Credentialing Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Adhere to and uphold the policies and protocols for credentialing and clinic licensure.

• Ensure that reports detailing the credentialing status of providers are current and precise.

• Verify that all clinic information is accurate in payer directories.

• Process applications, validate information, investigate application details, and guarantee that procedures are accurate and completed in a timely manner.

• Keep the credentialing database and online systems updated with current information for each provider.

• Oversee the credentials and licenses of staff members.

• Collaborate closely with the Credentialing Manager and billing personnel to pinpoint and address denials or authorization issues concerning provider credentialing.

• Fulfill revalidation requests received from payers.

• Execute additional tasks as assigned.

⛳️ Requirements

• 2-3 years of experience in Billing and Credentialing.

• In-depth understanding of HIPAA operational standards.

• Familiarity with major payer portals and CAQH management.

• Strong communication skills, both written and verbal, through email, Slack, and in-person interactions.

• Demonstrated ability to work collaboratively with individuals both within and outside the department.

• Capacity to bring organization and accuracy to complex datasets.

• Proficiency in utilizing technology appropriate for the role.

• Reliable access to high-speed internet.

• Ability to work independently and adhere to deadlines.

🏝️ Benefits

• Fully remote work opportunity.

• 5 weeks of PTO, which includes your birthday, 2 mental health days, and 2 floating holidays!

• 11 paid holidays throughout the year.

• Comprehensive health, dental, pharmacy, and vision insurance options tailored to meet your family's needs.

• 12 weeks of paid Parental Leave after one year of employment, covering maternity, paternity, adoption, and various family-building methods.

• 401k plan with a 4% matching contribution.

• Flexible Spending Accounts (FSA & DCFSA) for healthcare and dependent care.

• Health Savings Accounts (HSA) available.

• Employee assistance program featuring financial coaching and counseling sessions.

• Professional development allowance for Providers and the Behavioral Health team.

• Opportunities for internal mobility and growth within a company known for promoting from within.

• A vibrant, inclusive culture with clubs and multiple Employee Resource Groups (ERGs).