This position is responsible for entering, processing and maintaining the accuracy and integrity of the credentialing and re-credentialing of Providers in multi-states. Team members must maintain a working knowledge of requirements of Center of Medicaid/Medicare Services (“CMS”), Council for Affordable Quality Healthcare (CAQH), and 3rd party insurance requirements. This position maintains a high level of confidentiality, attention to detail, and professionalism in order to credential and prepare clinicians for billable services. Responsibilities: Executes and processes credentialing and payor enrollment services for multi-states. Responsible for all Credentialing and provider enrollment 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 and payor enrollment 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. Qualifications: Education High School Graduate required. Associates or Bachelor’s Degree preferred. Experience Minimum of one to two (1-2) years of provider enrollment, payor contracting, billing or credentialing experience required. Knowledge Team members must maintain a working knowledge of requirements for Center of Medicaid/Medicare Services (CMS), Council for Affordable Quality Healthcare (CAQH), and 3rd party insurance requirements. Working knowledge of HIPAA and medical terminology. Knowledge of multi- state credentialing requirements for various disciplines including Psychiatrist, Psychologist, Physician Assistant, Nurse Practitioner and other behavioral health professionals preferred. Sufficient knowledge of policies and procedures to accurately answer questions from internal and external customers. Skills Skill in establishing and maintaining effective working relationships with other employees, doctors, facilities, insurance companies and regulators. Skill in adherence to and administering workflow processes in Credentialing and Provider Enrollment Services. Detail oriented and tolerant of frequent interruptions and distractions. Effectively communicate in writing and verbally with physicians, insurers, colleagues and staff. Proficient in Microsoft Office, including Outlook, Word, and Excel. Ability to recognize, evaluate, solve problems and correct errors. Ability to work under minimum supervision and demonstrate strong initiative. Organized and ale to prioritize and schedule work assignments to meet practice timelines. Other duties as assigned. Job Type: Full-time Pay: $45,000.00 - $55,000.00 per year Benefits: Dental insurance Health insurance Paid time off Vision insurance Schedule: Monday to Friday Application Question(s): What is the best email to contact you? Experience: credentialing: 1 year (Required) Ability to Commute: Rockville Centre, NY 11570 (Required) Work Location: In person