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Credentialing Specialist

Full Time

kindbody

Kindbody’s mission is to make fertility and family-building care affordable and accessible for all. Founded in 2018, CB Insights recognized Kindbody as one of the world’s promising health companies. Kindbody was named to Inc.’s Best In Business list of most admired companies in 2021 and Fierce Healthcare named Kindbody to its Fierce 15 list of 2022, which recognizes the most promising healthcare companies in the industry. Kindbody is the trusted fertility benefits solution for more than 78 employers and thousands more receive their fertility care directly from Kindbody at our signature clinics. As the fertility benefits solution, the technology platform, and direct provider of high-quality care, Kindbody delivers a seamless, integrated experience with superior health outcomes at a lower cost for employers and consumers. Kindbody has raised $122 million in funding from leading investors including Perceptive Advisors, GV, RRE Capital and Claritas Health Ventures.

On February 1, 2022, Kindbody acquired Chicago-based Vios Fertility Institute which now provides Kindbody with a national footprint of over 26 locations with a dozen more planned in 2022.

To follow the latest Kindbody news, get to know our patients, and learn about what it’s like to work at Kindbody, you can follow us on Instagram, Linkedin, and Twitter. 

About the Role

As an experienced Credentialing Specialist reporting to our Director of Credentialing and Payor Contracting, you will be working in a fast-paced, rapidly growing environment where you will be relied on for your expertise, professionalism, and collaboration. This role is a remote full time position.

Responsibilities
  • Maintain and update insurance credentialing and CAQH System.
  • Maintain credentialing matrix for all providers and markets.
  • Provide credentialing services for new physicians or new healthcare providers that join the Practice along with new insurance contracts.
  • Obtain necessary licensure and privileges from physicians.
  • Set up the NPI number required for all physicians.
  • Maintains Credentialing rosters for the physicians within the practice. Performs external research and conducts verification of all applicant licensure, malpractice, education and training.
  • Credentialing/Re-credentialing with insurance companies and hospitals.
  • Check insurance websites for accurate listings.
  • Performs complex and confidential administrative functions including developing and typing written correspondence. Responds to routine external correspondence. Types memos, and other department forms and documents.
  • Handle confidential and non-routine information and maintain patient confidence and protect operations by keeping all patient, Company, and Practice information confidential.
  • Work independently and within a team on special and nonrecurring and ongoing projects at the request of the Director of RCM, which may include: updating Excel spreadsheets or other systems, and disseminating information.
  • Reliability- it is an essential function of this position to report to work on time for your scheduled hours, ready for work.
  • Perform other related duties as required.

Who You Are

  • Must have a high level of interpersonal skills to handle sensitive and confidential situations. Position continually requires demonstrated poise, tact and diplomacy. 
  • Must be able to interact and communicate with individuals at all levels of the organization. 
  • Must have knowledge of a variety of computer software applications in word processing, spreadsheets, database and presentation software (MSWord, Excel, Access,) 
  • Continual attention to detail in composing, typing and proofing materials, establishing priorities and meeting deadlines. 
  • Must be able to work in a fast-paced environment with demonstrated ability to juggle multiple competing tasks and demands.
  • High school diploma or GED supplemented with course work in typing, business machine and personal computer operations;
  • 2 year or more years of credentialing experience, secretarial/administrative experience or training; or equivalent combination of education and experience.
  • Must maintain good working knowledge of credentialing & state licensure requirements.  
  • Maintains professional and technical reviewing professional publications and establishing personal networks.

Kindbody values our employees and wants to do everything to ensure that our employees are happy and professionally fulfilled, but also that they have the opportunity to be healthy.  We are committed to providing a number of affordable and valuable health and wellness benefits to our employees, such as paid vacation and sick time; paid time off to vote; medical, dental and vision insurance; FSA + HSA options; Company-paid life insurance; Short Term + Long Term Disability options; Paid Parental Leave (up to 12 weeks fully paid dependent on years of service); 401k plans; free Peloton membership, monthly guided meditation and two free cycles of IVF/IUI or egg freezing and free egg storage for as long as you are employed.

Additional benefits, such as paid holidays, commuter transit benefits, job training & development opportunities, social events and wellness programming are also available.  We are constantly reevaluating our benefits to ensure they meet the needs of our employees.

In an effort to protect our employees and our patients, Kindbody is requiring all employees to be fully vaccinated against Covid-19.  Any candidate seeking employment at Kindbody will be required to be fully vaccinated against COVID-19 and provide proof of your COVID-19 vaccine prior to your start date of employment. If you cannot receive the COVID-19 vaccine because of a qualifying legal reason, you may request an exception to this requirement from the Company.

Kindbody provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran status, race, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable laws, regulations, and ordinances.
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To apply for this job please visit boards.greenhouse.io.