What are the responsibilities and job description for the Insurance Credentialing Specialist position at Mochi Health?
Job Description
Job Description
100,000 - $110,000
Full-time / Onsite
About The Role
The Insurance Credentialing Specialist will be responsible for all aspects of the credentialing, re-credentialing and privileging processes for all medical providers who provide patient care at Mochi Health. In this role, you will be responsible for ensuring providers are credentialed, appointed, and privileged with health plans and maintain up-to-date data for each provider in credentialing databases and online systems, ensuring timely renewal of licenses and certifications. Understands managed care billing, credentialing and enrollment requirements and reimbursements methodologies and applies knowledge to identify, quantify, and address missing / incorrect charges. Assist in the development of resources for researching issues.
What You'll Do
- Manage provider credentialing & re-credentialing, ensuring compliance with payer, state, and federal regulations.
- Identify and resolve discrepancies, following up proactively to complete credentialing and enrollment processes.
- Maintain and update credentialing databases, including CAQH, health plan directories, and internal records.
- Partner with internal teams to address provider credentialing inquiries and ensure smooth onboarding.
- Troubleshoot provider enrollment issues with payer networks, resolving credentialing and billing-related challenges.
Who You Are
Life at Mochi
The base salary for this full-time position ranges from $100,000 to $110,000, in addition to equity and benefits. The salary range listed in each job posting represents the minimum and maximum targets for new hire salaries across all locations. Actual compensation within this range is determined by various factors, such as job-related skills, experience, relevant education or training, and location.
Salary : $100,000 - $110,000
