Pacific Neuropsychiatric Specialists
Credentialing & Authorization Coordinator
Pacific Neuropsychiatric Specialists, Irvine, California, United States, 92713
Benefits:
Employee Assistance Program
401(k) matching
Dental insurance
Free food & snacks
Health insurance
Paid time off
Vision insurance
Are you doing what you love? We are!
Pacific Neuropsychiatric Specialists (PNS) is a leading mental health medical group dedicated to providing comprehensive and compassionate care for a wide array of mental health conditions. From ADHD and depression to anxiety, bipolar disorder, schizophrenia, and dementia, our services encompass both adolescent and adult psychiatry, medication management, and psychotherapy.
At PNS, our team is the heartbeat of our organization, and we recognize that their success directly translates to the quality of care we provide. We are committed to fostering a dynamic and supportive work environment where every team member finds their role not only rewarding but also professionally enriching and impactful. We actively invest in our employees' growth through ongoing development opportunities, ensuring you can thrive in your career.
Position Summary
We are seeking a highly organized and detail-oriented
Credentialing & Authorization Coordinator
to join our team. This role is essential to ensuring our providers are properly enrolled with insurance payers and that patient services are authorized efficiently and accurately. Collaborating closely with our billing, clinical, and administrative teams, you will support credentialing and prior authorization workflows for medication management and neuropsychological testing services, playing an essential role in our mission to deliver exceptional patient care.
Key Responsibilities:
Credentialing
Prepare and manage credentialing and recredentialing applications (commercial, Medi-Cal, Medicare Advantage, IPA plans) Maintain CAQH profiles and payer directories Follow up on enrollment status Coordinate provider onboarding with HR Maintain organized credentialing records Support rosters, audits, and special projects Authorizations
Submit and track prior authorizations for psychiatry services Use payer portals, fax, or phone to request approvals Track expirations and renewals Record authorization details in EMR and billing system Qualifications
1-2+ years credentialing and/or prior auth experience (mental health preferred) Familiarity with CAQH, PECOS, Availity, and payer portals Understanding of insurance types (HMO, PPO, Medi-Cal, Medicare Advantage, IPAs, etc.) Strong attention to detail and time management skills Skilled in both Google Workspace and Microsoft Office applications Excellent communication skills, both written and verbal Preferred
Strong understanding of payer processes and EMR systems Familiarity with behavioral health and California networks preferred Knowledge of authorizations for medication management and neuropsych testing
Are You Ready to Make a Difference?
If you're seeking a fulfilling position within a mission-driven organization where your contributions will significantly enhance patient access to care, we want to hear from you.
Join us today and be a part of our transformative journey in redefining mental health care in Southern California. Your skills can make a real impact!
Compensation: $24.00 - $26.00 per hour
We are Pacific Neuropsychiatric Specialists (PNS) and our experience enables us to offer effective outpatient, individualized, psychiatry care. Our psychiatry team provides psychiatric treatments for children, adolescents, adults, and seniors, from multiple offices located throughout Orange County, we do accept patients from the entire United States as well. Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol and chemical dependency, and more. Our Psychiatry practice was founded on the principles of treating patients with care, compassion, and understanding.
Pacific Neuropsychiatric Specialists (PNS) is a leading mental health medical group dedicated to providing comprehensive and compassionate care for a wide array of mental health conditions. From ADHD and depression to anxiety, bipolar disorder, schizophrenia, and dementia, our services encompass both adolescent and adult psychiatry, medication management, and psychotherapy.
At PNS, our team is the heartbeat of our organization, and we recognize that their success directly translates to the quality of care we provide. We are committed to fostering a dynamic and supportive work environment where every team member finds their role not only rewarding but also professionally enriching and impactful. We actively invest in our employees' growth through ongoing development opportunities, ensuring you can thrive in your career.
Position Summary
We are seeking a highly organized and detail-oriented
Credentialing & Authorization Coordinator
to join our team. This role is essential to ensuring our providers are properly enrolled with insurance payers and that patient services are authorized efficiently and accurately. Collaborating closely with our billing, clinical, and administrative teams, you will support credentialing and prior authorization workflows for medication management and neuropsychological testing services, playing an essential role in our mission to deliver exceptional patient care.
Key Responsibilities:
Credentialing
Prepare and manage credentialing and recredentialing applications (commercial, Medi-Cal, Medicare Advantage, IPA plans) Maintain CAQH profiles and payer directories Follow up on enrollment status Coordinate provider onboarding with HR Maintain organized credentialing records Support rosters, audits, and special projects Authorizations
Submit and track prior authorizations for psychiatry services Use payer portals, fax, or phone to request approvals Track expirations and renewals Record authorization details in EMR and billing system Qualifications
1-2+ years credentialing and/or prior auth experience (mental health preferred) Familiarity with CAQH, PECOS, Availity, and payer portals Understanding of insurance types (HMO, PPO, Medi-Cal, Medicare Advantage, IPAs, etc.) Strong attention to detail and time management skills Skilled in both Google Workspace and Microsoft Office applications Excellent communication skills, both written and verbal Preferred
Strong understanding of payer processes and EMR systems Familiarity with behavioral health and California networks preferred Knowledge of authorizations for medication management and neuropsych testing
Are You Ready to Make a Difference?
If you're seeking a fulfilling position within a mission-driven organization where your contributions will significantly enhance patient access to care, we want to hear from you.
Join us today and be a part of our transformative journey in redefining mental health care in Southern California. Your skills can make a real impact!
Compensation: $24.00 - $26.00 per hour
We are Pacific Neuropsychiatric Specialists (PNS) and our experience enables us to offer effective outpatient, individualized, psychiatry care. Our psychiatry team provides psychiatric treatments for children, adolescents, adults, and seniors, from multiple offices located throughout Orange County, we do accept patients from the entire United States as well. Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol and chemical dependency, and more. Our Psychiatry practice was founded on the principles of treating patients with care, compassion, and understanding.