Credentialing Specialist

Who are we?  

At 360 Behavioral Health, we take pride in our long-standing commitment to providing exceptional care for individuals impacted by autism and other developmental delays. With over three decades of expertise, we are one of the original and most established Applied Behavior Analysis (ABA)-based behavioral health services authorities. Today, 360 Behavioral Health is one of the top ABA, enhanced personal assistance and respite providers in the United States. The commitment, dedication, and approach to care that guided our founders when they opened their doors continues to guide all we do today. Our devotion to their philosophy landed us on the list for “The 5 Best ABA Therapy Providers for 2023”, and to us being labeled as a certified “Best Place To Work”!   

What would this role 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 grid to ensure all information is accurate and logins are available
• Update each provider’s database file and maintain accurate provider profiles
• Maintain a comprehensive provider roster for required payers
• Complete credentialing applications to add providers to contracted payers, including Commercial and Medicaid
• Complete provider re-credentialing applications to all contracted payers
• Maintain current demographic information for all credentialed providers on external payer portals
• Work closely with the Revenue Cycle Director and billing staff to identify and resolve any denials or authorization issues related to provider credentialing

Must Haves  

• Knowledge of provider credentialing and its direct impact on the organization’s revenue cycle
• Excellent computer skills including Excel, Word, and Internet use
• Detail oriented with above average organizational skills
• Plans and prioritizes to meet deadlines
• Excellent customer service skills; communicates clearly and effectively
• High School Diploma or GED
• 1 years credentialing experience preferred
• 1 years’ experience in a medical practice business office role preferred 

What we offer 

• Competitive compensation (we value transparency) {$27.00-$30.00/Hour)
• Student loan repayment assistance for eligible roles  
• Bonus program(s) for eligible roles  
• Career development and advancement opportunities  
• Flexible scheduling  
• Great and fun company culture   
• Expansive Health, Vision, and Dental plans for our full-time partners   
• 401(K) retirement savings program 
• Mileage and phone reimbursement  
• And so much more! 

360 Behavioral Health is an equal opportunity employer. If anyone is unable to fully access any portion of the 360 Behavioral Health on-line system, we are committed to providing reasonable accommodations.  Please contact us at 855-360-4437 for assistance.  

EEO/Minorities/Females/Disabled/Veterans   

Our organization is an equal employment/affirmative action employer. If you need accommodation for any part of the employment process because of a medical condition or disability, please send an e-mail to benefits360hr@360bhmail.com to let us know the nature of your request.  For more EEO information about applicant rights click here.  

 Americans With Disabilities Act   

360 Behavioral Health, does not discriminate on the basis of disability in its services, programs, or activities. Employment: 360 Behavioral Health does not discriminate based on disability in its hiring or employment practices and complies with the ADA title I employment regulations. Effective Communication: 360 Behavioral Health will, upon request, provide auxiliary aids and services leading to effective communication for people with disabilities, including qualified sign language interpreters, assistive listening devices, documents in Braille, and other ways of making communications accessible to people who have speech, hearing, or vision impairments. Modifications to Policies and Procedures: 360 Behavioral Health, will make reasonable modifications to policies and procedures to ensure that people with disabilities have an equal opportunity to enjoy programs, services, and activities. For example, people with service animals are welcomed in 360 Behavioral Health offices, even where pets and other animals are prohibited. Requests: To request an auxiliary aid or service for effective communication, or a modification of policies or procedures contact [ADA Coordinator name and contact information] as soon as possible, preferably 30 days before the activity or event. For inquiries, please contact us at benefits360hr@360bhmail.com