Credentialing Analyst

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Sunbound

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Fintech • Healthcare Insurance • B2B

Sunbound is a financial technology company that specializes in providing automated accounts receivable, digital payment solutions, and claims management specifically for the senior living industry. They aim to enhance financial operations for senior living providers by streamlining payment processes, maximizing reimbursement revenue from Medicaid and Medicare, and improving cash flow through flexible financing options. By simplifying transactions and reducing administrative burdens, Sunbound also enhances the payment experience for families and residents.

11 - 50 employees

💳 Fintech

⚕️ Healthcare Insurance

🤝 B2B

📋 Description

• Manage the full credentialing lifecycle for new and existing providers under client contracts, ensuring all payer requirements are met for successful enrollment. • Complete, track, and maintain Managed Care Organization (MCO) contract applications for Medicaid-credentialed communities and SNFs, as applicable. • Support process improvement efforts by identifying workflow gaps and recommending opportunities for automation, new tools, or more efficient steps. • Create and update Standard Operating Procedures (SOPs) for new payer contracts and credentialing workflows; help drive consistent implementation across the team. • Assist with revenue cycle tasks including claims follow-up, cash posting, reconciliation, and data cleanup as needed. • Track credentialing metrics and provide clear reporting on progress, roadblocks, and timelines; suggest ways to make reporting more actionable. • Communicate effectively with client contacts and internal teams to share updates, prioritize workloads, and gather needed information.

🎯 Requirements

• Bachelors degree with 0-5 years experience • Prior healthcare credentialing or revenue cycle exposure is helpful, but not required for entry-level candidates—we will train the right person. • Strong overall computer and systems aptitude; able to learn new tools quickly and troubleshoot independently • You are an Excel wizard - comfortable with formulas, filters, pivot tables, VLOOKUP/XLOOKUP, and cleaning/organizing data • Detail-oriented with strong organizational and follow-through skills. • Clear written and verbal communication skills, especially when tracking multiple items and stakeholders. • Ability to manage deadlines in a fast-paced, client-focused environment. • A resilient person with a “can do” attitude • Someone who is determined to win

🏖️ Benefits

• Offers Equity