Credentialing Specialist

The Blue Venture Fund; United States; Remote; USD 26,000 - 36,000; Full time

Benefits offered by this job

Fully remote work

5 weeks PTO (includes your birthday, 2

2 mental health days, and 2 floating

Job summary

The Credentialing Specialist is an integral member of the Revenue Cycle Department at Workit Health. The role creates and maintains credentialing and renewal information for providers, ensuring accuracy across payor directories and clinic licensure.

You will collaborate with billing staff to resolve denials and keep data up-to-date. This fully remote position requires 2-3 years in billing/credentialing, HIPAA knowledge, and proficiency with payer portals and CAQH.

Qualifications

• 2-3 years of Billing and Credentialing experience.
• Deep knowledge of HIPAA standards.
• Familiarity with major payer portals and CAQH management.
• Clear written and verbal communication.
• Ability to meet deadlines and work independently.
• Strong collaboration skills.

Responsibilities

• Follow and maintain credentialing & clinic licensure policies.
• Ensure credentialing reports are up-to-date and accurate.
• Ensure all clinic information is accurate within payor directories.
• Processes applications, verifies information, researches details, and completes processes promptly.
• Maintain up-to-date data for each provider in the credentialing database and online systems.
• Monitor staff credentials and licenses.
• Work with Credentialing Manager and billing staff to resolve denials or authorization issues.
• Complete revalidation requests issued by payers.
• Maintain positive and optimistic attitude.
• Other tasks as assigned.

Skills

Billing and Credentialing

HIPAA knowledge

Payer portals CAQH

Clear communication

Tools

CAQH management

Payer portals

Job description

Why Workit:

Workit Health is an industry-leading provider of on-demand, evidence-based telemedicine care. Our programs are based in harm reduction, and bring together licensed clinicians who really listen, FDA-approved medication, online recovery groups and community, interactive therapeutic courses, and care for co-existing conditions. Workit Health's patient-centered telemedicine model is improving clinical outcomes and eliminating barriers to treatment, making long-term recovery accessible to individuals who need it, without disrupting their daily lives.

We’re excited to expand our team as our impact and coverage areas continue to grow. Our team members are dedicated and passionate about our mission of making exceptional, judgment-free care for addiction more accessible.

We believe everyone deserves respectful, effective treatment for substance use disorder at the moment they're ready for it. We're looking for driven and compassionate individuals who share this goal. Join us in reducing stigma, saving lives, and changing the way addiction is treated in America.

Schedule: 8:00am - 4:30pm local time

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.
• 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

#LI-MM1

#LI-MM1

Pay range

$22.50 — $22.50 USD

Benefits & Rewards:

• 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 really 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

Equal Opportunities for Everyone, including Folks in Recovery:

As 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 Affinitive 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.

AI Interview Policy:

At Workit Health, we value authenticity, curiosity, and personal insight during our hiring process. To ensure a fair and genuine experience for all candidates, we ask that you refrain from using AI tools or external assistance during interviews or assessments. We’re most interested in your unique ideas, problem-solving approach, and communication style—qualities that help us understand how you’ll contribute to our team. Demonstrating your own thinking and creativity gives both you and us the best sense of fit and potential.

Privacy Policy:

Applicant personal information is collected and used in accordance with Workit Health’s Privacy Policy, which includes disclosures and rights under applicable U.S. privacy laws.