Certified Provider Credentialing Specialist

Company Description

Cenpatico Behavioral Health, LLC® (Cenpatico) customizes behavioral health solutions by providing our clinical and administrative expertise to governmental entities, health plans and employers.

Our success stems from our commitment to managing behavioral healthcare services that can be clinically integrated into our customers’ programs, while enhancing consumer access to care. We provide a centralized point of access and clinical availability 24 hours a day, 7 days a week, simplifying the referral process for consumers.

Cenpatico services include, but are not limited to, risk-based utilization management, network development and maintenance, quality improvement, customer service and claims payment for behavioral health practitioners.

Cenpatico School Products provides educational programming and therapeutic services that support students with academic, behavioral and special healthcare needs through Cenpatico’s wholly-owned subsidiaries: Academic Behavioral Alternatives, In-Speech and IntegratED. Cenpatico School Products offers school districts and families positive, pro-active and evidence-based solutions which maximize programmatic capacity as well as students’ individual recovery, resiliency and results

Job Description

Company Job Description/Day to Day Duties:

The Certified Provider Credentialing Specialist (CPCS) is typically employed or contracted by a healthcare organization including, but not limited to, hospitals (health systems), health plans, ambulatory care settings, group practices, and credentialing verification organizations.

A CPCS is an integral part of a credentialing team whose responsibilities include but are not limited to:

• Maintaining compliance with regulatory and accrediting bodies;
  
• Participating in the development and implementation of credentialing processes and procedures;
• Credentialing of physicians, allied health and other practitioners;
• Overseeing or participating in the development of and adherence to:
• Governance bylaws;
• Department rules and regulations;
• Policies pertaining to medical staff, practitioner/provider and the organization; and
• Collecting and maintaining an accurate practitioner database and analyzing verification information.

Qualifications

Candidate must have a CPCS certification, this is a Certified Provider Credentialing Specialist

Additional Information

Are you an experienced Credentialing Specialist looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career In Credentialing by joining a rapidly growing company? If you answered “yes" to any of these questions – this is the Credentialing Specialist position for you!

If you are interested, reach out to me (Patricia) at 321-574-6536

The greatest compliment to our business is a referral.If you know of someone looking for a new opportunity, please pass along my contact information!