The Opportunity: Midi Health is looking for a Credentialing Specialist (Contractor) to help set a foundation and establish best practice workflows as it relates to our Credentialing and Payor Enrollment efforts. This role (reporting to the Senior Manager of Licensing & Credentialing) will drive projects related to credentialing and payor/provider enrollment. The Credentialing Specialist (Contractor) will be responsible for submitting/ following up on payor enrollment applications for providers, responding to payor and/or partner requests, and maintaining documentation related to licensing and credentialing.

Responsibilities:

• Provide subject matter expertise regarding licensing and credentialing to internal stakeholders, including timely responses and status updates as needed
• Submit accurate and timely provider enrollment applications to health plans
• Drive enrollment of Midi Health providers with contracted health plans
• Coordinate organized follow up efforts to ensure providers are enrolled properly with payors
• Investigate and address any credentialing-related billing issues accordingly
• Liaison between third-party vendors and Midi Health providers
• Additional duties and ad hoc projects as needed

Qualifications:

• 2+ years in provider enrollment and credentialing
• Experience working with providers, payors, and health systems (required)
• Experience using credentialing databases (Verifiable preferred)
• Experience in provider enrollment applications and onboarding providers to NCQA standards
• Project Management experience
• Bachelor’s Degree (preferred)

Who you are:

You are highly detailed and comfortable navigating numerous online tools and resources. You’re a strong communicator with both internal and external customers, have excellent organizational skills, and apply your analytical skills to solving problems. You have the ability to think critically about process workflow and process improvement. You are able to work in a self-directive manner and manage multiple simultaneous time-sensitive deliverables.You’re looking to work in a high-growth, fast-paced business with great mentors and teachers.

What we offer:

• 100% remote opportunity*
• Rate of Pay: $35/hr
• Flexible Schedule
• Please note this is a CONTRACT opportunity until December 31, 2024. Possible contract extension may be offered.

Who we are:

• Midi Health is the only comprehensive virtual care clinic for women in midlife navigating perimenopause, menopause, and other common midlife health challenges. Our platform provides care designed by experts, scaled by technology, and delivered by trained and compassionate clinicians.
• We accept most major PPO insurance products, and we offer convenient access to clinical care through telehealth visits, 24/7 messaging, and responsible prescribing of medications, supplements, and other therapies.
• We’re passionately focused on improving the symptoms of women’s midlife hormone change because the current system too often leaves women misdiagnosed and undertreated. At Midi, we’re changing that.