[Hiring] Credentialing Coordinator @Octave

Role Description

As an Octave Credentialing Coordinator, you will play a vital role in ensuring the timely credentialing and renewal of all providers with payors, while effectively meeting the needs of multiple stakeholders including providers, operations, and revenue cycle teams. With a keen attention to detail and a strong desire to establish and maintain efficient systems, you will work towards achieving the company's strategic objectives. Thriving in a fast-paced, high-growth environment, you will embrace the inherent variability and opportunities it offers, demonstrating initiative and problem-solving skills.

Available to work the following schedule (hours/days):

• Monday to Friday: 8am to 5pm OR 9am to 6pm PST (1 hour lunch)

Duties & Responsibilities

• Collaborate with providers to ensure completion of enrollment applications and track the progress across various payor portals.
• Perform primary source verifications during initial and re-credentialing cycles.
• Establish and cultivate relationships with internal and external stakeholder groups.
• Interact with health plans as needed to ensure accurate provider data is present.
• Regularly review and validate provider rosters across various payor partnerships.
• Ensure all internal systems are kept up to date with the most recent provider information.
• Support documentation of processes and procedures.
• Ensure information is complete, accurate, clear, and concise by following process steps outlined in standard operating procedures. Perform follow-up to ensure quality of work and/or actions are completed.
• Use AI tools to draft and refine communications in Octave's tone, search existing documentation before escalating questions, and run team-provided AI agents as instructed, improving efficiency and quality.

Qualifications

• Proficiency in Gsuite, MS office and excel.
• Strong prioritization skills.
• Follows a particular set of instructions given by management or outlined in standard operating procedures.
• Comfortable in an ambiguous, fast-paced environment where all processes might not be fully fleshed out.
• Effective and empathetic communicator who knows their audience and can tailor messaging as needed.
• Calm and clear in conflict resolution with skill in de-escalation when needed.
• Understands the customer and takes a proactive approach to meeting their needs in an effective and timely manner.
• Completes individual objectives that contribute to the department and organization's goals.
• Be a lifelong learner, curious and kind striving towards continuous improvement.
• Comfort using AI tools in day-to-day workflows, with a willingness to continuously rethink and improve how work gets done.
• Curiosity and openness to experimenting with new tools and approaches.

Requirements

• 1+ year experience in credentialing, with 3 years of experience in a healthcare setting preferred.
• Experience using various portals and systems, like CAQH, Availity and Salesforce.
• Experience using enterprise search or chat tools (such as Glean or Slackbot) to find information and documentation is preferred.

Benefits

• Health & Wellness: Choose what works best for you with one High Deductible Health Plan (HDHP) and two PPO medical plan options, plus comprehensive Dental and Vision coverage.
• Medical Support: Enjoy access to a company-sponsored membership with One Medical for convenient, modern care.
• Retirement: Plan for your future with a 401(k) that offers both traditional and Roth options.
• Paid Time Off: Time to recharge matters. Take advantage of a generous time off policy, up to 15 paid company holidays, and accrued sick time.
• Financial Protection: We’ve got you covered with company-paid Life, AD&D, and Disability insurance, plus optional extras like Pet, Legal, and Worksite plans (Critical Illness, Hospital Indemnity, and Accident).
• Parental Leave (Bonding Time): Full-time employees can take paid bonding leave after 6 months, whether it’s a new baby, adoption, or foster placement. Time off increases with tenure.
• Growth: Keep learning and leveling up with professional development reimbursement for role-related growth opportunities.