CHE is a premier provider of behavioral health services and is the partner of choice for over 600 skilled care facilities. CHE has been operating for over 20 years in multiple states and employs over 550 clinicians. We deliver a unique programmatic approach to behavioral health services and are focused on quality and compliance for facilities. Our programs are designed to enhance facility clinical services, regulatory compliance, survey preparedness and reimbursement maximization. We go beyond the traditional role of a consultant and integrate ourselves as a vital member of the multi-disciplinary team.
CHE is currently looking for someone to execute Provider Credentialing Services in its Carlsbad, California office.
Responsible forentering, processing and maintaining the accuracy and integrity ofthe credentialing and re-credentialing of Providers in the California Market. Maintains a working knowledge of requirements of Center of Medicaid/Medicare Services ( CMS), National Committee for Quality Assurance ( NCQA) and 3 rd party insurance requirements. This position maintains a high level of confidentiality, attention to detail, & professionalism and for credentialing and preparing clinicians for billable service
Executes and processes credentialing services in California.
Responsible for all Credentialing processes related to compliance, regulations and billable services.
Practices adherence to operating policies and procedures for Provider Credentialing.
Understands and remains updated with current credentialing related regulations and compliance requirements.
Maintains a working knowledge of all health information management issues such as HIPAA and all health regulations.
Performs other miscellaneous job-related duties as assigned.
-Associates or Bachelor's Degree preferred.
- High School Graduate
- Minimum of one to two (1-2) years in related health care operations, recruiting , referral/authorizations, and/or Business Administration related fields preferred.
- Minimum of one to two 1-2 (1-2) years provider credentialing experience preferred.