Credentialing Specialist | Inspire & Empower Change!
Location: Remote (Srongly Preferred that candidate live in Colorado, Illinois, Maryland, or Virginia)
Schedule: Monday to Friday 8:00am to 5:00Pm
About the Role
As a credentialing specialist, you will play a vital role in ensuring that our health care providers and facilities meet the highest standards of quality and compliance.
- You will process applications, verify information, and research application details for credentialing and recredentialing purposes.
- You will also serve as a liaison with 3rd party payers and establish a Credential Committee with the goal of accepting delegated credentialing.
- You will manage and prioritize your work, follow and maintain an accurate database of credentialing and facility licensure, and ensure that all clinic information is accurate within payor directories.
- You will also work closely with the billing staff to identify and resolve any denials or authorization issues related to provider credentialing.
This is an exciting opportunity to join a dynamic and supportive team, where you will have the chance to learn new skills, grow your career, and make a positive impact on the lives of our patients. If you are detail-oriented, organized, and have excellent communication skills, this is the role for you! Apply today and join us in our mission to inspire and empower change in our community!
Who You Are
You are a credentialing specialist with:
- At least 2-3 years of experience in the field
- A solid knowledge of HIPAA standards of operations and how to protect the privacy and security of health information
- Familiarity with payer portals and CAQH management
- Proven aptitude for collaboration inside and outside of the department
- Ability to bring organization and precision to complex datasets
- Ability to use technology at appropriate level for the role
- Ability to work independently and meet deadlines
Support for You Personally and Professionally
At Sandstone Care, we believe that great care starts with our employees. That’s why we offer a comprehensive benefits package to support you in your personal and professional journey. Some of the benefits include:
- 4 weeks of paid time off per calendar year: A combination of PTO and Paid Floating Holidays for a healthy work-life balance.
- Robust Employee Assistance Program: Including counseling, legal consultations, financial planning, and wellness coaching.
- Continued Education Expanding your professional development.
- Collaborative and supportive community of therapists and team members: Fostering a positive work environment.
Compensation and Benefits
- $21.63 - $26.44 Per Hour
- Medical, Dental, and Vision coverage: Ensuring you and your family’s health needs are well taken care of.
- Short/Long Term Disability and Life Insurance: Providing added financial security.
- 401k Program with up to a 5% Match: Supporting your long-term financial goals.
Ready To Apply?
Here's an overview of what comes next:
Expected Interview Timeline: The entire process typically takes 1-2 weeks.
- Application Review: We'll promptly review your application within 1-2 business days.
- Discovery Call: Expect a 30-45 minute preliminary call with one of our recruiters.
- Interview with Hiring Manager: You'll have a 1-hour interview with the hiring manager.
- Offer: If all goes well, you'll receive an offer.
- Candidates applying for this position should be aware that an offer for employment in this position is contingent upon passing a comprehensive background check, encompassing criminal records and motor vehicle reports.
We look forward to getting to know you better during this process!
Sandstone Care is an equal-opportunity employer and prohibits discrimination and harassment of any kind. We are committed to creating a diverse and inclusive workplace where all employees feel valued, respected, and empowered. We do not discriminate on the basis of race, color, religion, creed, age, sex, national origin, ancestry, marital status, veteran status, sexual orientation, gender identity, disability, or any other legally protected status. All employment decisions are based on qualifications, merit, and business needs.