Credentialing Specialist

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Workit Health

201 - 500 employees

Founded 2014

πŸ₯ Healthcare

πŸ‘₯ B2C

πŸ’° $262.3k Grant - Workit Health on 2025-01

Healthcare β€’ B2C

Workit Health is a 100% online addiction treatment provider that delivers evidence-based care through a mobile app and telehealth visits with licensed clinicians (physician assistants and nurse practitioners). The company offers medication for addiction treatment (MAT) β€” including FDA-approved medications like buprenorphine/Suboxone for opioid use disorder and naltrexone for alcohol use disorder β€” plus programs for kratom/7‑OH dependence and support for co-occurring conditions (anxiety, depression, insomnia, hepatitis C, PrEP). Workit emphasizes rapid access (most members start care within days), lower out-of-pocket costs with insurance, harm-reduction-first clinical care, ongoing messaging and recovery groups, and publishes outcomes through its Workit Labs research team.

πŸ“‹ Description

β€’ Follow and maintain credentialing & clinic licensure policies and protocols β€’ Ensures reports on the credentialing status of providers are up-to-date and accurate β€’ Ensures all clinic information is accurate within payor directories β€’ Processes applications, verifies information, researches application details, and ensures processes are accurate and completed promptly. β€’ Maintain up-to-date data for each provider in the credentialing database and online systems. β€’ Monitor staff credentials and licenses β€’ Work closely with the Credentialing Manager and billing staff to identify and resolve any denials or authorization issues related to provider credentialing. β€’ Complete revalidation requests issued by payers. β€’ Maintains positive and optimistic attitude β€’ Other tasks as assigned

🎯 Requirements

β€’ 2-3 years of Billing and Credentialing experience β€’ Deep knowledge of HIPAA standards of operations β€’ Familiarity with major payer portals and CAQH management β€’ Ability to communicate clearly and concisely via email, Slack, and face-to-face β€’ Proven aptitude for collaboration inside and outside of the department β€’ Ability to bring organization and precision to complex datasets β€’ Ability to use technology at an appropriate level for the role β€’ Access to consistent, high-speed internet access β€’ Works independently and meets deadlines

πŸ–οΈ Benefits

β€’ Fully remote work β€’ 5 weeks PTO (includes your birthday, 2 mental health days, and 2 floating holidays!) β€’ 11 paid holidays β€’ Comprehensive health, dental, pharmacy, and vision insurance with options to fit your family's needs β€’ 12 weeks paid Parental Leave after 1 year of employment (includes maternity, paternity, adoption, and all ways in which our people build modern families) β€’ 401k + 4% matching β€’ Healthcare & dependent care Flexible Spending Accounts (FSA & DCFSA) β€’ Health Savings Accounts (HSA) β€’ Employee assistance program, complete with financial coaching and counseling sessions β€’ Professional development allowance for Providers and Behavioral Health team β€’ Opportunities for internal mobility and growth at a Company with a proven track record of really promoting internally β€’ Vibrant, democratized culture with clubs and multiple ERG groups β€’ Colleagues who care deeply about closing health disparity gaps within the addiction space for underserved populations

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