CHE is a premier provider of behavioral health services and is the partner of choice for over 1100 skilled care facilities and a consumer-based Outpatient Practice. CHE has been operating for over 27 years in multiple states and employs over 800 clinicians. We deliver a unique programmatic approach to behavioral health services and focus on quality and compliance for providers and the company.

CHE is currently looking for a strong collaborator to lead Provider Onboarding Credentialing Services in our Credentialing Department. The position’s primary responsibility is to coordinate, manage and continue process improvement for the hiring and credentialing of clinical providers.

The position is remotely based and eligible for hire in the contiguous forty-eight states.

The position reports to the Director – Credentialing and Enrollment

The role is responsible for entering, processing, and maintaining the accuracy and integrity of the credentialing requirements and re-credentialing of providers. Maintains a working knowledge of requirements of Center of Medicaid/Medicare Services (“CMS”), National Committee for Quality Assurance (“NCQA”) and third-party insurance requirements. This position maintains an elevated level of confidentiality, diligence, and professionalism and for credentialing and preparing clinicians for billable service.

• Executes and processes onboarding credentialing services for newly hired providers.
• Responsible for all onboarding credentialing processes related to compliance, regulations, and billable services.
• Practices adherence to operating policies and procedures for Provider Credentialing.
• Understands and remains updated with current credentialing related regulations and compliance requirements.
• Maintains a working knowledge of all health information management issues such as HIPAA and all health regulations.
• Performs other miscellaneous job-related duties as assigned.

• Associates or bachelor’s degree
• High School Graduate
• Five years equivalent experience directly in credentialing and provider enrollment considered in lieu of a bachelor’s degree.

• Minimum of three (3) years in related health care operations, recruiting, referral/authorizations, and/or Business Administration related fields
• Minimum of two (2) year’s provider credentialing and privileging experience required.

• Thorough understanding of credentialing requirements of NCQA, CMS and third-party insurance providers.
• Working knowledge of HIPAA and medical terminology.
• Experience in payor delegated credentialing process and procedures.
• Experience in working with internal and external credentialing committees.
• Experience in state credentialing and licensure requirements for various disciplines including Psychiatrist, Psychologist, Physician Assistant, Nurse Practitioner, and others preferred.
• Sufficient knowledge of policies and procedures to accurately answer questions from internal and external customers.

• Skill in establishing and maintaining effective working relationships with other employees, doctors, nursing homes, facilities, insurance companies and regulators.
• Skill in adherence to and administering workflow processes in Credentialing Services. - Detail oriented and tolerant of frequent interruptions and distractions.
• Ability to manage process flow and data on various credentialing software packages. High comfort level with automation, system design and implementation.
• Effectively communicate in writing and verbally with physicians, insurers, colleagues, and staff. - Proficient in Microsoft Office, including Outlook, Word, and Excel.
• Ability to recognize, evaluate, solve problems, and correct errors.
• Ability to work under minimum supervision and demonstrate strong initiative.
• Organized and able to prioritize and schedule work assignments to meet practice timelines.
• Other duties as assigned