Credentialing & Payor Enrollment Analyst

🕒 il y a 3 mois

🏄 California – Distant

🏄 California – Remote

💵 $45 000 - $55 000 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

🧐 Analyste

🦅 Parrain de Visa H1B

Cette entreprise a parrainé des visas H1B par le passé.

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Sprinter Health

Site WebLinkedInTous les Emplois

201 - 500 employés

Fondée en 2021

☁️ SaaS

🤝 B2B

🧘 Bien-être

💰 €33 000 000 Series A en 2021-11

SaaS • B2B • Wellness

Sprinter Health est un prestataire de soins primaires hybride à domicile et virtuel qui élargit l'accès à des soins de santé proactifs et préventifs en combinant des « Sprinters » basés dans la communauté (phlébotomistes formés avec des compétences d'assistant médical et de travailleur de santé communautaire) qui effectuent des diagnostics pratiques et des bilans de santé à domicile des patients, avec une équipe clinique virtuelle de médecins, d'infirmières, de pharmaciens et de navigateurs de soins. Leur plateforme et leurs opérations full-stack comblent les lacunes dans les soins, offrent des dépistages et diagnostics préventifs, coordonnent les médicaments et les renvois, et développent des visites de soins primaires et de bien-être longitudinal pour les partenaires payeurs, les prestataires et les patients.

Description

• Own the end-to-end onboarding process for new providers, from offer acceptance through readiness to practice • Collect, review, and verify documentation, including education, training, work history, certifications, and malpractice coverage • Prepare and submit enrollment applications to payors and other required entities • Track application status, follow up proactively, and resolve deficiencies to prevent onboarding delays • Prepare, submit, and track initial and renewal state license applications across multiple jurisdictions • Maintain up-to-date knowledge of state-specific licensing requirements and timelines • Monitor license expirations, renewals, and compliance deadlines to ensure uninterrupted provider eligibility • Communicate with state boards and regulatory agencies to address questions, requests, or discrepancies • Submit new payor enrollment and re-enrollment applications with commercial, Medicare, and Medicaid payors • Complete and submit payor-specific forms, attestations, and updates related to provider status changes • Prepare and submit payor rosters in accordance with payor requirements and timelines • Track enrollment progress and escalate risks that may impact billing or reimbursement • Maintain accurate, organized credentialing, licensing, and enrollment records in internal systems • Communicate timelines, status updates, and risks clearly to internal stakeholders and providers • Use structured workflows, checklists, and documentation standards to manage high-volume work • Identify inefficiencies or recurring issues and recommend process improvements to support scale

🎯 Exigences

• 5+ years of experience in healthcare credentialing, licensing, and payor enrollment, including multistate operations • Strong attention to detail and proven ability to manage complex, document-heavy workflows • Excellent organizational and time-management skills with the ability to manage multiple providers and deadlines • Clear, structured written and verbal communication skills • Experience working in a startup, growth-stage, or fast-paced healthcare environment

🏖️ Avantages

• Meaningful pre-IPO equity • Medical, dental, and vision plans 100% paid for you and your dependents • Flexible PTO + 10 paid holidays per year • 401(k) with match • 16-week parental leave policy for birthing parent, 8 weeks for all other parents • HSA + FSA contributions • Life insurance, plus short and long-term disability coverage • Free daily lunch in-office • Annual learning stipend