Medical Staffing and Credentialing Manager (Temporary)

Life at aptihealth

Backed by $70M in funding from world-class investors including Takeda Digital Ventures, Pivotal Life Sciences and Vista, the aptihealth team is comprised of health care, data science and technology experts passionate about transforming behavioral healthcare. aptihealth is a digital technology platform with an affiliated medical group that makes it easier for people to access speedy high quality mental health care at the right place and right time.   The technology and provider group reach people who need care, connect, follow and demonstrate improved outcomes. Everything we do at aptihealth is centered on our mission to revolutionize care and to ensure that the millions of people who need and deserve it have access to it. As a curious and collaborative teammate, someone excited about tackling the hard problems in healthcare and technology, you will play a key role in making that mission a reality. Together, we’ll create and innovate transformative behavioral healthcare – for millions of people.

What we offer

• The opportunity to make life better for millions of people
• An environment of positive and super smart colleagues
• Turning innovative ideas into real-world results
• Investment in our employees
• Balancing extraordinary work with your personal life
• Encouraging curiosity and collaboration
• Priding ourselves in being diverse and inclusive
• Flexible working hours and lots of freedom in your work habits

Role

The Medical Staffing and Credentialing Manager is responsible for collaborating with partners/payors to facilitate end-to-end Credentialing of aptihealth providers, as well as other tasks and needs of active providers.  The Manager will work with Human Resources to identify and assist in resolving barriers, and Operations to understand and prepare to meet company business needs.  The Manager will individually contribute with the proofing of Credentialing applications, obtaining and completing verification of providers’ medical experience, state licensure, Drug Enforcement Administration (DEA) registration, Board Certification, etc., and evaluating data to verify qualifications.

Requirements

• Certified Provider Credentialing Specialist (CPCS)
• Associate degree or equivalent experience
• 3 or more years’ experience in medical Credentialing.
• Working knowledge of Credentialing Standards and Guidelines in Credentialing, Re-credentialing, and other regulatory/compliance requirements.
• Experience with Modio strongly desired
• Competent in all aspects of credentialing and adhering to all company policies, procedures, state, federal, and certification agencies.
• Excellent communication skills, including verbal and written
• Proficient computer skills. Ability to navigate/modify web-based applications, effectively communicate using email in the business setting, and work within online intranet platforms and the Microsoft Office Suite.
• Detail-oriented and highly organized
• Demonstrated ownership and follow-through of all delegated tasks and projects
• Ability to thrive in a fast paced, constantly changing environment
• Passionate about being a trusted partner to transform behavioral healthcare
• Results driven -- documented success in exceeding goals and objectives
• Demonstrated commitment to the core values of the company

Responsibilities

• Initiate Credentialing process and provide customer support to facilitate all necessary information and document exchange.
• Review and evaluate provider applications, identify credentialing concerns, and request appropriate follow-up information from providers or other sources as needed.
• Responsible for timely processing of initial/recredentialing applications.
• Provide appropriate documents to all external payors and follow up with providers to obtain additional information.
• Thoroughly and accurately maintain all credentialing tracking mechanisms by ensuring data is entered accurately in real-time and concise information provided to relevant parties consistently.
• Responsible for quality, privacy, and secure storage of provider files
• Continuously provide excellent customer service skills by following up with external providers and partners accurately and professionally.
• Provide credentialed provider information to necessary departments and update systems, as necessary.
• Responsible for updating and re-attesting CAQH annually.
• Responsible for recredentialing providers with payors, every 3 years or as needed.
• Maintain and track license and DEA renewal for each state.

Job Type: Temporary/Full-time (40/hrs a week)
Duration: 6 Months
Pay Rate: $33-38/hr
The expected pay-rate is dependent on a variety of factors, including qualifications and years of experience.

About aptihealth

aptihealth, inc. is a behavioral health engagement company that seamlessly integrates physical and behavioral healthcare.  Our platform connects medical providers, behavioral health specialists and patients with our proprietary assessment and treatment management protocols to get and keep patients healthier faster.  aptihealth’s structured therapy programs are centered on its proprietary 15 Life Domain Clinical Framework© that efficiently provides collaborative care teams with the most thorough understanding of a patient’s behavioral health needs.  The aptihealth platform connects patients and their care teams with licensed behavioral health specialists who provide 90-day and extended care therapy by phone or video supported by an easy-to-use consumer friendly digital experience.  The aptihealth program is evidenced to get individuals into therapy faster and clinically proven to improve both behavioral and medical outcomes while lowering overall cost.  aptihealth’s investors include Hudson River Capital Holdings, KASA Investments and Timber IV.

At aptihealth, we don’t just accept difference—we celebrate it, we support it, and we thrive on it for the benefit of our team, products and community.  aptihealth is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. If you have a disability or special need that requires accommodation, please let us know by contacting us.

To all recruitment agencies: aptihealth does not accept agency resumes. Please do not forward resumes to us, our team members or any other organization location. aptihealth is not responsible for any fees related to unsolicited resumes.

For more information, please contact us at:
aptihealth, inc.
268 Broadway, Suite 101
Saratoga Springs, NY  12866
(888) 454-3827