Credentialing Associate

The Opioid Epidemic is a public health crisis with a highly effective but underutilized clinical intervention - millions of Americans are physically dependent on Opioids but only 10% of those likely to have OUD actually access treatment. Bicycle Health addresses this gap by maximizing accessibility, affordability, and overall quality of care by enabling highly qualified clinicians to reach patients broadly and efficiently through our online platform.

JOB OVERVIEW:

The Credentialing Associate is responsible for ensuring that healthcare providers are properly enrolled with insurance companies, government programs, and other third-party payers to ensure proper reimbursement for services provided.

Target Pay Range: $28-30/hr - Compensation to be determined by the education, experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data. 

Benefits: 

• 3 Weeks PTO + 8.5 days of additional sick time + 10 paid holidays
• Paid parental leave
• 100% Employer Paid Medical, Dental, and Vision Insurance
• Employer Paid STD & LTD
• 401k
• $50 monthly Remote Work Stipend

This is a full-time (40hrs per week) remote position.

RESPONSIBILITIES:

• Ensure all necessary documents (licenses, contracts, tax information, etc.) are submitted to payors and are current to meet enrollment and revalidation requirements.
• Act as the point of contact for resolving enrollment issues, such as rejections, delays, or discrepancies, by communicating directly with payors.
• Monitor and track revalidation deadlines for providers to ensure timely re-enrollment and prevent disruptions in reimbursement.
• Maintain records and provide reports on the status of payor enrollments, including completed, pending, and rejected applications.
• Ensure timely re-attestation of CAQH profiles.
• Regular and predictable attendance is required.
• All other duties as assigned.

QUALIFICATIONS:

• Minimum 1-3 years experience in credentialing and payor enrollment, including maintaining in-network contracts/enrollments with private and public payors.
• Knowledge of State Medicaid (including Managed Medicaid Care Organizations), Medicare, commercial/private health plans, and insurance carriers.
• Knowledge of PECOS system.
• Experience working with major payors like UnitedHealthcare, Aetna, Cigna, Blue Cross Blue Shield, etc.
• Strong attention to detail and accuracy.
• Excellent organizational and prioritization skills.
• Team-oriented with a collaborative mindset.
• Receptive to feedback and continuous improvement.

• Certification in payer enrollment, healthcare administration, or a related field is a plus (e.g., Certified Professional Coder - CPC or other relevant certifications).
• Experience working from home is preferred.  Consistent access to a private work environment with high speed internet and professionally appropriate surroundings for frequent video conferencing and a workstation setup conducive to remote work needs.

#LIRemote #zr Associate -

Recruitment Scam Notice

We are aware of fraudulent recruiting messages circulating that claim to represent our company. Please note:

• All official communication from our recruiting team will come from an @bicyclehealth.com email address.

• We will never ask you to pay fees, purchase equipment, or provide financial information as part of our hiring process.

• We will never request your Social Security number or banking information before an offer of employment is made.

• We only conduct interviews through legitimate, scheduled channels and will never make job offers via text message or chat apps.

If you believe you have been contacted by someone misrepresenting our company, please report it to careers@bicyclehealth.com.

About Bicycle Health:

Bicycle Health is a telemedicine group that specializes in the evidence-based treatment of individuals with Opioid Use Disorder using buprenorphine. We’ve grown our clinical staff of medical providers caring for patients, across 32 states, and we employ a large ancillary staff for support with technologic and administrative needs, clinical and behavioral support, and care coordination. Our innovative model has achieved clinical outcomes that exceed expectations for standard-of-care in-person treatment nationally. Our mission is to increase access to high quality, affordable, convenient and confidential Opioid Use Disorder treatment for all.

Bicycle Health is an Equal Opportunity Employer and considers applicants for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or any other basis forbidden under federal, state, or local law.