal communication skills.

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled