Credentialing Specialist (Hybrid)

Why Workit

Workit Health is an industry-leading provider of on-demand, evidence-based telemedicine care. Our programs are based in harm reduction, and bring together licensed clinicians who really listen, FDA-approved medication, online recovery groups and community, interactive therapeutic courses, and care for co-existing conditions. Workit Health's patient-centered telemedicine model is improving clinical outcomes and eliminating barriers to treatment, making long-term recovery accessible to individuals who need it, without disrupting their daily lives.

We're excited to expand our team as our impact and coverage areas continue to grow. Our team members are dedicated and passionate about our mission of making exceptional, judgment-free care for addiction more accessible.

We believe everyone deserves respectful, effective treatment for substance use disorder at the moment they're ready for it. We're looking for driven and compassionate individuals who share this goal. Join us in reducing stigma, saving lives, and changing the way addiction is treated in America.

Schedule: M-F, 8:00 AM - 4:30 PM EST in-office / Th-F, 8:00 AM - 4:30 PM EST remote

This is a hybrid role for a clinic location based in Albany, New York

Three (3) days in office and two (2) days remote each week.

Job Summary

The Credentialing Specialist is an integral member of the Revenue Cycle Department. The Credentialing Specialist creates and maintains credentialing and renewal information for Workit providers.

Core Responsibilities

• Follow and maintain credentialing & clinic licensure policies and protocols
• Ensures reports on the credentialing status of providers are up-to-date and accurate
• Ensures all clinic information is accurate within payor directories
• Processes applications, verifies information, researches application details, and ensures 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 any denials or authorization issues related to provider credentialing.
• Complete revalidation requests issued by payers.
• Maintains positive and optimistic attitude
• Other tasks as assigned

Qualifications

• 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
• #LI-MM1
• #LI-MM1
• #LI-MM1

Benefits & Rewards

• 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
• Colleagues who care deeply about closing health disparity gaps within the addiction space for underserved populations