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Licensing and Credentialing Specialist

Remote:

Full Remote

Contract:

Full time

Experience:

Mid-level (2-5 years)

Work from:

Illinois (USA), United States

Offer summary

Qualifications:

3+ years of licensing experience in healthcare, 2+ years of provider credentialing experience, Expertise in credentialing and provider licensure, Strong attention to detail, BA degree preferred.

Key responsabilities:

Facilitate applications for clinician licenses and renewals
Manage licensure compliance tracking and data management systems
Research state regulations on additional licensing
Support credentialing operations for new clinicians and facilities
Assist with administrative tasks for reimbursement expansion

Compass Health Center SME https://compasshealthcenter.net/

501 - 1000 Employees

See more Compass Health Center offers

Job description

Weekly outpatient therapy isn't always enough, and a trip to the ER isn't the only answer. Patients and their families rely on Compass Health Center when in crisis – every day, we help people overcome depression, anxiety, suicidality, obsessions/compulsions, trauma, chronic pain, and other obstacles in order for our patients to live freely.

About This Role

Compass Health Center is the largest and highest quality provider of Partial Hospitalization Programs (PHP) and Intensive Outpatient Programs (IOP) in Illinois. By the end of 2023 we’ll serve more than 900 patients every day, ranging from age 6 through the full life span, in one of our three free-standing facilities located in Northbrook, Chicago, and Oak Brook. In September of 2023, Compass will open our 4^th clinic in Silver Spring, Maryland. Compass provides an intermediate level of Behavioral Healthcare that fills a critical gap between outpatient and inpatient care. Patients and their families turn to Compass when in crisis – every day we help people overcome depression, anxiety, suicidality, obsessions/compulsions, past trauma, chronic pain, and other symptoms that prevent them from living happy and healthy lives.

We are seeking a Licensing & Credentialing Specialist to join our growing team. This person will play an important role in allowing for expansion of our programs both virtually or in-person into new states while supporting our payer relationships in critical ways to enable timely reimbursement. The responsibilities of this role spans across both licensure and credentialing and the ideal candidate would have substantial hands-on expertise in both of these areas. Please note this is a remote role, based in Illinois.

What You’ll Do:

Licensure:

Application for new and renewal state licenses for our clinicians. This includes physicians, nurse practitioners, social worker and licensed professional counselor therapists, and nurses. The expectation is that this person will use every approach possible to streamline and expedite the licensure process in a compliant, proactive, and problem-solving-focused manner
Management of licensure compliance tracking system and provider data management system. Oversight and support of annual/semi-annual licensure compliance process which applies to all clinicians at Compass.
Researching and serving as “go to expert” on state regulations on licensure across all classes of clinicians to guide decision making on pursuing business opportunities within new states.
Supporting facility licensure efforts that accompany state expansions

Credentialing:

Ongoing support of credentialing team as needed and other administrative tasks required by Compass’ health plan partners. This may include for example:
Adding new clinicians as enlisted/credentialed providers with each health plan
New facility applications to each health plan when Compass opens new facilities
Necessary administrative tasks required to expand reimbursement for Compass’ virtual services

Who You Are:

3+ years of licensing experience with healthcare provider organizations
2+ years of experience with provider credentialing
Expertise in both credentialing and provider licensure
Strong attention to detail and exceptional work habits
Great teammate, highly responsible
Intelligent, proactive problem solver
Comfort with technology including, SharePoint, Microsoft Office Suite, and provider data management systems
Ability to effectively communicate with all levels of leadership and clinicians
BA degree preferred

We know job descriptions can be intimidating, so if this sounds like an opportunity for you, please don't hesitate to apply!

Who We Are

Compass Health Center is a recognized leader in crisis-level mental health, bringing passion, connection, and patient-centered care to the Partial Hospitalization and Intensive Outpatient space (PHP/IOP). Based in Chicagoland, we serve hundreds of patients every day, ranging from ages 5 through adulthood, in our onsite facilities or through our flourishing virtual programming. Compass fills a critical gap between outpatient and inpatient care through an intermediate level of Behavioral Healthcare.

A few more things we want you to know: our values are super important to us, and hopefully will be to you, too. Cultural humility, teamwork, continuous improvement, connection, patient centered care, passion, innovation, and agility should be your power sources. Joining Compass is an opportunity to feel fulfilled through a joint mission towards healing our communities.

Benefits & Perks

We know that you will be dedicated to your purpose here. We look at that investment as a two-way street. We are proud to offer plenty of space for growth, and opportunities to pursue continuous development within our organization.

For eligible positions, our other benefits include: comprehensive medical/dental/vision plans, 401k program with company matching, generous PTO (including competitive parental leave after 1 year of employment), and continuous training through CEU seminars and volunteering opportunities.

What’s Next?

Compass is committed to cultivating diverse and dynamic teams who exude passion for their craft, so whether or not you check all the boxes, we encourage you to apply – we’d be grateful to hear from you!