Credentialing Specialist at AnsibleHealth Inc
Indonesia, , Indonesia -
Full Time


Start Date

Immediate

Expiry Date

20 Jun, 25

Salary

0.0

Posted On

20 Mar, 25

Experience

3 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Revenue Cycle Management, Continuous Process Improvement, Hospitals, Health Systems, Regulatory Compliance, Provider Enrollment, Coding Standards, Communication Skills

Industry

Hospital/Health Care

Description

WHAT IS ANSIBLE HEALTH?

At Ansible Health, a diverse mix of clinicians, engineers, and healthcare executives share a common vision: transforming how healthcare is delivered for patients with chronic diseases, beginning with those dealing with chronic respiratory conditions. Our team is a collection of talent from prestigious medical institutions like Columbia, New York Presbyterian, Emory, Johns Hopkins, and technology powerhouses such as Google, Amazon, and DE Shaw & Co. This unique blend of skills allows us to merge cutting-edge technology and superior clinical knowledge to deliver personalized, efficient care at scale.

JOB DESCRIPTION

  • Review and process application files for new and existing providers, ensuring the completeness and accuracy of credentials, education, licensure, certifications, and work history.
  • Perform primary source verifications using providers’ licensing boards, third-party databases, and other resources to confirm professional qualifications.
  • Maintain up-to-date records in the credentialing database and ensure documentation is stored securely in compliance with regulatory standards (e.g., HIPAA).
  • Collaborate with internal stakeholders—including HR, compliance, medical staff, and RCM teams—as well as external organizations (e.g., state licensing boards, accreditation agencies) to resolve credentialing discrepancies and updates.
  • Manage the re-credentialing process by tracking expiration dates and initiating timely renewals of provider credentials.
  • Support provider enrollment and network management by interfacing with the RCM team to ensure a smooth transition from credentialing to effective billing and claims processing.

REQUIRED QUALIFICATIONS

  • Solid background in healthcare credentialing, provider enrollment, or related roles within medical group settings, hospitals, or health systems.
  • Strong understanding of US healthcare credentialing standards, clinician licensing verification processes, regulatory compliance.
  • Familiarity with Revenue Cycle Management (RCM) processes including provider enrollment, claims processing, coding standards, and reimbursement workflows.
  • Experience working in a medical startup is a plus.
  • Familiarity with US healthcare insurance operations.
  • Proficient with credentialing software and medical databases; experience with electronic health records (EHR) systems is a plus.
  • Exceptional attention to detail, accuracy, and organizational skills.
  • Excellent interpersonal and communication skills to interact effectively with providers, internal teams, and external stakeholders.
  • Ability to work independently, prioritize tasks, and manage multiple projects in a deadline-driven environment.
  • Strong written and verbal communication, problem-solving skills and a commitment to continuous process improvement.
Responsibilities
  • Role: Full-time: 40 hours a week.
  • Benefits: Flexible PTO and HMO coverage.
  • Level: Mid-Career, 3-5 years relevant work experience
  • Locations: Asia Pacific, Remote (offshore, and willing to work Pacific/Eastern hours)
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