Credentialing Specialist

🔥 2 hours ago

🌵 Arizona, California, +7 more states – Remote

🌵 Arizona – Remote 🏄 California – Remote ⛰️ Colorado – Remote 🐊 Florida – Remote 🌲 Oregon – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ☕ Washington – Remote

💵 $2.8k - $3.1k / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Kyo

WebsiteLinkedInAll Job Openings

501 - 1000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare • Healthcare Insurance • Wellness

Kyo is a company that provides specialized therapy services for children with autism, focusing on Applied Behavior Analysis (ABA) therapy. They offer in-home, school-based, and center-based therapy options, and also provide autism testing and diagnosis. Kyo operates in multiple locations across the United States, including major cities like Los Angeles, San Diego, Phoenix, Miami, and more. Their Kyo Care app enables parents to conveniently manage their child's therapy program. Kyo emphasizes transparency, honesty, and ethical standards in their approach to therapy, aiming to achieve meaningful, measurable results that matter to the child and their family.

📋 Description

• Managing credentialing, recredentialing, and licensure process for clinical staff with health insurance plans, certification boards and other agencies • Ensuring compliance with various state, federal and payer requirements • Responsible for pre-application intake, monitoring, application submission and follow up • Maintaining an efficient and compliant on-boarding process • Inputing/Updating provider credential databases CAQH and NPPES • Ongoing monitoring of clinical staff’s credentials to ensure licenses and certifications are current and active • Working closely with internal departments to exchange provider information and follow up on inconsistencies • Assisting with other miscellaneous duties in the Revenue and Contracting department

🎯 Requirements

• Bachelor's Degree preferred but not required • Demonstrated proficiency with productivity software and project management software (Microsoft Office, G Suite, Asana) • Database management skills including querying, reporting, and document generation • Ability to work independently and as part of a team • Ability to work in a fast paced, expanding organization • Strong knowledge of the credentialing process and accreditation and regulatory standards. Ability to lead and facilitate processes through influence and collaboration • Working knowledge of Medical Terminology • Strong organization and verbal communication skills, attention to details required • Ability to use independent judgment to manage and impart confidential information • Demonstrated problem-solving skills and initiative to analyze and disseminate relevant credentialing data across internal company departments • Ability to make priority determinations without direct supervision • Preferred: Experience with provider credential databases CAQH, NPPES • Preferred Experience with JIRA • Preferred: Experience with HIPAA and compliance-sensitive environments • Willingness and ability to provide proof of completed COVID-19 vaccination and booster (if eligible), no later than your scheduled start date. If you believe you are entitled to either a medical or religious exemption to our vaccination requirement, please notify your Kyo interviewer immediately so that your situation can be evaluated by Human Resources