Contracting & Credentialing Specialist

🔥 16 hours ago

🇺🇸 United States – Remote

💵 $60k - $70k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Sunrise

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2015

🏥 Healthcare

🤖 Artificial Intelligence

🔧 Hardware

🔥 Funding within the last year

💰 $29.4M Venture Round - Sunrise on 2025-09

Healthcare • Artificial Intelligence • Hardware

Sunrise is a medical device company that provides a single‑sensor home sleep apnea test using mandibular jaw movement (MJM) bio-signals to diagnose obstructive sleep apnea and related sleep-disordered breathing. Their 8‑gram wearable sensor, paired with an AI‑scored reporting platform and a healthcare professional portal, delivers rapid, clinically validated results for use by clinicians; the technology has FDA De Novo clearance, NICE recommendation for home diagnosis, and multiple peer‑reviewed validations against polysomnography.

📋 Description

• Coordinate end-to-end provider credentialing and re-credentialing processes with commercial and government payers, including application submission • Prepare, submit, and track credentialing applications through CAQH and payer portals • Support payer contracting activities, including data collection, application submission, and follow-up • Submit and follow up on licensing activities with multi-state boards and provide updates and visibility to leadership • Maintain accurate provider credentialing files in accordance with regulatory and accreditation standards • Monitor credentialing timelines and proactively address delays or deficiencies • Serve as a liaison between providers, internal departments, and payers regarding credentialing, licensing, and contracting status • Maintain credentialing databases and ensure data integrity across systems • Assist with audits, reporting, and credentialing/licensing metrics as requested • Support licensing needs guided by the organization’s growth • Stay current on payer requirements, regulatory changes, and industry best practices • Provide administrative and project support to the Senior Manager of Contracting & Credentialing as needed

🎯 Requirements

• Bachelor’s degree or equivalent experience preferred • 3+ years of experience in provider credentialing, licensing and/or managed care contracting • Sleep Clinic, Sleep device and Telehealth (multi-state) experience is a plus • Strong working knowledge of state boards, CAQH, payer portals, and credentialing workflows • Familiarity with ACHC, AASM, CMS, and state regulatory requirements • Strong attention to detail, organization, and follow-up skills • Ability to manage multiple priorities and deadlines in a fast-paced environment • Excellent written and verbal communication skills • Credentialing certification (CPCS or CPMSM) a plus

🏖️ Benefits

• Meaningful work that directly improves peoples’ lives • Be part of an international team across the US, France, Belgium • Annual team offsite • Comprehensive health benefits (medical, dental, vision) • FREE One Medical membership • 401(k) with company match • 20 days PTO + 10 paid holidays + 80 hours paid sick leave • Monthly phone and internet stipend