Credentialing Specialist (Hybrid)

Workit Health•Albany, NY

3d•Hybrid

About The Position

The Credentialing Specialist is an integral member of Workit Health’s Revenue Cycle Department and creates and maintains credentialing and renewal information for Workit providers. This hybrid role is based at a clinic in Albany, New York, with three days in the office and two days remote each week. The stated schedule is Monday through Friday, 8:00 AM–4:30 PM EST, with the posting specifying in-office Monday through Wednesday and remote Thursday and Friday. Workit Health provides on-demand, evidence-based telemedicine care for substance use disorder. Its patient-centered programs combine licensed clinicians, FDA-approved medication, online recovery groups and community, therapeutic courses, and care for co-existing conditions. The organization aims to make respectful, effective treatment more accessible and reduce stigma. The Credentialing Specialist maintains credentialing and clinic licensure processes, provider and clinic information, and credentialing records. The role also coordinates with the Credentialing Manager and billing staff to address denials or authorization issues related to provider credentialing.

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 ability to collaborate within and outside 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.

Responsibilities

Follow and maintain credentialing and clinic licensure policies and protocols.
Keep reports on provider credentialing status up-to-date and accurate.
Ensure clinic information is accurate in payer directories.
Process applications, verify information, research application details, and ensure processes are accurate and completed promptly.
Maintain current data for each provider in the credentialing database and online systems.
Monitor staff credentials and licenses.
Work with the Credentialing Manager and billing staff to identify and resolve 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.

Benefits

Five weeks of paid time off, including a birthday, two mental health days, and two floating holidays.
11 paid holidays.
Comprehensive health, dental, pharmacy, and vision insurance, with options to fit family needs.
12 weeks of paid parental leave after one year of employment, including maternity, paternity, adoption, and other ways of building a family.
401(k) with 4% matching.
Healthcare and dependent care Flexible Spending Accounts (FSA and DCFSA).
Health Savings Accounts (HSA).
Employee assistance program with financial coaching and counseling sessions.
Professional development allowance for Providers and the Behavioral Health team.
Opportunities for internal mobility and growth.
Company clubs and employee resource groups.