RCM Associate
Job Description:
Happy Health is seeking a detail-oriented VOB and Credentialing Specialist to join our telehealth organization. This position is responsible for verifying patient insurance benefits prior to services and managing provider credentialing and re-credentialing processes across multiple states with both large national payers and small regional insurance networks. The ideal candidate will have experience navigating the complexities of multi-state telehealth credentialing and ensure accurate benefit verification to minimize claim denials while maintaining current provider enrollment with all applicable payers nationwide.
Responsibilities:
• Contact payers to verify patient eligibility and anticipated patient financial responsibilities
• Document all VOB findings in CRM for distribution to patient
• Obtain Pre-Authorizations and create superbills as needed
• Assist in and complete credentialing applications for new clinicians and/or existing clinicians as new agreements are signed
• Navigate portals for national payers as well as small regional payers
• Update provider information with payers as needed
• Update and maintain CAQH profiles for clinicians
• Other duties as assigned
Qualifications:
• Strong attention to detail and experience with insurance verification processes
• Excellent communication skills via email, text, and phone calls
• Experience with multi-state credentialing processes and telehealth
• Strong understanding of HIPAA regulations and patient confidentiality
• Familiarity with multiple EMR and CRM systems
• Ability to work independently in a remote environment
• Must reside in the United States
Happy Health is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
Apply Now
Apply Now
Happy Health is seeking a detail-oriented VOB and Credentialing Specialist to join our telehealth organization. This position is responsible for verifying patient insurance benefits prior to services and managing provider credentialing and re-credentialing processes across multiple states with both large national payers and small regional insurance networks. The ideal candidate will have experience navigating the complexities of multi-state telehealth credentialing and ensure accurate benefit verification to minimize claim denials while maintaining current provider enrollment with all applicable payers nationwide.
Responsibilities:
• Contact payers to verify patient eligibility and anticipated patient financial responsibilities
• Document all VOB findings in CRM for distribution to patient
• Obtain Pre-Authorizations and create superbills as needed
• Assist in and complete credentialing applications for new clinicians and/or existing clinicians as new agreements are signed
• Navigate portals for national payers as well as small regional payers
• Update provider information with payers as needed
• Update and maintain CAQH profiles for clinicians
• Other duties as assigned
Qualifications:
• Strong attention to detail and experience with insurance verification processes
• Excellent communication skills via email, text, and phone calls
• Experience with multi-state credentialing processes and telehealth
• Strong understanding of HIPAA regulations and patient confidentiality
• Familiarity with multiple EMR and CRM systems
• Ability to work independently in a remote environment
• Must reside in the United States
Happy Health is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
Apply Now
Apply Now