Credentialing Speciailst
Workit Health
United States
Posted on Nov 27, 2024
Description
Remote
Compensation: $20.00 - $23.00 per hour
Why Workit
Workit Health is an industry-leading provider of on-demand, evidence-based telemedicine care. Our programs are based in harm reduction, and bring together licensed clinicians who really listen, FDA-approved medication, online recovery groups and community, interactive therapeutic courses, and care for co-existing conditions. Workit Health's patient-centered telemedicine model is improving clinical outcomes and eliminating barriers to treatment, making long-term recovery accessible to individuals who need it, without disrupting their daily lives.
We’re excited to expand our team as our impact and coverage areas continue to grow. Our team members are dedicated and passionate about our mission of making exceptional, judgment-free care for addiction more accessible.
We believe everyone deserves respectful, effective treatment for substance use disorder at the moment they're ready for it. We're looking for driven and compassionate individuals who share this goal. Join us in reducing stigma, saving lives, and changing the way addiction is treated in America.
The Credentialing Specialist is an integral member of the Operations Department. The Credentialing Specialist creates and maintains credentialing and renewal information for Workit providers.
Job Responsibilities:
- Serves as credentialing liaison with 3rd party payers
- Manages and prioritizes work for Workit’s credentialing vendor(s)
- 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.
- 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 government payers.
- Other tasks as assigned
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 appropriate level for the role
- Access to consistent, high-speed internet access
- Works independently and meets deadlines
Benefits:
- 5 weeks PTO (includes your birthday, 2 mental health days and 2 floating holidays)
- 11 paid holidays
- Comprehensive health, dental, pharmacy, and vision insurance with options to fit your family's needs
- Company contributions to dependent premiums at higher than market rates (65%)
- 12 weeks paid Parental Leave after 1 year of employment (includes maternity, paternity, adoption, and all ways in which our people build modern families)
- 401k + matching
- Healthcare & dependent care Flexible Spending Accounts (FSA)
- Flexible schedules and flex-time work for all full-time and part-time employees
- Employee assistance program, complete with financial coaching and counseling sessions
- Professional development allowance for healthcare providers
- Opportunities for professional development and growth within the company
- Fully remote roles throughout the company
- Vibrant, employee-driven cultural initiatives including multiple ERG groups
- Colleagues who care deeply about closing health disparity gaps within the addiction space for underserved populations
As we are an addiction recovery company, those in addiction recovery themselves are encouraged to apply. Workit Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Credentialing Specialist
Why Workit:
Workit Health is an industry-leading provider of on-demand, evidence-based telemedicine care.
Our programs are based in harm reduction, and bring together licensed clinicians who really
listen, FDA-approved medication, online recovery groups and community, interactive therapeutic
courses, and care for co-existing conditions. Workit Health's patient-centered telemedicine model
is improving clinical outcomes and eliminating barriers to treatment, making long-term recovery
accessible to individuals who need it, without disrupting their daily lives.
We’re excited to expand our team as our impact and coverage areas continue to grow. Our team
members are dedicated and passionate about our mission of making exceptional, judgment-free
care for addiction more accessible.
We believe everyone deserves respectful, effective treatment for substance use disorder at the
moment they're ready for it. We're looking for driven and compassionate individuals who share
this goal. Join us in reducing stigma, saving lives, and changing the way addiction is treated in
America.
Job Summary:
The Credentialing Specialist is an integral member of the Operations Department. The
Credentialing Specialist creates and maintains credentialing and renewal information for Workit
providers.
Core 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.
●
●
Other tasks as assigned
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 appropriate level for the role
● Access to consistent, high-speed internet access
● Works independently and meets deadlines
Benefits & Rewards:
●
●
●
5 weeks PTO (includes your birthday, 2 mental health days, and 2 floating holidays!)
11 paid holidays
Comprehensive health, dental, pharmacy, and vision insurance with options to fit your
family's needs
●
●
Company contributions to dependent premiums at higher than market rates (65%)
12 weeks paid Parental Leave after 1 year of employment (includes maternity, paternity,
adoption, and all ways in which our people build modern families)
401k + 4% discretionary matching
Healthcare & dependent care Flexible Spending Accounts (FSA)
Health Savings Accounts (HSA)
Employee assistance program, complete with financial coaching and counseling sessions
Professional development allowance for healthcare providers
Opportunities for professional development and growth within the company
Fully remote roles company-wide
Vibrant, employee-driven cultural initiatives including multiple ERG groups
Colleagues who care deeply about closing health disparity gaps within the addiction
space for underserved populations
●
●
●
●
●
●
●
●
●
As we are an addiction recovery company founded by people in recovery, those in addiction
recovery themselves are encouraged to apply. Workit Health is proud to be an Equal Employment
Opportunity and Affirmative Action employer. We do not discriminate based on race, religion,
color, national origin, gender (including pregnancy, childbirth, or related medical conditions),
sexual orientation, gender identity, gender expression, age, status as a protected veteran, status
as an individual with a disability, or other applicable legally protected characteristics.