One Medical Credentialing Specialist , One Medical Credentialing

AmazonVirtual Location - New York, NY
19h$23 - $34Remote

About The Position

Are you someone who finds genuine satisfaction in untangling complex processes, naturally organizes and systematizes chaos, and is highly-motivated by tangible work that directly translates to helping patients find better access to healthcare? The Amazon One Medical Credentialing team is looking for a self-motivated, customer-obsessed problem solver who thrives on being the behind-the-scenes force that helps clinicians focus on what they do best–care for patients. As a Credentialing Specialist, you'll guide new practitioners through onboarding, help them navigate intricate regulatory requirements, and build processes that eliminate friction and waste. If you're energized by autonomous work, love the satisfaction of checking off a well-organized task list, and get excited about learning something new every day while making clinicians’ jobs easier—this is the role for you! As a Credentialing Specialist, you'll serve as the remote primary Credentialing Specialist to support 3-4 Southeast markets, ensuring new practitioners are in-network with insurance payors and compliant with state and federal regulations from day one—and throughout their entire tenure. Why This Role Is Different: ● Your work has an immediate, visible impact: This role entails much more than processing paperwork. You are a critical link that activates talented providers and helps get them in front of patients faster. Every application you perfect, every license you renew, and every insurance hurdle you clear directly translates to better access to care for our members. ● You own your domain: This isn't micromanaged work. You will be supported by a manager and broader team of Credentialing Specialists but have the autonomy to approach your work and solve problems in your way, to become the go-to expert for your markets. ● Your ideas matter here: We're a team that values continuous improvement. When you see a better way to do something, we want to hear your ideas and help find ways to implement ways of working that bring the whole team new levels of efficiency. ● Build expertise that's in demand: Healthcare credentialing is a specialized skill set. You'll develop deep knowledge that opens doors across the healthcare industry. ● While credentialing experience is preferred—we value someone with intellectually curious, who likes to dive deep, and is a fast learner with exceptional organizational skills and a customer service heart.

Requirements

  • Bachelor's degree or equivalent
  • Experience with end-to-end project management
  • Experience using data to drive root cause elimination and process improvement
  • Experience with computers and Microsoft Office products and applications

Responsibilities

  • Guide new providers through onboarding in your markets ensuring they feel supported through what could be an overwhelming process.
  • Prepare flawless credentialing applications that offload administrative paperwork from the providers shoulders while bringing them in-network with hospitals and insurance payors to open revenue streams.
  • Build strategic relationships with the local hospital and payor partners so they prioritize our files and troubleshoot roadblocks before they become problems.
  • Keep providers compliant and confident by proactively renewing state licenses, managing credentialing cycles, and answering market-specific questions to give them peace of mind as they practice across states and service lines.
  • Maintain a detailed provider database with meticulous accuracy, ensuring every record meets compliance standards and protects provider confidentiality.
  • Drive process innovation by evaluating current workflows, identifying inefficiencies, and recommending improvements that raise the bar.
  • Collaborate with Credentialing Specialists across all markets on cross-district work or team projects that enhance the provider experience and create a clear, cohesive experience.

Benefits

  • health insurance (medical, dental, vision, prescription, Basic Life & AD&D insurance and option for Supplemental life plans, EAP, Mental Health Support, Medical Advice Line, Flexible Spending Accounts, Adoption and Surrogacy Reimbursement coverage)
  • 401(k) matching
  • paid time off
  • parental leave
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