Credentialing Manager

Job not on LinkedIn

🔥 2 minutes ago

🏄 California, New York – Remote

🏄 California – Remote 🗽 New York – Remote

💵 $60k - $120k / year

⏳ Contract/Temporary

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Fay

WebsiteLinkedInAll Job Openings

11 - 50 employees

🍽️ Food & Beverage

💼 Consulting

🏥 Healthcare

Food & Beverage • Consulting • Healthcare

Fay is a health tech company dedicated to providing accessible nutrition counseling through a network of board-certified dietitians covered by various insurance plans. They connect clients with nutrition specialists tailored to individual dietary needs such as diabetes, eating disorders, and general health and wellness. Fay aims to make nutrition services affordable and convenient, allowing clients to meet virtually or in-person with a dietitian who creates personalized meal plans and health strategies.

📋 Description

• Execute provider enrollment and credentialing applications across assigned payers using CAQH ProView, primary source verification, payer portal submissions, and follow-up • Track application statuses and turnaround times, flagging delays or missing documentation • Maintain accurate spreadsheets and dashboards, including status logs, SLA trackers, and denial/resubmission tracking • Troubleshoot missing NPI data, license discrepancies, payer portal issues, and rejected applications through resolution • Use AI tools for repetitive or research-heavy work, such as drafting follow-up communications, summarizing payer requirements, and organizing data • Partner with credentialing and RCM teams to communicate enrollment status and prevent billing or provider go-live delays • Lead contractors and vendors across credentialing and enrollment workflows • Report to the Head of Provider Operations

🎯 Requirements

• Hands-on experience with provider credentialing and enrollment, including CAQH, payer portals, license verification, application submission and tracking • Solid Excel/spreadsheet skills, including formulas, filtering, pivot tables, and maintaining large trackers • Owner's mindset; ability to identify problems, investigate causes, troubleshoot directly, improve SOPs, and drive issues to resolution independently • Comfortable operating in a fast-moving environment where process is still being built • Strong attention to detail, accuracy, and thoroughness • Experience using AI tools such as Claude, ChatGPT, or similar is preferred • Experience credentialing telehealth providers, particularly dietitians, therapists, or other non-physician specialties, is preferred • Familiarity with commercial and government payer portals, including Aetna, BCBS, Cigna, UHC, Humana, Medicare/Medicaid, is preferred • Background at a high-growth startup or digital health company is preferred