Provider Credentialing Supervisor - Rome, United States - The Stepping Stones Group, LLC

Description

The Stepping Stones Group is transforming the lives of children, families, and communities together through our exceptional therapeutic and behavioral health services.

We believe our Core Values embody the culture of our organization:
Trust, Integrity, Results, Quality, Community, and Inclusivity.
If you believe every day is an opportunity to make a difference, we would like to meet you

As a Provider Credentialing Supervisor, you will create and maintain partnerships with payers and employees for SSG, to ensure that staff meet the necessary qualifications, requirements, and standards.

In this position you will:
Ensure that the Credentialing team collects employee credential documents

within one week

of their onboarding.
Ensure the Credentialing team updates records in Central Reach and ConCred

within two business days

upon receiving a request or task.
Process service code and label requests

within two business days

of receiving the request or task.
Determine and assess Credentialing team service level expectations and performance.
Qualifications

• Credentialing experience required.
• Supervisory experience preferred.
• Pay range $60,000$70,000
• Fulltime, remote, PST timezone

Responsibilities:
Manage a team of credentialing specialists, providing guidance, training, and support to ensure efficient and accurate credentialing processes.
Stay informed about changes in credentialing requirements, regulations, and insurance policies, and ensure that providers remain in compliance.
Maintain accurate and up-to-date credentialing records across SSG databases
Coordinate the credentialing and re-credentialing process for providers, including initial applications and updates as needed (terminations, name changes, etc.).
Update and manage provider portals as necessary to ensure compliance with the requirements of essential payers
Gather and maintain all necessary documents and information for credentialing, such as licensure, certifications, and SSG provider packets.

Create CAQH accounts on behalf of providers who lack existing accounts and maintain CAQH accounts for both current and new providers.

Notify the providers and supervisors of in-network effective dates with payors.

Follow up on all outstanding credentialing/re-credentialing files with payors via phone or email to ensure all providers are included in the network.

The Stepping Stones Group is committed to diversity and inclusion.

As a socially conscious employer driven by purpose, we welcome all people who have the heart to join us in our mission to transform lives together.

We celebrate the diversity of our colleagues and believe by listening, learning, and empathizing with each other's life experiences we become a stronger organization.

#J-18808-Ljbffr