Manage day-to-day credentialing workflows and lead data analysis projects for payer enrollment.
Conduct routine audits of task boards and triage inquiries to improve process efficiency.
Develop and distribute reporting on credentialing status for cross-functional stakeholders.
Natera is a global leader in cell-free DNA testing, dedicated to oncology, women's health, and organ health. The company comprises highly dedicated professionals from world-class institutions, who care deeply for their work and each other, fostering a culture that values hard work and growth.
Create the blueprint for configuration of medical and dental plans from plan documents and standards.
Build, validate and test plan benefits and code mapping logic for accurate claims processing.
Troubleshoot system issues and coordinate with teams to improve efficiency and resolution.
Centivo is an innovative health plan for self-funded employers on a mission to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Backed by leading healthcare and technology investors, the company is headquartered in Buffalo, NY and values resilience, uncommon thinking, and positivity.
Oversee credentialing workflows, quality, and compliance standards to ensure provider satisfaction and regulatory adherence.
Develop effective credentialing strategies based on data analysis, regulatory requirements, and operational observations.
Manage credentialing staff, provide coaching and feedback, and drive turnaround time improvement initiatives.
Sutherland is a global digital transformation company combining AI, automation, cloud engineering, and advanced analytics for iconic brands. It creates over 200 inventions and pairs human expertise with AI to unlock performance and deliver measurable results.
Complete credentialing and re-credentialing applications for physicians, ancillary providers, and facilities with third-party payers and governmental programs.
Partner with client liaisons and payers to manage enrollment status, follow up on applications, and communicate updates to providers and clients.
BerryDunn is a professional services firm providing tax, advisory, and consulting services to businesses, nonprofits, and government agencies across the US. The firm is known for its client-centered, people-first culture and commitment to diversity, learning, and well-being.
Receive medical claims from healthcare providers or patients and verify supporting documentation to ensure completeness.
Interpret Explanation of Benefits (EOB) and CMS-1500 forms, then evaluate claims against program-specific business rules for approval or rejection.
Provide support to customer inquiries via phone, email, or fax while maintaining HIPAA compliance and meeting daily productivity goals.
IQVIA is a leading global provider of clinical research services, commercial insights, and healthcare intelligence to the life sciences and healthcare industries. With operations in over 100 countries, they cultivate a diverse, collaborative culture focused on improving patient outcomes.
Maintain, organize, and monitor electronic and paper medical records for completeness and regulatory compliance.
Process release of information requests while verifying identities, authorizations, and legal requirements.
Monitor compliance with HIPAA and regulatory standards, support audits, and drive quality improvements.
US Security & IT supports healthcare organizations with information management and compliance solutions. The company offers a supportive, collaborative remote environment with a focus on wellbeing and professional growth.
Supervise and develop a team of Support Coordinators to ensure high-quality, person-centered service delivery for ECF CHOICES program members.
Monitor staff performance, ensure compliance with TennCare and BlueCare requirements, and provide coaching and issue resolution.
Support workforce development through onboarding, mentoring, and continuous education while maintaining regulatory compliance and quality standards.
Volunteer State Health Plan, Inc, part of BlueCross BlueShield of Tennessee, is a health benefit plan company serving Tennesseans since 1945. As the largest health plan in Tennessee, they foster a remote-first culture with a focus on innovation, collaboration, and member well-being.
Prepare and format patient medical notes based on established templates and workflows.
Transfer relevant medical information such as medications, vitals, and clinical details into required documentation.
Maintain accurate records, flag incomplete information, and complete documentation within 48–72 hours.
20four7VA is a virtual assistant company that connects independent contractors with clients worldwide. It offers a vibrant community, constant support, and free training for its contractors.
Verify insurance eligibility, benefits, and patient liability to ensure accurate financial clearance.
Collaborate with providers, authorization teams, and payers to resolve coverage questions.
Maintain accurate records and communicate financial expectations to patients.
Jobgether is a platform that uses AI-powered matching to connect candidates with job opportunities. They partner with companies to manage applications and provide a collaborative hiring process.
Assist in planning and implementing clinical research protocols including subject screening and enrollment.
Collect, organize, and analyze research data; assist with specimen collection and lab processing.
Support manuscript preparation, IRB submissions, and grant proposals.
OHSU is Oregon's only public academic health center, providing patient care, groundbreaking research, and training for healthcare professionals. As Portland's largest employer, it offers opportunities for growth across a diverse system of hospitals and clinics.