talkiatry - Credentialing Specialist
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Requirements
• 3+ years of experience in healthcare credentialing, with a strong understanding of end-to-end workflows. • Strong working knowledge of NCQA standards and credentialing documentation requirements. • Comfort and ability to manage multiple providers through credentialing timelines with accuracy and attention to detail. • Experience with credentialing platforms and provider data management systems (e.g., CAQH, Verifiable, MD-Staff or similar). • Excellent organizational skills and attention to detail in a fast-paced environment. • Excellent written and verbal communication skills, with the ability to work effectively with providers and cross-functional partners. • Certified Provider Credentialing Specialist (CPCS) • Experience supporting behavioral health or multi-state provider groups.
Responsibilities
• Perform initial credentialing and recredentialing for Talkiatry providers in accordance with NCQA standards, payer requirements, and state and federal regulations. • Review provider applications for completeness and accuracy, ensuring all required documentation is obtained efficiently and with a positive provider onboarding experience in mind. • Conduct all required primary source verifications including licensure, board certification, education, training, sanctions, and exclusions, documenting results within our credentialing platform (Verifiable). • Maintain timely and accurate provider data within the credentialing system, ensuring provider files remain audit-ready and compliant. • Proactively identify delays, discrepancies, or risk factors that may impact credentialing timelines and escalate as appropriate. • Adhere to Talkiatry policies, confidentiality standards, and regulatory requirements while delivering high-quality, detail-oriented work.
Benefits
• Top-notch team: we're a diverse, experienced group motivated to make a difference in mental health care • Collaborative environment: be part of building something from the ground up at a fast-paced startup • Excellent benefits: medical, dental, vision, effective day 1 of employment, 401K with match, generous PTO plus paid holidays, paid parental leave, and more! • Grow your career with us: hone your skills and build new ones with our Learning team as Talkiatry expands • It all comes back to care: we’re a mental health company, and we put our team’s well-being first • Talkiatry participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. only after a job offer is accepted and Form I-9 is completed. For more information on E-Verify, please visit the following: EVerify Participation https://nam12.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.e-verify.gov%2Fsites%2Fdefault%2Ffiles%2Feverify%2Fposters%2FEVerifyParticipationPoster.pdf&data=05%7C01%7Cjill.steger%40talkiatry.com%7Cfe829943872e4bc8dc7b08db83d3c99d%7C803a6c90ec724384b2c01a376841a04b%7C0%7C0%7C638248717875458398%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=qFgJNzh246Js%2FFqdsb9OZgN55rg5GpsB0wjiTvkPn9w%3D&reserved=0 & IER Right to Work https://nam12.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.e-verify.gov%2Fsites%2Fdefault%2Ffiles%2Feverify%2Fposters%2FIER_RighttoWorkPoster.pdf&data=05%7C01%7Cjill.steger%40talkiatry.com%7Cfe829943872e4bc8dc7b08db83d3c99d%7C803a6c90ec724384b2c01a376841a04b%7C0%7C0%7C638248717875458398%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=ivUqrPtiBjGVkMzpMBSYalwvm2Zxhj%2BScqVUX2OfqUA%3D&reserved=0.
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