Credentialing Specialist

Role Description

The Credentialing Specialist is an integral member of the Revenue Cycle Department. The Credentialing Specialist creates and maintains credentialing and renewal information for Workit providers.

• Follow and maintain credentialing & clinic licensure policies and protocols
• Ensures reports on the credentialing status of providers are up-to-date and accurate
• Ensures all clinic information is accurate within payor directories
• Processes applications, verifies information, researches application details, and ensures processes are accurate and completed promptly
• Maintain up-to-date data for each provider in the credentialing database and online systems
• Monitor staff credentials and licenses
• Work closely with the Credentialing Manager and billing staff to identify and resolve any denials or authorization issues related to provider credentialing
• Complete revalidation requests issued by payers
• Maintains positive and optimistic attitude
• Other tasks as assigned

Qualifications

• 2-3 years of Billing and Credentialing experience
• Deep knowledge of HIPAA standards of operations
• Familiarity with major payer portals and CAQH management
• Ability to communicate clearly and concisely via email, Slack, and face-to-face
• Proven aptitude for collaboration inside and outside of the department
• Ability to bring organization and precision to complex datasets
• Ability to use technology at an appropriate level for the role
• Access to consistent, high-speed internet access
• Works independently and meets deadlines

Requirements

• Schedule: 8:00am - 4:30pm local time
• Pay range: $22.50 — $22.50 USD

Benefits

• Fully remote work
• 5 weeks PTO (includes your birthday, 2 mental health days, and 2 floating holidays!)
• 11 paid holidays
• Comprehensive health, dental, pharmacy, and vision insurance with options to fit your family's needs
• 12 weeks paid Parental Leave after 1 year of employment (includes maternity, paternity, adoption, and all ways in which our people build modern families)
• 401k + 4% matching
• Healthcare & dependent care Flexible Spending Accounts (FSA & DCFSA)
• Health Savings Accounts (HSA)
• Employee assistance program, complete with financial coaching and counseling sessions
• Professional development allowance for Providers and Behavioral Health team
• Opportunities for internal mobility and growth at a Company with a proven track record of promoting internally
• Vibrant, democratized culture with clubs and multiple ERG groups
• Colleagues who care deeply about closing health disparity gaps within the addiction space for underserved populations