Remote Credentialing Specialist — HIPAA-Savvy & Data-Driven

Workit Health; United States; Remote; USD 25,571 - 36,420; Full time

Benefits offered by this job

Fully remote work

5 weeks PTO

11 paid holidays

Comprehensive health, dental, vision

401(k) with 4% match

FSA & HSA

Professional development allowance

Internal growth opportunities

Job summary

Workit Health is seeking a Credentialing Specialist to join the Revenue Cycle Department. You will create and maintain credentialing and renewal information for Workit providers, ensuring accuracy across payor directories and licensure records.

Responsibilities include managing credentialing reports, processing applications, and collaborating with the Credentialing Manager to resolve denials and payor issues.

Qualifications

• 2–3 years of billing and credentialing experience.
• Deep knowledge of HIPAA standards of operations.
• Familiarity with major payer portals and CAQH management.

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.
• Process applications, verify information, research application details, and ensure 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.
• Maintain a positive and optimistic attitude.
• Perform other tasks as assigned

Skills

HIPAA knowledge

CAQH management

Payer portals

Clear communication

Collaboration

Data organization

Independent work

Reliable internet

Tools

CAQH system

Job description

Workit Health is seeking a Credentialing Specialist to join the Revenue Cycle Department. You will create and maintain credentialing and renewal information for Workit providers, ensuring accuracy across payor directories and licensure records.

Responsibilities include managing credentialing reports, processing applications, and collaborating with the Credentialing Manager to resolve denials and payor issues.