Credentialing Specialist - FIN113 - Mon-Fri 9AM5PM Job Details Job Location Remote (Off Site) - NY Education Level High School Salary Range $60,000.00 - $65,000.00 Salary Job Description About WellLife Network: WellLife Network is a leading health and human services organization dedicated to supporting individuals and families across New York City and Long Island. Recognized as a 2023 top-rated nonprofit, WellLife Network empowers people to overcome life’s challenges and achieve greater independence, well-being, and inclusion. We offer a comprehensive suite of programs spanning mental health, developmental disabilities, substance abuse, housing, and employment support, all grounded in a commitment to compassionate, high-quality care. Central to our mission is an unwavering dedication to diversity, equity, inclusion, and belonging (DEIB) within our organization and in the communities we serve. As a trusted community partner, WellLife Network fosters a nurturing environment where everyone has the opportunity to thrive and realize their fullest potential. Position Summary: In this role, the candidate, under the supervision of the Revenue Cycle Manager, will be responsible for ensuring healthcare providers meet the necessary qualifications, regulatory standards, and compliance requirements to deliver services within the organization. This position involves overseeing the credentialing process, verifying provider credentials, and maintaining accurate records to ensure the organization remains compliant with all legal and regulatory standards. Additionally, the candidate will support various tasks related to revenue cycle management. The ideal candidate will possess a strong understanding of credentialing procedures and have experience in revenue cycle management. Essential Accountabilities: + Manage and oversee the credentialing and re-credentialing processfor providers, ensuring timely and accurate submissions to regulatory bodies (e.g., Medicare, Medicaid, and commercial payers). + Collect, verify, and ensure completion of all necessary documentationfor credentialing applications (licenses, certifications, insurance, etc.). + Maintain up-to-date recordsof all credentialing and re-credentialing activities, ensuring providers meet compliance standards and that provider data is included in payer rosters and directories. + Monitor and track credentialing statusfor new and existing providers, addressing any discrepancies or delays in the process. + Ensure all credentialing applications are completed accuratelyand within set timelines to minimize delays in provider enrollment and revenue generation. + Stay current with healthcare regulations and payer guidelinesto ensure compliance with credentialing requirements. + Act as a liaison between providers, insurance companies, and internal teams,offering support and addressing any questions. + Stay informed of the latest billing guidelinesfor Medicare, Medicaid, MCOs, commercial insurance, and self-pay to ensure alignment with credentialing requirements. + Other Revenue Cycle Management duties as assigned.   Qualifications + High School Diploma or equivalent required. Bachelor’s degree preferred. + Minimum of 2 years of experience in credentialing or related field. + Knowledge of healthcare regulations, insurance guidelines, and compliance standards. + Proficiency in Microsoft Office Suite and credentialing software (e.g., CAQH, VeriSign, or other healthcare-related systems). + Excellent communication, organizational, and attention to detail skills. Benefits and Perks: At WellLife Network, we prioritize our employees' growth and well-being with a comprehensive benefits package that includes medical, vision, and dental insurance, 401(k) matching, and flexible spending accounts. Enjoy perks like Summer Fridays, gym passes, and life insurance options. Our commitment to career advancement includes tuition assistance, mentorship, leadership training, and more. As a qualifying employer for Public Service Loan Forgiveness, WellLife Network supports your career and financial goals while helping you make a meaningful community impact. Join us to experience a workplace that invests in your success and well-being!