ABLETO, INC. Credentialing Analyst Salary in the United States

Join our mission-driven organization, where your work matters and a diversity of ideas and backgrounds are welcomed. AbleTo is the leading provider of high quality, technology-enabled behavioral health care. We believe that everyone deserves access to high-quality care and offer a suite of technology-enabled services to empower people to lead better lives through better mental health. A proprietary platform connects individuals with AbleTo highly trained licensed providers who deliver weekly sessions by phone or video supported by an integrated digital experience. Members also have access to mental health coaches, and digital support programs. Our outcomes-focused approach is proven to improve both behavioral and physical health and lower medical costs.

The Primary Responsibilities: 

• Obtains primary source verification of credentials in accordance with AbleTo policies and procedures.
• Tracks responses and follows-up on items not received within established cycle periods.
• Reviews completed files with management in accordance with established schedules.
• Maintains credential and recredentialed records in accordance with AbleTo policies and procedures
• Produces management reports and rosters regarding operations performance and/or provider credentialing status for internal management and external clients.
• Produces and disseminates credentialing activity reports and provider rosters for external clients as required by contract. 
• Adheres to operating policies and procedures including delivery of completed work and use of resources.
• Initiates correspondence to providers, users, health plans and others as necessary to obtain requisite credentialing and/or recredentialing information.
• Performs monitoring activities including, but not limited to, monthly sanctions monitoring, license expirations, and malpractice insurance expirations.
• Informs management regarding the status of departmental operations and provider credentialing issues of concern.
• Presentation of provider credentialing files to Credentialing Sub-Committee during initial and re-credentialing
• Record minutes for all Credentialing Sub-Committee meetings held.
• Maintain documentation of provider credentialing information within the telehealth platform 
• Responds to inquiries from participating providers and clients.
• Communicate directly with clients regarding their credentialing roster process.
• Document/improve processes that support the responsibilities of this role.
• Participate in Quality Improvement initiatives related to credentialing/credentialing.
• Assist in review and general upkeep of Clinical documents and resources.
• Support Clinical Compliance in producing reports requested through audits. 

*Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. 

Education/Experience:

• Bachelor’s degree or equivalent work experience
• Proficient in Google Suite (Docs, Sheets, Slides, etc.)
• Experience within healthcare/social work preferred

Skills:

• Adept at learning and using computer systems
• Strong attention to detail
• Discipline and organization to handle multiple tasks simultaneously
• Personal ownership of assignments and responsibilities 
• Excellent written and verbal communication skills
• Ability to plan, execute, check results and improve on a continuing basis

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