Disruptive
Care
Consumer
Connection &Credentialing Specialist
Amae Health
Administration
Remote
Posted on Nov 22, 2024
Credentialing Specialist
Remote
Revenue Cycle
Remote
Full-time
Amae Health is defining the standard of care for people with severe mental illness.
We’re on a mission to deliver radically different care for the 14 million Americans suffering with a severe mental illness (SMI). Amae Health is an integrated, outpatient care provider for patients with SMI, treating their psychiatric and physical conditions through in-person care delivery with wrap-around services. Our approach recognizes the unique needs of our patients, and provides personalized treatment across the physical, mental and social service resources required to holistically improve patients’ lives. We believe that only by treating the whole person can you obtain lasting health outcomes.
We will accept Medicaid and Medicare in addition to commercial/private insurances and our services are designed to complement the work already being done in the community. Our long-term, integrated services prioritize patient needs ensuring personalized, compassionate and high-quality care. We offer a holistic, one-stop-shop with wrap-around services that include: Psychiatrists, Clinic Director, Primary Care Providers, Therapists, Peer Supports, Health Coaches, and Dieticians in a warm and inviting clinic space.
We’re Hiring!
Amae Health is seeking to hire our first Credentialing Specialist to support our providers as they care for complex adult patients. This is a full-time remote role and will work in close alignment with both internal and external process partners.
About the Role:
As we continue to expand our capacity to provide integrated “whole person” care to patients living with severe mental illness, the teams that support this work are also growing! We are seeking to hire a Credentialing Specialist to manage credentialing and enrollment processes with efficiency in a complex, multi-state behavioral healthcare organization. The Credentialing Specialist will bring a deep understanding of Medicaid, Medicare and private/commercial insurance systems, and will streamline multi-step enrollment processes while ensuring adherence to all levels of compliance.
Detail-oriented, you enjoy building and implementing processes and systems that improve outcomes. You are adept at navigating nuanced business challenges and are able to articulate complex concepts to a wide variety of audiences. A consummate professional, you are deeply collaborative and enjoy partnering across the organization to achieve results. If you are excited about the opportunity to build a world class credentialing operation within a growing organization, we’d love to hear from you!
About You:
- 2+ years experience managing credentialing and enrollment processes efficiently in a multi-state organization
- Strong multi-state regulatory knowledge: Comprehensive understanding of various state regulations and requirements in the behavioral health industry
- Familiar with payor enrollment and provider rosters
- Insurance Systems Proficiency: Expertise in working with Medicaid, Medicare, and private/commercial insurance, ensuring accurate and timely credentialing
- Process Optimization: Strong skills in optimizing credentialing and enrollment workflows to improve efficiency and ensure compliance.Thorough understanding of confidentiality and appropriate documentation standards
- Compliance Management: Experience in maintaining and overseeing compliance with public and private payer standards.
- Behavioral Health Experience (Ideal but Not Required): Familiarity with OUD/SUD treatment protocols is a plus, enhancing the ability to manage specific care services effectively
- Ability to navigate challenging situations with professionalism
- Highly organized with the ability to work autonomously
- Possess strong listening skills and excellent verbal communication capabilities
What We Provide:
- Competitive compensation & benefits
- The resources and support to make a real, measurable difference in your patients' lives
- A best in class work environment with some of the leading mental health professionals in the field! Our program is led by UCLA professors & VA clinicians who have designed this program with the mission of helping individuals with these complex SMI conditions unlock lasting recovery.
- Significant growth potential from any role, company wide due to the organization's exciting growth trajectory!
More About Amae:
'Amae', pronounced ‘Ah-mai’, is a Japanese concept meaning the need to be in good favor with, and the ability to depend on, the people around oneself. It reflects our core belief that a strong support system is essential to build people up, strengthen their will to carry on and even to thrive in life. This mentality applies across our whole company – from the patients we serve to the team we’re building.
We’re a Public Benefit Corporation (PBC) that provides outpatient psychiatric and primary care health services through value-based care arrangements. Our model’s success is predicated upon achieving outcomes for our patients, and ensuring lasting recovery.
Amae Health is an equal opportunity employer and encourages all applicants from every background and life experience to apply.
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Req ID: R61