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Credential Coordinator

We are hiring a full-time person which is 32 hours per week. Benefits include holiday, Paid Time Off, medical, dental and vision as well life insurance and retirement plan

Specific Areas Required:

  1. Knowledge in all aspects of insurances (Medicaid, i.e, Beacon, Humana, Prestige, Sunshine State, and Commercial
  2. Ability to handle all aspects of insurances regarding agency information
  3. Manage and apply to Florida Medicaid registering all providers (being known to Medicaid)
  4. Keep Agency Medicaid files current such as Agency Medicaid numbers and Ownership Panels
  5. Knowledge of services provided and billing codes
  6. Process any staff enrollment/re-enrollment with Mediciad to keep Suncoast and staff current with their Medicaid number as well background screening requirements
  7. Complete credential/re-credentialing applications as needed for agency
  8. Complete new insurance applications
  9. Complete rosters for new insurances as well update current rosters when needed
  10. Keep abreast of Medicaid Health Maintenance Organization and/or pre-paid mental health plans in the district and ensure the agency is credentialed with each insurance company
  11. Assist the CEO as needed
  12. Proficient in usage of computers and Microsoft Office programs such as Excel, Word and Outlook
  13. Proficient in customer service with quick responses to emails, phone calls, voice mails, and faxes
  14. Function as a team player in a positive attitude
  15. Serve as a positive role model for clients/families in attitude, attire, professionalism, and responsible behavior

Minimum Qualifications:

High school diploma with preference given to those with a Bachelor’s degree or equivalent to one year of direct experience in credentialing

All interested applicants should submit resumes to Suncoast Mental Health Center, Inc. via email click here or fax to 772-466-5578.

The Joint Commission

The Joint Commission is an independent, not-for-profit, national body that oversees the safety and quality of health care and other services provided in accredited organizations.  Concerns or issues can be directed to: The Joint Commission: www.jointcommission.org Fax: (630) 792-5636 Email: complaint@jointcommission.org