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Icon Health

End-to-end MSK care with navigation

Credentialing Manager

Clerical & Data EntryConfirmed live in the last 24 hours
Full-timeRemote in USANo salary listed

About the Job

Requirements

  • A high school diploma is required.
  • Three to five years of experience in credentialing or provider enrollment is required.
  • Experience with multistate, multipayer hybrid credentialing covering telehealth and in-person care is required.
  • Ability to creatively navigate closed panels and proactively anticipate potential roadblocks.
  • Proficiency in database management, Google Suite, and artificial-intelligence-assisted credentialing or license-monitoring tools.
  • Strong attention to detail, organizational ability, communication skills, and adherence to data confidentiality.
  • Knowledge of applicable policies, laws, and procedures.

Responsibilities

  • Manage the end-to-end curation and submission of provider credentialing and enrollment applications to ensure timely approvals.
  • Network proactively, identify and engage key decision-makers, and appeal and navigate closed panels.
  • Review and screen initial and reappointment credentialing applications for completeness, accuracy, and compliance with applicable federal, state, local, and entity-specific regulations, guidelines, policies, and standards.
  • Monitor expiration dates for licenses and certifications and initiate timely renewals to prevent service or billing issues.
  • Collect and validate documents, assess the completeness of information, and verify qualifications against credentialing standards.
  • Enter, update, and maintain provider application data in the credentialing database in accordance with internal policies and procedures.
  • Prepare, issue, track, and follow up on credentialing statuses for high-volume processing within applicable standards, procedural guidelines, and timelines.
  • Research updated state and federal regulations and policies.
  • Ensure that facilities and staff members maintain compliance with regulatory and accrediting institutions.
  • Participate in developing and implementing process improvements for the system-wide credentialing process.

Desired Qualifications

  • An associate's or bachelor's degree in healthcare administration or a related field is preferred.
  • Certified Provider Credentialing Specialist (CPCS) certification is a strong plus.

About the Company

Icon Health

End-to-end MSK care with navigation

Icon Health provides end-to-end musculoskeletal care for employees through an online platform. It connects individuals with an expert MSK Care Team, offers personalized treatment content, guides users to orthopedic providers in their community, and provides 24/7 clinical and administrative support. Its approach centers on personalized orthopedic care plans delivered with care navigation to help employers offer a complete MSK solution. The platform differentiates itself by combining direct access to MSK experts, tailored care plans, and navigation to local orthopedic providers in a single service, aiming to improve employee health outcomes and satisfaction. The goal is to help people with MSK conditions manage and treat their issues effectively so they can lead healthier, happier lives, while enabling employers to support worker well-being.

Company size
51-200
Company stage
Not listed
Total funding
Not listed
Headquarters
Delaware, United States
Founded
2021

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