Installation - Maint - Repair
Nonprofit - Social Services
Merakey is seeking a Payer Credentialing Specialist to join our Business Operations team in our Harrisburg, PA location.
The Payer Credentialing Specialist will develop and maintain relationships with practitioners, site and program directors along with the provider support specialists at the various payer sources. Responsibilities include but are not limited to the following.
Ensure that appropriately completed credentialing and re-credentialing applications are submitted to every contracted payer for each Merakey employed or contracted Physician, Practitioner, other licensed providers (NP, Physician Assistant, Psychologist, LCSW, LPC, etc) in timely fashion
Ensure and maintain active Medicare and Medicaid enrollments for all qualified Physicians, Practitioners, other licensed providers
Respond timely to all written, verbal, and electronic payer request regarding missing or additional information necessary to complete the credentialing/re-credentialing process for each Physician, Practitioner, other licensed provider.
Maintain the accuracy of Physician/Practitioner payer credentialing records in CAQH, PROMISE, PECOS, (credentialing software), and other formats accepted by contracted payers
Maintain copies of current state licenses, DEA certificates, malpractice coverage, and other required credentialing documents for all
Provide periodic updates with regard to credentialing status of any new Physician/Practitioner
Research and respond to all inquiries from Merakey sites and CBO staff related to claims denied for "provider not credentialed" and other related set-up issues
Assist with special projects as assigned by supervisor
Participate in Activities Management meetings/calls as requested or assigned
This position may require minimal travel, 0-10% between Admin Buildings
MERAKEY IS PROUD TO OFFER THE FOLLOWING BENEFITS
Competitive Compensation Plans
Opportunities for professional growth and advancement
Medical, Dental, and Vision Insurance Plans
Flexible Spending Accounts
Short/Long Term Disability Coverage
403B Retirement Plan (with company matching)
Marketplace Savings Program
Employee Assistance Program
24-Hour Nurse Hotline
Generous Paid Time Off (for qualifying positions)
Stability that coincides with working for a national leader in education and human services
Merakey is a leading developmental, behavioral health and education provider offering a breadth of integrated services to individuals and communities across the country.
We leverage our size and expertise to develop innovative solutions and new models of care to meet the needs of individuals, their families, public and private healthcare funders and community partner organizations.
We recognize that complex needs require a holistic approach. With our experience, expertise and compassion, we empower everyone within our communities to reach their fullest potential.
With a rich tradition spanning 50 years with nearly 10,000 employees, Merakey provides care to over 40,000 adults and children throughout Pennsylvania, New Jersey, New York, Maryland, Delaware, Louisiana, Michigan, Texas, California, and Tennessee.
For more information on Merakey and our various divisions, please visit: www.merakey.org
Merakey is a leading developmental, behavioral health, and education non-profit provider offering a breadth of integrated services to individuals and communities across the country. We leverage our size and expertise to develop innovative solutions and new models of care to meet the needs of individuals, their families, public and private healthcare funders and community partner organizations. We recognize that complex needs require a holistic approach. With our experience, expertise and compassion, we empower everyone within our communities to reach their fullest potential.
At Merakey, we do not have to refer individuals out of our system for additional services, but rather we can design a system around that person. Merakey continues to be the safety net for people who otherwise could not afford care. In spite of financial challenges and dwindling resources, we continue to pursue excellence in all aspects of care and treatment. The work of Merakey is anchored in the firm belief that it is every individual’s right to achieve growth, dignity, and fulfillment in their lives. Surrounding professional staff with the best in technology and supports, Merakey is a leader in the industry and remains committed to helping people...one individual at a time.
Our name, Merakey, is inspired by a modern Greek word, meaning to put something of yourself into your work, or to do something with soul, creativity or love. This concept illustrates the compassion and integrity that underscores everything we do. The inclusion of the word “key” in the name also positions the organization as a key to helping individuals and communities open doors to their future. At Merakey, we put our heart and soul into exceptional care and services.