CHE is a premier provider of behavioral health services and is the partner of choice for over 600 skilled care facilities. CHE has been operating for over 20 years in multiple states and employs over 800 clinicians. We deliver a unique programmatic approach to behavioral health services and are focused on quality and compliance for facilities. Our programs are designed to enhance facility clinical services, regulatory compliance, survey preparedness and reimbursement maximization. We go beyond the traditional role of a consultant and integrate ourselves as a vital member of the multi-disciplinary team.
Management position responsible for leading, coordinating, monitoring, and maintaining the accuracy and integrity of the provider credentialing, facility onboarding, payor credentialing/re-credentialing, and facility privileging processes across all CHE markets (NY, CA, NJ, PA, CT, GA, TN, and KY). Provides oversight of 5-person team of credentialing coordinators and outside parties, while maintaining working knowledge of the provider enrollment requirements for various regional Medicare Administrative Contractors (“MACs”), state Medicaid programs, Council for Affordable Quality Healthcare (“CAQH”), and managed care insurance companies. This position requires high attention to detail, flexible task management, and strong team leadership and team development skills. Individual is responsible for credentialing accuracy, credentialing turnaround time, and authorizing clinicians for billable services.
Supervises Credentialing Coordinators in CHE’s Brooklyn, NY and Carlsbad, CA offices.