Credentialing Specialist

This is a fully remote position, open to applicants in Arizona, +8 more states.

📋 Description

• Overseeing the credentialing, recredentialing, and licensing processes for clinical personnel with health insurance providers, certification boards, and other relevant agencies.

• Ensuring adherence to various state, federal, and payer regulations.

• Responsible for pre-application intake, monitoring, application submission, and follow-up activities.

• Maintaining a streamlined and compliant onboarding process.

• Inputting and updating provider credential databases such as CAQH and NPPES.

• Continuously monitoring the credentials of clinical staff to ensure that licenses and certifications are up-to-date and active.

• Collaborating closely with internal departments to share provider information and address any inconsistencies.

• Assisting with various other duties within the Revenue and Contracting department.

⛳️ Requirements

• Bachelor's Degree preferred, though not mandatory.

• Proven proficiency with productivity and project management software (Microsoft Office, G Suite, Asana).

• Skills in database management including querying, reporting, and generating documents.

• Capacity to work independently as well as collaboratively within a team.

• Ability to thrive in a fast-paced and growing organization.

• Strong understanding of the credentialing process, accreditation, and regulatory standards, with the capability to lead and facilitate processes through influence and collaboration.

• Familiarity with Medical Terminology.

• Excellent organizational and verbal communication skills, with a keen attention to detail.

• Ability to exercise independent judgment in managing and sharing confidential information.

• Demonstrated problem-solving abilities and initiative to analyze and disseminate pertinent credentialing data across internal company divisions.

• Competence in making priority decisions without direct supervision.

• Preferred: Experience with provider credential databases such as CAQH and NPPES.

• Preferred: Experience with JIRA.

• Preferred: Familiarity with HIPAA and environments sensitive to compliance.

• Willingness and ability to provide proof of completed COVID-19 vaccination and booster (if eligible) by your scheduled start date. If you believe you qualify for a medical or religious exemption from our vaccination policy, please inform your Kyo interviewer promptly so that your situation can be assessed by Human Resources.

🏝️ Benefits

• Competitive salary and comprehensive benefits package.

• Opportunities for professional growth and development.

• Collaborative and supportive work environment.