Remote Credentialing Specialist

Workit Health; City of Albany (NY); Hybrid; USD 28,000 - 40,000; Full time

Benefits offered by this job

Fully remote work

5 weeks PTO

11 paid holidays

Health, dental, vision insurance

401k + matching

Job summary

Workit Health is seeking a Credentialing Specialist to maintain provider credentialing and renewals across multiple clinic locations. This hybrid role supports in-office collaboration with remote work, three days on-site and two days remote each week.

You will manage credentialing data, assist with revalidations, and coordinate with the Credentialing Manager and billing staff to resolve denials while upholding HIPAA standards and payer relations.

Qualifications

• 2–3 years of billing and credentialing experience.
• HIPAA standards knowledge.
• Familiarity with major payer portals and CAQH management.
• Clear written and verbal communication.
• Ability to collaborate across departments.

Responsibilities

• Follow and maintain credentialing & clinic licensure policies and protocols.
• Ensure reports on credentialing status of providers are up-to-date and accurate.
• Ensure all clinic information is accurate within payor directories.
• Process applications, verify information, research details, and complete tasks promptly.
• Maintain up-to-date data for each provider in credentialing 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.
• Perform other tasks as assigned.

Skills

Billing & Credentialing

HIPAA knowledge

Payer portals

Communication

Collaboration

Tools

CAQH management

Job description

Workit Health is seeking a Credentialing Specialist to maintain provider credentialing and renewals across multiple clinic locations. This hybrid role supports in-office collaboration with remote work, three days on-site and two days remote each week.

You will manage credentialing data, assist with revalidations, and coordinate with the Credentialing Manager and billing staff to resolve denials while upholding HIPAA standards and payer relations.