Credentialing Associate

Are you looking for the best place to work?  Join Addiction Recovery Care, LLC (ARC) which was selected as one of the 2024 Best Places to Work in Kentucky by the Kentucky Chamber of Commerce, based on surveys of our employees!

Are you passionate about serving in an environment of shared purpose and shared goals while driving the ARC mission and values to excellence for our clients, patients and team members?  ARC has been leading the way and has become one of the fastest growing healthcare systems in Kentucky (and beyond!) in addiction treatment, mental health services and improving lives by creating opportunities for people to discover hope and live their God-given destiny!

ARC is ready to offer you “The B.E.S.T. of ARC” (Balance, Energy, Safety, Training) on day 1 when you enter through our doors.  ARC is a thriving, dynamic, and fast-paced healthcare system environment where compassion, accountability, respect for the dignity of life, entrepreneurship,  and stewardship are key elements of every thing we do!

We are hiring a Credentialing Associate for our growing team!  The Credentialing Associate leverages premier quality customer service and industry foresight to facilitate efficiency during the facility and provider credentialing / licensure process.  Acts as a point of contact for Addiction Recovery Care, LLC with external stakeholders, especially providers and department Directors to ensure the most efficient and successful payer enrollment of new facilities/providers.

Key Responsibilities:

•  Completion and submission of facility and provider credentialing / licensure applications as drafted by supervisor.
• Monitor and track the facility and provider credentialing / licensures enrollment process and provides consistent and timely follow-up on outstanding issues as well as status reports to management.
• Proactively initiate oversight of existing provider and facility record issues / problems with credentialing configuration.
• Coordinate, updates communication between provider(s) and appropriate stakeholders that includes follow-up communications, concise issue resolution and the collection and distribution of all necessary documents and forms in a timely manner.
• Research and contact providers and other leadership to resolve enrollment application deficiencies.
• Utilizes appropriate credentialing databases, optimizing efficiency and performs document generation; Assist in troubleshooting to prevent provider plan participation interruptions.
• Identifies potential process improvements and collaborates with all stakeholders to implement effective process improvements
• Adheres to policies and procedures including data security and HIPAA requirements
• Timely notifies supervisor of any unresolved issues with payers that would / prevent delay occupation of premises or delay in billing / payment.
• Review and maintain on a continual basis all bulletins and correspondence from payers for current information.
• Make recommendations for improvements in the credentialing / licensure process
• Contributes to team effort by accomplishing results.
• Other duties as assigned.

The above is intended to be a general outline of job duties and not a complete list.

Key Experience and Education Needed:

• High school graduate or equivalent is required
• Bachelor’s Degree Preferred
• 3–5 years experience working with insurance payers, hospital or other healthcare setting with responsibilities related to credentialing and licensure preferred.
• Appropriate State and Federal Clearances

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