Remote Credentialing Specialist – Billing & Compliance

Openkrill; United States; À distance; USD 54 567 000 - 73 826 000; Plein temps

Avantages offerts par ce poste

Fully remote work

5 weeks PTO

11 paid holidays

Health, dental, vision insurance

401k + matching

HSA/DCFSA

Parental leave 12 weeks

Employee assistance program

Professional development

Internal mobility

ERGs

Résumé du poste

Workit Health is seeking a Credentialing Specialist to join the Revenue Cycle team. The Credentialing Specialist creates and maintains credentialing and renewal information for Workit providers.

This remote role requires 2-3 years in billing/credentialing, deep HIPAA knowledge, familiarity with payer portals and CAQH management, and strong communication to ensure accurate data and timely processing. You will work with the Credentialing Manager to resolve issues and maintain high data integrity.

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 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.

Responsabilités

• 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.

Connaissances

Billing & Credentialing

HIPAA knowledge

CAQH management

Payer portals

Communication

Collaboration

Data organization

Tech proficiency

Reliable internet

Independence

Description du poste

Workit Health is seeking a Credentialing Specialist to join the Revenue Cycle team. The Credentialing Specialist creates and maintains credentialing and renewal information for Workit providers.

This remote role requires 2-3 years in billing/credentialing, deep HIPAA knowledge, familiarity with payer portals and CAQH management, and strong communication to ensure accurate data and timely processing. You will work with the Credentialing Manager to resolve issues and maintain high data integrity.