Remote-Ready 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

Comprehensive health/dental/vision

401k + 4% match

HSA

Employee assistance program

Professional development allowance

Internal mobility opportunities

ERG groups

Diversity and inclusion

Job summary

Workit Health in Albany, NY, is seeking a Credentialing Specialist to manage provider credentialing and renewals within the Revenue Cycle team. This hybrid clinic location supports Albany, NY; Charlotte, NC; Lakewood, WA; Missoula, MT with three days in office and two remote per week.

You will handle credentialing data, verify information, and maintain accurate payer directories, collaborating with the Credentialing Manager and billing staff to resolve denials and ensure timely renewals.

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.

Responsibilities

• Follow and maintain credentialing & 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 details, and ensure timely completion.
• Maintain up-to-date data for each provider in credentialing systems.
• Monitor staff credentials and licenses.
• Collaborate 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 compliance

CAQH management

Payer portals

Communication

Collaboration

Data organization

Remote work readiness

Tools

CAQH management

Payer portals

Job description

Workit Health in Albany, NY, is seeking a Credentialing Specialist to manage provider credentialing and renewals within the Revenue Cycle team. This hybrid clinic location supports Albany, NY; Charlotte, NC; Lakewood, WA; Missoula, MT with three days in office and two remote per week.

You will handle credentialing data, verify information, and maintain accurate payer directories, collaborating with the Credentialing Manager and billing staff to resolve denials and ensure timely renewals.