Credentialing Specialist

Job Summary

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.

Core Responsibilities

• 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.

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

Pay

$22.50—$22.50 USD

Benefits & Rewards

• 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 really promoting internally
• Vibrant, democratized culture with clubs and multiple ERG groups
• Caregivers and folks in recovery encouraged to apply

Equal Opportunities For Everyone, Including Folks In Recovery

We are an addiction recovery company founded by people in recovery, those in addiction recovery themselves are encouraged to apply. Workit Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.