Credentialing and Billing Operations Specialist – Part-Time

Savoy Life; McLean (VA); Remote; Part time

Job summary

A healthcare startup is seeking a part-time Credentialing and Billing Operations Specialist to manage credentialing and billing tasks. This fully virtual role involves overseeing the credentialing process and ensuring compliance with regulations. The ideal candidate will have extensive experience in healthcare credentialing and the ability to work independently in a startup environment.

Qualifications

• Extensive healthcare provider credentialing & enrollment experience.
• Knowledge of payer enrollment processes, CAQH, NPPES, PECOS.

Responsibilities

• Manage credentialing and billing tasks related to health plan setup.
• Prepare and submit enrollment applications and supporting documents.
• Track application statuses and ensure timely approvals.

Skills

Attention to Detail

Organizational Skills

Communication Skills

Problem-Solving Skills

Tools

Microsoft Office

Credentialing Software

Job description

Credentialing and Billing Operations Specialist – Part-Time

Join to apply for the Credentialing and Billing Operations Specialist – Part-Time role at Savoy Life

Credentialing and Billing Operations Specialist – Part-Time

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Join to apply for the Credentialing and Billing Operations Specialist – Part-Time role at Savoy Life

Savoy Life is a distributed senior living platform focused on bridging the gap between senior living communities and healthcare. With a team of specialized clinicians, including nurses and geriatricians, Savoy Life offers a tech-enabled solution that empowers senior living operators to do their jobs more effectively and efficiently so they can move residents into their communities faster and keep them healthier for longer.

Location: Virtual

Reports to: VP Strategy & Operations

Work Schedule: Part-time

Company Overview: Savoy Life is a healthcare startup focused on improving senior living. Our model of care supports senior living communities by coordinating clinical care and leveraging technology and clinical experts to fill care gaps, ensuring residents receive high-quality, personalized care.

Job Overview: We seek a part-time Credentialing and Billing Operations Specialist to manage credentialing, billing, and operational tasks related to health plan setup and monitoring. This fully virtual role involves owning the end-to-end credentialing and enrollment process, from identifying health plans/IPAs, contacting them, setting up Savoy's entity and providers, to monitoring and ensuring accurate claim reimbursement by managing payer configurations in our EHR and coordinating with the RCM vendor.

This role initially focuses on credentialing for up to 15 hours/week, with potential to expand responsibilities and hours based on performance. This is a 1099 position with the goal of transitioning to W2.

Key Responsibilities:

• Identify and prioritize health plans and IPA groups in new states; manage credentialing and re-credentialing of healthcare providers
• Prepare, review, and submit enrollment applications and supporting documents
• Track application statuses and ensure timely approvals
• Maintain credentialing files and ensure compliance with regulations
• Resolve credentialing and enrollment issues through communication with insurance companies and internal teams
• Validate provider credentials and ensure accurate configurations in billing and EHR systems

Billing:

• Set up and maintain ERA, EDI, and eligibility verification in the EHR system
• Monitor claim payments and coordinate with RCM vendors to resolve discrepancies
• Ensure correct configuration of provider IDs, NPI numbers, and taxonomies

Operations:

• Support accounts payable processes and vendor contract management using AI tools

Required Qualifications:

• Extensive healthcare provider credentialing & enrollment experience, including starting from scratch
• Knowledge of payer enrollment processes, CAQH, NPPES, PECOS, and insurance verification
• Proficiency in Microsoft Office and credentialing software

What You Bring:

• Ability to work independently in a startup environment, building structure from scratch
• Willingness to learn and grow with a growth mindset
• Strong attention to detail, organizational, and communication skills
• Proactive problem-solving skills

Compensation: $25-$35/hour

We are an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, sex, color, religion, sexual orientation, gender identity, national origin, protected veteran status, or disability.