Credentialing Coordinator

🔥 13 hours ago

🇺🇸 United States – Remote

💵 $23 - $26 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Octave

WebsiteLinkedInAll Job Openings

201 - 500 employees

🏥 Healthcare

🧘 Wellness

⚕️ Healthcare Insurance

💰 $20M Series B on 2021-05

Healthcare • Wellness • Healthcare Insurance

Octave is a mental health care provider offering affordable and accessible therapy services tailored for individual, couples, and family needs. Their services include finding and matching clients with carefully vetted therapists who are experts in various specialty areas and languages. Octave emphasizes clinical excellence with a strong focus on evidence-based and outcome-driven therapy solutions, leading to faster and more effective improvements in mental health. With both in-person and virtual therapy options available, they make mental health care convenient and embrace a diverse network of therapists, including a significant percentage who identify as Black, Indigenous, or People of Color. Octave partners with Evernorth Behavioral Care to deliver high-quality care to Cigna Healthcare and Evernorth members, enhancing access and satisfaction for their clients.

📋 Description

• Collaborate with providers to complete enrollment applications and track progress across payor portals • Perform primary source verifications during initial and re-credentialing cycles • Establish and maintain relationships with internal and external stakeholders • Interact with health plans to ensure accurate provider data • Review and validate provider rosters across payor partnerships • Keep internal systems updated with current provider information • Support documentation of processes and procedures • Follow standard operating procedures to ensure information is complete, accurate, clear, and concise • Perform follow-up to ensure quality of work and completion of actions • Use AI tools to draft and refine communications in Octave’s tone • Search existing documentation before escalating questions • Run team-provided AI agents as instructed to improve efficiency and quality

🎯 Requirements

• 1+ year experience in credentialing • Proficiency in GSuite, MS Office, and Excel • Experience using various portals and systems, such as CAQH, Availity, and Salesforce • Experience using enterprise search or chat tools such as Glean or Slackbot is preferred • Strong prioritization skills • Ability to follow management instructions and standard operating procedures • Comfort working in an ambiguous, fast-paced environment • Effective and empathetic communication, with ability to tailor messaging to the audience • Conflict resolution and de-escalation skills • Proactive approach to meeting customer needs • Comfort using AI tools in day-to-day workflows and willingness to improve work processes • Must be eligible to work in the United States without sponsorship now or in the future • Ability to work Monday to Friday, either 8am–5pm PST or 9am–6pm PST, with a one-hour lunch • Ability to sit for prolonged periods and work at a computer • Ability to communicate through virtual meeting applications such as Zoom and Google Meet • Ability to observe and communicate information on a company-provided laptop • Ability to move up to 10 pounds occasionally

🏖️ Benefits

• $300 equipment reimbursement for new full-time employees to support a home office setup • Monthly reimbursement of up to $75 for internet and cell phone expenses for full-time employees • One High Deductible Health Plan (HDHP) and two PPO medical plan options • Dental and Vision coverage • Company-sponsored One Medical membership • 401(k) with traditional and Roth options • Generous paid time off policy • Up to 15 paid company holidays • Accrued sick time • Company-paid Life, AD&D, and Disability insurance • Optional Pet, Legal, and Worksite plans, including Critical Illness, Hospital Indemnity, and Accident coverage • Paid parental bonding leave for full-time employees after 6 months, with leave increasing with tenure • Professional development reimbursement for role-related growth opportunities

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