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Revenue Cycle Credentialing Manager

Revenue Cycle Credentialing Manager

Columbus StaffingColumbus, OH, US
2 days ago
Job type
  • Full-time
Job description

Revenue Cycle Credentialing Manager

We are seeking a full-time Revenue Cycle Credentialing Manager to join our NYAP team in Columbus, Ohio. Salary : Starts at $65,000 / yr. based on degree and experience. The Credentialing / Contracting manager is responsible for overseeing all aspects of the credentialing, revalidation, and contracting for NYAP. Ensure timely and accurate submissions of all provider / payer applications. Establish and maintain best practice processes for all aspects of credentialing and contracting.

Working At NYAP

  • NYAP's commitment to doing what is best for children, youth, and their families is a core value and one that we look for in our newest team members.
  • Excellent training and continuing education and development opportunities offered on topics such as : PCIT, NMT, TF-CBT, BFST, CSAYC, TBRI, FFT, and many, many more!
  • Student loan repayment assistance, up to $1,200 per year!
  • Medical, dental, and vision insurance for you and your family!
  • 22 days off each year!
  • Plus 11 paid holidays per year!
  • Competitive salaries and benefits including a 401(k)
  • Tuition assistance
  • Work anniversary trips!
  • Peace leave
  • Flexible schedule
  • Mileage reimbursement

Responsibilities

  • Perform all work in a manner consistent with the National Youth Advocate Program's mission, values, and philosophies.
  • Ensure all new providers hired are credentialed in a timely manner.
  • Ensure all providers credentials are updated and maintained within the EHR.
  • Ensure timely and accurate revalidation and / or recredentialing requests are completed.
  • Work with the BH team on any issues that arise regarding credentialing / contracting on timely resolution.
  • Maintain and update provider grid to include logins, NPI's, taxonomies, payers, credentials, etc.
  • Ensure all credentialing and contracting requests are responded to within 1 business day.
  • Ensure timely follow up to all applications submitted.
  • Ensure all provider profiles are updated timely and accurately for CAQH, PECOS, NPPES, PNM, Medicare, and commercial databases.
  • Report any issues related to credentialing / contracting to Revenue Cycle Manager timely.
  • Ensure timely collection of needed documents for all applications.
  • Timely and accurate completion of all new requested payer contracts.
  • Oversight of credentialing team including : time cards, time off request, resolution to any employee issues, and timely / accurate completion of work given.
  • Qualifications

  • Bachelor's degree or equivalent experience preferred.
  • 2 years credentialing experience or equivalent required.
  • 2 years payer contracting experience required.
  • 2 years' experience in a medical practice business office required.
  • Previous leadership experience preferred.
  • Proficient use of desktop and laptop computers, smart phones and tablets, printers, fax machines, and photocopiers as well as software including word processing, spreadsheet, and database programs.
  • Other skills

  • Detailed oriented with above average organizational skills
  • Plans and prioritizes to meet deadlines.
  • Excellent customer service skills; communicates clearly and effectively.
  • Excellent written and verbal communication skills.
  • Strong organizational skills.
  • Must have reliable transportation and a valid driver's license.
  • Some travel may be required.
  • Must be open and willing to work non-traditional work hours as well as on-call responsibilities.
  • Must be able to embrace working as a diverse team both effectively and respectfully with persons of any background, race, color, religion, sexual orientation, ability, national origin, or culture.
  • Provide excellent internal and external customer service.
  • Ready to make an impact? We'd love to hear from you! Apply today and join our team!

    Benefits listed are for eligible employees as outlined by our benefit policy. NYAP also requires all of our employees, regardless of your title / position, to hold and maintain automobile liability insurance coverage of $100,000 / $300,000.

    The person in this position needs to follow a team concept and support both agency goals and co-workers. Employees must be able to effectively work with and be respectful and sensitive to persons from various cultures, socioeconomic, ethnic, religious, and racial backgrounds.

    An Equal Opportunity Employer, including disability / veterans

    Who We Are :

    National Youth Advocate Program has been serving communities and clients since 1978 and we continue to grow each year. Our growth allows us to expand and develop new and innovative programs to meet the ever-changing needs of those we serve. We offer unique and personalized services for families and individuals in four areas : Prevention / Intervention, Positive Youth Development, Out-of-Home-Placement, and Reunification / Permanency.

    If YOU can envision it; WE can DO it! The possibilities are endless!

    We know you are compassionate and dedicated to serving your clients and communities and NYAP is dedicated to providing support to those who join our team! We look for individuals that are ready to make a direct impact and are excited to be an instrument in supporting the needs of our children, youth, and families.

    An Equal Opportunity Employer, including disability / veterans.

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