Remote Provider Contracting & Credentialing Coordinator Job Wisconsin USA,Healthcare

Position: (Remote) Provider Contracting & Credentialing Coordinator

Remote Provider Contracting and Credentialing Coordinator

Location: Remote (US, Eastern or Central Time Zone)

Hours: 8:00am – 5:00pm ET

Pay starts: $21+/hr

Advanced Recovery Systems is an integrated behavioral healthcare management company dedicated to treating addiction, substance abuse, and mental health issues. We provide evidence‑based therapeutic models to help clients lead healthy, happy lives free from substance abuse or mental illness.

Benefits

Health, Vision, Dental, Employer Matched 401(k)
STD, LTD, and Employer Paid Term Life Policy – up to $50k
Employer Matched HSA – up to $1500 a year company contribution
Employee Wellness Program – reduce employee premiums $40/mo
Free MDLive telehealth benefit
Paid Time Off – Vacation/Personal/Holiday/Sick
Employee Referral Bonus

Responsibilities

Ensure all medical and clinical staff are appropriately credentialed with all payers.

Assist the credential manager in identifying new hire needs to align credentials with payer requirements.

Review and prepare payer credentialing applications and recredentialing applications for completeness and accuracy.

Collaborate with providers and credentialing department to secure required information.

Work with ARS teams (Business Development, Marketing, Finance) to identify opportunities for company growth via managed care contracts.

Evaluate and analyze contract proposals and negotiate best contract rates with SVP.

Serve as direct contact and liaison between payers and ARS facilities regarding contracts, addenda, and credentialing needs.

Conduct quality control audits of files and remediate preventing future errors.

Prepare reports for internal and external use.

Work with billing department to address non‑participation or disenrollment of providers.

Qualifications

Minimum of a high school diploma or equivalent; bachelor’s degree preferred.
Minimum three (3) years’ experience in provider or payer contracting and credentialing.
Knowledge of hospital and/or behavioral contracting and reimbursement.
Experience with CAQH requirements and profiles, credentialing and recredentialing applications for facilities and payer contracting.
Strong computer knowledge.
Must own a personal computer running Windows 11 with latest updates, antivirus software, working camera and microphone. Remote office equipment reimbursement is available.
Proficiency with compliance and security standards for software and virus protection.

The Company complies with state and federal nondiscrimination laws and policies that prohibit discrimination based on age, color, disability, national origin, race, religion, or sex. It is unlawful to retaliate against individuals or groups based on their participation in a complaint of discrimination or their opposition to discriminatory practices or EEO.

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