Credentialing Specialist at Nystrom & Associates Ltd in New Brighton, Minnesota

Job Description:

Nystrom & Associates, Ltd.is a team of mental health professionals that specialize in psychiatric evaluations, clinical social work, and family therapy. We are committed to helping patients in our community who are experiencing personal, emotional, marriage, family or psychological problems. Founded in 1991, we offer an intensive outpatient chemical dependency program, psychological testing, and behavioral health and medication management services.

We are currentlyseeking afull-timeCredentialing Specialistto join our team. In this role, you would beresponsible for credentialing/re-credentialing of clinicians in all Nystrom programs.

Work Environment: work from home with occasional in office meetings/trainings.

Other duties include:
Credentialing/re-credentialing of Clinicians in all Nystrom programsSubmit necessary documents to insurance payers 60-90 days prior to new hire start date for providers who are not currently credentialed.Submit transfer request forms for currently credentialed new hires allowing at least 30 days prior to start date.Create and keep up-to-date credentialing progress logs for new hires pending credentialing.Keep up-to-date credentialing instruction sheets.Keep an up-to-date credentialing contact list per insurance plan.Acquire NPI numbers or update NPI information on NPPES as needed.Obtain providers updated license(s) and malpractice insurance prior to their expiration date.Update insurance payers with current malpractice and license documents prior to document expiration.Term clinicians from networks as clinicians leave Nystrom.Update and distribute insurance lists as changes occur.Troubleshoot credentialing, billing, insurance issues with billing/insurance staff and supervisor as needed.Immediately report to supervisor any communication/correspondence that has bearing on employee or organization.Picking up mail from the New Brighton location when neededOther duties as determined

Qualifications:
BA or BS degree is preferred in a business related areaExcellent communication and organizational skillsExcellent attention to detailPositive attitude and a team playerMust be proficient in the use of computers, specifically Microsoft Word, Excel and the use of email.

Benefits:
Nystrom & Associates, Ltd. prides itself on the benefits and compensation offered to staff, including:
Medical & Dental insuranceOpportunities for professional growth and career advancementHealth Savings Account (HSA)Flexible Spending Account (FSA) for applicable medical and dependent care expensesPaid Time Off (PTO)Paid Holidays401(K) Retirement Plan with a generous employer matching programSupplemental insurances,such asshort term disability, cancer insurance, and accident insurance