Credentialing Specialist

🔥 21 hours ago

🇺🇸 United States – Remote

💵 $22 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Workit Health

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2014

🏥 Healthcare

👥 B2C

💰 $262.3k Grant - Workit Health on 2025-01

Healthcare • B2C

Workit Health is a 100% online addiction treatment provider that delivers evidence-based care through a mobile app and telehealth visits with licensed clinicians (physician assistants and nurse practitioners). The company offers medication for addiction treatment (MAT) — including FDA-approved medications like buprenorphine/Suboxone for opioid use disorder and naltrexone for alcohol use disorder — plus programs for kratom/7‑OH dependence and support for co-occurring conditions (anxiety, depression, insomnia, hepatitis C, PrEP). Workit emphasizes rapid access (most members start care within days), lower out-of-pocket costs with insurance, harm-reduction-first clinical care, ongoing messaging and recovery groups, and publishes outcomes through its Workit Labs research team.

📋 Description

• Follow and maintain credentialing & clinic licensure policies and protocols • Ensure reports on the credentialing status of providers are up-to-date and accurate • Ensure all clinic information is accurate within payor directories • Process applications, verify information, research application details, and ensure processes are accurate and completed promptly • Maintain up-to-date data for each provider in the credentialing database and online systems • Monitor staff credentials and licenses • Work closely with the Credentialing Manager and billing staff to identify and resolve denials or authorization issues related to provider credentialing • Complete revalidation requests issued by payers • Perform other tasks as assigned

🎯 Requirements

• 2-3 years of Billing and Credentialing experience • Deep knowledge of HIPAA standards of operations • Familiarity with major payer portals and CAQH management • Ability to communicate clearly and concisely via email, Slack, and face-to-face • Proven aptitude for collaboration inside and outside of the department • Ability to bring organization and precision to complex datasets • Ability to use technology at an appropriate level for the role • Access to consistent, high-speed internet access • Works independently and meets deadlines

🏖️ Benefits

• Fully remote work • 5 weeks PTO (includes your birthday, 2 mental health days, and 2 floating holidays!) • 11 paid holidays • Comprehensive health, dental, pharmacy, and vision insurance with options to fit your family's needs • 12 weeks paid Parental Leave after 1 year of employment (includes maternity, paternity, adoption, and all ways in which our people build modern families) • 401k + 4% matching • Healthcare & dependent care Flexible Spending Accounts (FSA & DCFSA) • Health Savings Accounts (HSA) • Employee assistance program, complete with financial coaching and counseling sessions • Professional development allowance for Providers and Behavioral Health team • Opportunities for internal mobility and growth at a Company with a proven track record of really promoting internally • Vibrant, democratized culture with clubs and multiple ERG groups