Remote Credentialing Specialist — Billing & Compliance

Workit Health; United States; Remote; USD 47,000 - 51,000; Full time

Benefits offered by this job

Fully remote work

5 weeks PTO

11 paid holidays

Comprehensive health, dental, vision

401k + 4% matching

HSA

Parental leave (12 weeks)

Professional development allowance

Internal mobility and growth

ERG groups

Job summary

Workit Health, a leading telemedicine provider, seeks a Credentialing Specialist to maintain provider credentialing and renewals across our revenue cycle. This role supports accurate payer data, supports licensure processes, and collaborates with billing staff to resolve denials in a fully remote setting.

You will handle credentialing applications, maintain provider records, and ensure timely revalidations while adhering to HIPAA guidelines and organizational policies.

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 & 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.

Skills

Billing & Credentialing

HIPAA knowledge

Communication (Email/Slack)

Collaboration

Data organization

Technology proficiency

Self-management

Tools

CAQH management

Payer portals

Job description

Workit Health, a leading telemedicine provider, seeks a Credentialing Specialist to maintain provider credentialing and renewals across our revenue cycle. This role supports accurate payer data, supports licensure processes, and collaborates with billing staff to resolve denials in a fully remote setting.

You will handle credentialing applications, maintain provider records, and ensure timely revalidations while adhering to HIPAA guidelines and organizational policies.