Credentialing Specialist I
WFH Flexible Compliance
Job Type
Full-time
Description

Location: WFH Flexible*

Compensation: $19.00 - $22.00 per hour

Schedule: Monday-Friday; 40 hours per week


*Candidates must reside in one of the following states: Alaska, Arkansas, Arizona, Idaho, Maryland, Minnesota, Montana, North Dakota, New Mexico, Nevada, Oregon, Texas, or Washington.


Ideal Option has been working on the front lines of the opioid epidemic since our first clinic opened in 2012. With more than 70 clinics across 10 states, we continuously strive to be the nation’s leading provider of low-barrier evidence-based treatment for opioid use disorder. We are looking for a Credentialing Specialist I to join our growing team and help us in our vision to give back lives, reunite families, and heal communities that are suffering from the devastating effects of substance use disorder.


Benefits:

At Ideal Option, we offer our employees a competitive and comprehensive benefits program to recognize how important you are to the company. Current benefits include:

•Medical, vision, and dental

•Short-term and long-term disability options

•Life insurance

•Employee Assistance and Life Assistance programs

•A 401K retirement program

•Pet Insurance

•Paid time off and paid holidays


The Role:

As a Credentialing Specialist I, you play a key role in assisting in getting providers in network with third-party payors, submitting licensure documents to appropriate entity and credentialing providers in other locations. Additional responsibilities include:


•Works directly with Contracting/Credentialing Manager on daily assignments.

•Tracks license and DEA renewals manage medical assistant licensure.

•Meets with providers/clinical staff to secure necessary information for credentialing with and/or to license providers in numerous state locations.

•Makes recommendations to the Credentialing Manager for process and quality improvement.

•Responsible for credentialing providers in other locations by completing provider applications, compiling necessary documentation and submitting requested information.

•Maintains provider credentialing records and online databases.

•Ensures the department meets all established federal, state, and NCQA standards.


Our ideal candidate is:

Professional with strong interpersonal skills and effective communication skills, verbal and written. Highly organized with good work habits and good attendance. You also can work independently, highly organized and have great problem-solving skills.


Requirements

Minimum Requirements to be considered:

  • *Candidates must reside in one of the following states: Alaska, Arkansas, Arizona, Idaho, Maryland, Minnesota, Montana, North Dakota, New Mexico, Nevada, Oregon, Texas, or Washington.
  • High School Diploma or GED.
  • Excellent proficiency with Microsoft Word & Excel, Outlook and Adobe Pro.
  • Ability to work independently and creatively problem solve.
  • Highly Organized 
  • Previous credentialing and/or billing experience preferred.
Salary Description
$19.00 - $22.00