Job Description:
• Manage the full credentialing lifecycle for new and existing providers under client contracts, ensuring all payer requirements are met for successful enrollment.
• Complete, track, and maintain Managed Care Organization (MCO) contract applications for Medicaid-credentialed communities and SNFs, as applicable.
• Support process improvement efforts by identifying workflow gaps and recommending opportunities for automation, new tools, or more efficient steps.
• Create and update Standard Operating Procedures (SOPs) for new payer contracts and credentialing workflows; help drive consistent implementation across the team.
• Assist with revenue cycle tasks including claims follow-up, cash posting, reconciliation, and data cleanup as needed.
• Track credentialing metrics and provide clear reporting on progress, roadblocks, and timelines; suggest ways to make reporting more actionable.
• Communicate effectively with client contacts and internal teams to share updates, prioritize workloads, and gather needed information.
Requirements:
• Bachelors degree with 0-5 years experience
• Prior healthcare credentialing or revenue cycle exposure is helpful, but not required for entry-level candidates—we will train the right person.
• Strong overall computer and systems aptitude; able to learn new tools quickly and troubleshoot independently
• You are an Excel wizard - comfortable with formulas, filters, pivot tables, VLOOKUP/XLOOKUP, and cleaning/organizing data
• Detail-oriented with strong organizational and follow-through skills.
• Clear written and verbal communication skills, especially when tracking multiple items and stakeholders.
• Ability to manage deadlines in a fast-paced, client-focused environment.
• A resilient person with a “can do” attitude
• Someone who is determined to win
Benefits:
• Offers Equity
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