Job Description:

Job Title: Managed Care Credentialing Representative II 

Location: St. Louis, MO 

Department: Managed Care 

Employment Type: Full Time 

Job Summary: 

Join our team as a Managed Care Credentialing Representative II, where you'll play a critical role in ensuring that our providers are credentialed and onboarded in a timely and efficient manner. You'll work closely with providers to guide them through the application and onboarding process, manage application files, and ensure that all regulatory requirements are met. 

This position offers… 

· Employee Assistance Program – 24/7 counseling services, legal assistance, & financial consultation for you and your household at no cost 
· Mileage Reimbursement – Company paid for work functions requiring travel 
· Employee Discounts – Hotels, Theme Parks & Attractions, College Tuition 
· Workplace Culture - An environment cultivating employee wellbeing, valuing each individual's humanity, and actively promoting a healthy, joyful workforce 
· Additional Perks & Benefits - Scroll down to bottom of this post to learn more 

Key Responsibilities: 

· Meet with onboarding providers to complete credentialing application documents and tasks 
· Compile and maintain current and accurate data for all providers within the credentialing database and credentialing file 
· Complete provider credentialing and re-credentialing applications, monitoring applications and following up in a timely manner 
· Investigate and document practitioner credentials, utilizing specialized knowledge to obtain verification of all aspects of a practitioner's background, training, and past practice 
· Notify supervisors and management of adverse or questionable responses from the verification process 

Education, Experience, and/or Credential Qualifications: 

· High school diploma, GED, or equivalent required 
· Healthcare Credentialing experience required 
· Experience in healthcare administration utilizing advanced Microsoft Office and Excel preferred 

Additional Qualifications: 

· Excellent customer service, time management, and communication skills (oral and written) 
· Excellent organization skills and attention to detail 
· Analytical skills and the ability to research industry topics and policies and translate the information into actionable items 
· Successful completion of background check including criminal record, driving record, abuse/neglect, and fingerprint check 

Physical Requirements: 

· The physical requirements and working conditions described are representative of those an employee encounters while performing the essential functions of this job 
· While performing the duties of this job, the employee is regularly required to stand and walk and sometimes sit; use hands and arms; and talk or hear 
· Prolonged periods of sitting at a desk 
· The noise level in the work environment is usually moderate 

Keywords: Managed Care Credentialing Representative II, Credentialing, Healthcare Administration. 

Position Perks & Benefits:

Paid time off: full-time employees receive an attractive time off package to balance your work and personal life

Employee benefits package: full-time employees receive health, dental, vision, retirement, life, & more

Top-notch training: initial, ongoing, comprehensive, and supportive

Career mobility: advancement opportunities/promoting from within

Welcoming, warm, supportive: a work culture & environment that promotes your well-being, values you as human being, and encourages your health and happiness

Brightli is on a Mission:

A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance user care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients.

As a behavioral and community mental health provider, we prioritize fostering a culture of belonging and connection within our workforce. We encourage applications from individuals with varied backgrounds and experiences, as we believe that a rich tapestry of perspectives strengthens our mission. If you are passionate about empowering local communities and creating an environment where everyone feels valued and supported, we invite you to join our mission-driven organization dedicated to cultivating an authentic workplace.

We are an Equal Employment Opportunity Employer.

Brightli is a Smoke and Tobacco Free Workplace.