Credentialing Associate

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Bicycle Health

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2017

🏥 Healthcare

⚕️ Healthcare Insurance

📡 Telecommunications

Healthcare • Healthcare Insurance • Telecommunications

Bicycle Health is the #1 telehealth treatment program for Opioid Use Disorder in the U. S. , providing safe, confidential, and cost-effective treatment entirely online. This innovative company allows patients to access experienced healthcare professionals through a secure app, offering Medication Assisted Treatment (MAT) and support services tailored for those struggling with opioid addiction. With a focus on patient care, Bicycle Health has helped over 30,000 patients and is recognized as a TIME100 Most Influential Company for its impact in the addiction treatment space.

📋 Description

• Ensure all necessary documents (licenses, contracts, tax information, etc.) are submitted to payors and are current to meet enrollment and revalidation requirements • Act as the point of contact for resolving enrollment issues, such as rejections, delays, or discrepancies, by communicating directly with payors • Monitor and track revalidation deadlines for providers to ensure timely re-enrollment and prevent disruptions in reimbursement • Maintain records and provide reports on the status of payor enrollments, including completed, pending, and rejected applications • Ensure timely re-attestation of CAQH profiles • Maintain regular and predictable attendance • Perform all other duties as assigned

🎯 Requirements

• Minimum 1-3 years experience in credentialing and payor enrollment, including maintaining in-network contracts/enrollments with private and public payors • Knowledge of State Medicaid, including Managed Medicaid Care Organizations, Medicare, commercial/private health plans, and insurance carriers • Knowledge of PECOS system • Experience working with major payors such as UnitedHealthcare, Aetna, Cigna, and Blue Cross Blue Shield • Strong attention to detail and accuracy • Excellent organizational and prioritization skills • Team-oriented with a collaborative mindset • Receptive to feedback and continuous improvement • Certification in payer enrollment, healthcare administration, or a related field is a plus • Experience working from home is preferred • Consistent access to a private work environment with high-speed internet and professionally appropriate surroundings for frequent video conferencing • Workstation setup conducive to remote work needs

🏖️ Benefits

• 3 Weeks PTO + 8.5 days of additional sick time + 10 paid holidays • Paid parental leave • 100% Employer Paid Medical, Dental, and Vision Insurance • Employer Paid STD & LTD • 401k • $50 monthly Remote Work Stipend