Credentialing Specialist

Equip • Remote (United States) • 2m ago

About Equip

Equip is the leading virtual, evidence-based eating disorder treatment program on a mission to ensure that everyone with an eating disorder can access treatment that works. Created by clinical experts in the field and people with lived experience, Equip builds upon evidence-based treatments to empower individuals to reach lasting recovery. All Equip patients receive a dedicated care team, including a therapist, dietitian, physician, and peer and family mentor. The company operates in all 50 states and is partnered with most major health insurance plans. Learn more about our strong outcomes and treatment approach at www.equip.health.

Founded in 2019, Equip has been a fully virtual company since its inception and is proud of the highly-engaged, passionate, and diverse Equisters that have created Equip’s culture. Recognized by Time as one of the most influential companies of 2023, along with awards from Linkedin and Lattice, we are grateful to Equipsters for building a sustainable treatment program that has served thousands of patients and families.

About the role

The Credentialing Specialist is responsible for coordinating the licensing program for Equip clinicians (i.e. MD, NP, RD, PhD, PsyD, LCSW, LMFT, LPC, LMHC). With an eye for organization and detail, the Credentialing Specialist will develop, implement, and monitor Equip’s credentialing program. The Credentialing Specialist will have experience in healthcare credentialing and healthcare administration. Above all, the Credentialing Specialist is motivated by the ultimate goal of expanding access to high quality, evidence-based treatments for eating disorders so that everyone can achieve lasting recovery.

Responsibilities

Adhere to credentialing policies and procedures.
Ensure credentialing files are updated and meet regulatory standards.
Ensure timely and accurate updates to payor rosters.
Partner with the Credentialing Manager to prepare for delegated credentialing surveys, audits, and quality assessments.
Proactively identify opportunities for process improvement and efficiency on the team.
Assist with provider enrollment as needed.
Perform other duties as assigned.

Qualifications

1+ years of healthcare experience working for a payor, health system or ambulatory care setting in credentialing or enrollment.
Understanding of regulatory requirements for payor credentialing, including requirements for maintaining credentialing files for varying provider specialties.
Experience with CAQH (Council for Affordable Quality Healthcare) ProView database and required provider data.
Demonstrated ability to quickly learn healthcare rules and regulations and apply them to situations.
Strong verbal and written communication skills with demonstrated ability to effectively collaborate with internal and external stakeholders.
Strong attention to detail with demonstrated ability to consistently follow processes.
Strong organizational and time management skills with a proven track record of meeting assigned deadlines and goals.
Comfortable with ambiguity and ability to think critically to quickly and accurately work through challenges in a fast-paced, fluid environment.

Time Off:

Flex PTO (3-5 wks/year recommended) + 11 paid company holidays.
Generous parental leave.

Core Benefits:

Competitive Medical, Dental, and Vision plans with generous employer contributions for both individuals and families.
Company-paid Short-Term Disability, Long-Term Disability, Life and AD&D insurance.
Company-paid partnership with Maven Clinic to provide comprehensive reproductive and family care resources.
Employee Assistance Program (EAP), a company-paid resource for mental health, legal services, financial support, and more!
401(k) retirement plan.

Physical Demands

Work is performed 100% from home with no requirement to travel. This is a stationary position that requires the ability to operate standard office equipment and keyboards as well as to talk or hear by telephone. Sit or stand as needed.

At Equip, Diversity, Equity, Inclusion and Belonging (DEIB) are woven into everything we do. At the heart of Equip’s mission is a relentless dedication to making sure that everyone with an eating disorder has access to care that works regardless of race, gender, sexuality, ability, weight, socio-economic status, and any marginalized identity. We also strive toward our providers and corporate team reflecting that same dedication both in bringing in and retaining talented employees from all backgrounds and identities. We have an Equip DEIB council, Equip For All; also referred to as EFA. EFA at Equip aims to be a space driven by mutual respect, and thoughtful, effective communication strategy - enabling full participation of members who identify as marginalized or under-represented and allies, amplifying diverse voices, creating opportunities for advocacy and contributing to the advancement of diversity, equity, inclusion, and belonging at Equip.

As an equal opportunity employer, we provide equal opportunity in all aspects of employment, including recruiting, hiring, compensation, training and promotion, termination, and any other terms and conditions of employment without regard to race, ethnicity, color, religion, sex, sexual orientation, gender identity, gender expression, familial status, age, disability, weight, and/or any other legally protected classification protected by federal, state, or local law.

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