Hybrid Credentialing Specialist - In-Office 3d / Remote 2d

Workit Health; Lakewood (WA); Hybrid; USD 28,000 - 40,000; Full time

Benefits offered by this job

Fully remote work

PTO and holidays

Health, dental, vision insurance

Job summary

Workit Health is seeking a Credentialing Specialist for a hybrid clinic-based role serving Albany, NY; Charlotte, NC; Lakewood, WA; and Missoula, MT. You will create and maintain credentialing and renewal information for our providers and work with the Revenue Cycle team to keep credentials current.

Day-to-day you will follow credentialing policies, verify applications, update payor directories, and collaborate with billing and the Credentialing Manager to resolve denials and ensure timely

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.

Responsibilities

• Follow and maintain credentialing and clinic licensure policies and protocols.
• Ensure reports on the credentialing status of providers are up-to-date and accurate.
• Ensure 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.

Skills

Billing & Credentialing

HIPAA knowledge

Payer portals

CAQH management

Communication

Collaboration

Organization

Independent work

Tools

Electronic health records (EHR)

Job description

Workit Health is seeking a Credentialing Specialist for a hybrid clinic-based role serving Albany, NY; Charlotte, NC; Lakewood, WA; and Missoula, MT. You will create and maintain credentialing and renewal information for our providers and work with the Revenue Cycle team to keep credentials current.

Day-to-day you will follow credentialing policies, verify applications, update payor directories, and collaborate with billing and the Credentialing Manager to resolve denials and ensure timely