Credentialing Team Lead

Description

Position at BayMark Health Services

Credentialing Team Lead – Lewisville, TX

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The Credentialing Team Lead will be responsible for overseeing the Credentialing Coordinator team members while maintaining regular cooperation and compliance with all regulatory, accreditation and membership-based organizations. The Credentialing Team Lead will carry out credentialing and licensing processes as they relate to BayMark entities and clinic employees.

Essential Job Functions

• Support Credentialing Manager with delegation of all credentialing related tasks to Credentialing Coordinators.
• Assist Credentialing Manager with development and implementation of credentialing projects.
• Meet with Credentialing Manager weekly to address and resolve issues, set and prioritize goals and improve processes.
• Assist with staff communication to provide updates, resolve issues, set goals and maintain standards.
• Participate in required trainings as appropriate to maintain compliance with state and federal agencies.
• Participate in meetings as required.
• Provide application instruction and guidance to Credentialing Coordinators.
• Review applications (new and recredentialing for practitioners and clinics) for completeness and accuracy.
• Ensure that all credentialing is accurate and submitted in a timely manner.
• Provide contract support as required.
• Ensure clinic and practitioner licensure and other supplemental documentation is current and maintained in the appropriate file location.
• Maintain close communication with practitioners, leadership, and licensing/credentialing entities – both locally and in other states.
• Uphold company mission, vision and values.
• Support leadership in maintaining a positive working environment.
• Must be able to focus on presented activity in distracting environments.
• Work with an array of departments and leadership (HR, legal, accounting), both locally and in other states in order to obtain information and process required applications.
• Must be present during working hours at the office for meetings and access to a computer in accordance with company policy.
• Other duties as assigned.
  
  

Minimum Qualifications

• High School Diploma required. Associates degree preferred.
• Minimum of 18 months in the Credentialing Coordinator position.
• Preferred: Three (3) years of related experience in reviewing and maintaining informational databases and auditing paperwork such as application and licensing documentation for accuracy.
• Two years of experience working in the field of substance abuse preferred.
• Exceptional communication, leadership and time-management skills.
• Ability to make sound decisions in a timely manner.
• Ability to identify potential issues and proactively present solutions.
• Exceptional oral and written communication skills are required. Must be proficient in Microsoft Office, including Word and Excel.
• Proven ability to meet deadlines and possess strong analytical and organizational skills in managing multiple projects in different consecutive stages.
• Proficient with CAQH, NPPES and PECOS systems.
• Must be able to operate effectively in a fast-paced environment in which attention to detail and audit-trail documentation must be maintained in the face of multiple competing demands. Developing a positive rapport with licensing and credentialing entities, subcontractors and employees is critically important.
• Ability to evaluate current and incoming projects for prioritization.
• Initiative to take charge of unforeseen situations, solve problems and adjust to schedule changes.
• Satisfactory references from employers and/or professional peers.
• Compliance with accepted professional standards and practices
• Satisfactory references from employers and/or professional peers
• Satisfactory criminal background check
• Satisfactory drug screen
  
  

Benefits

• Competitive salary
• Comprehensive benefits package, including medical, dental, vision and 401(K)
• Generous paid time off
• Excellent growth and development opportunities
• Satisfying and rewarding work striving to overcome the opioid epidemic
  
  

Here Is What You Can Expect From Us

BayMark Health Services a progressive substance abuse treatment organization is committed to the highest quality of patient care in a comfortable outpatient and inpatient clinic setting. Our ultimate goal is to address the physical, emotional, and mental aspects of opioid use disorder to help each of our patients achieve long-term recovery and an improved quality of life.

BayMark Health Services is committed to Equal Employment Opportunity (EEO) and to compliance with all Federal, State and local laws that prohibit employment discrimination on the basis of race, color, age, natural origin, ethnicity, religion, gender, pregnancy, marital status, sexual orientation, citizenship, genetic disposition, disability or veteran’s status or any other classification protected by State/Federal laws.