Credentialing Specialist

Workit Health

6d•Remote

About The Position

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.

Requirements

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

Benefits

Fully remote work
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
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% matching
Healthcare & dependent care Flexible Spending Accounts (FSA & DCFSA)
Health Savings Accounts (HSA)
Employee assistance program, complete with financial coaching and counseling sessions
Professional development allowance for Providers and Behavioral Health team
Opportunities for internal mobility and growth at a Company with a proven track record of really promoting internally
Vibrant, democratized culture with clubs and multiple ERG groups
Colleagues who care deeply about closing health disparity gaps within the addiction space for underserved populations