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Credentialing Specialist/Manager

At Athelas we're bringing simple, life-changing health care products and medical billing services to people around the globe.

The future of healthcare is at home - we are a team of technologists building the next generation of care management at the intersection of hardware and software. We won’t stop until we’ve brought the world class tools of a hospital to your home.

We develop hardware software, and diagnostics to improve the lives of chronic care patients (cancer, hypertension, schizophrenia, bipolar disorder).

In the US, 80% of healthcare spend occurs in 20% of patients. We aim to drastically reduce this cost through modern devices and preventative care services. Our core device (FDA Class 2 cleared) uses machine-learning trained on cell classification to allow chronic patients to monitor their white blood count at home. Our core software product is a platform to help doctors monitor vitals, trends, etc. of such patients, so that physicians and patients can stay aligned without direct interaction.

We also have a fast growing SaaS Revenue Cycle Management business that provides revenue intelligence for hundreds of healthcare businesses, from small clinics to large health systems. Our state-of-the-art dashboard Athelas Insights provides unparalleled understanding into the financial health of your practice to help you with all aspects of RCM including denials, working A/R, research, and more.

We've raised $132 million at a $1.5 billion valuation from top tier investors such as General Catalyst, Sequoia Capital, Y Combinator, and Initialized.

Ideally able to come in on a hybrid basis (2-3 days a week) to our headquarters in Mountain View, CA, but can be remote.

What You’ll Do

  • Lead and monitor all credentialing, re-credentialing, and client enrollment processes
  • Work closely with our team in India primarily responsible for data entry/bulk calling for credentialing, serving as subject matter expert and point of contact for escalations
  • Capable of independently completing provider applications and other credentialing tasks for urgent client needs (though most will be taken care of by off-shore team)
  • Collaborate with other internal teams (Account Management, etc.) as a process manager for any areas that relate to credentialing, making process improvements and optimizations as appropriate
  • Own company-wide key metrics related to credentialing operations, procedures, practices, and documents, identify possible weaknesses or compliance risks
  • Oversee client communications (i.e. with providers / office managers) to determine client credentialing needs along with necessary documents for credentialing process
  • Identify and communicate all concerns regarding practitioner credentialing and enrollment to appropriate parties then prioritize and execute accordingly

What You Have

  • 2+ years of credentialing experience, preferably in a health-tech environment or traditional healthcare setting
  • Experience working with or managing an overseas team is a bonus
  • In-depth knowledge of clinical, healthcare, and telemedicine standards, regulations, and medical credentialing procedures
  • High attention to detail and capable of effective communication at all organizational levels
  • Proficient computer skills and familiarity with generating reports and basic data analysis
  • Comfortable with ambiguity, context-switching, and a fast-paced environment
  • Able to independently identify credentialing needs and be proactive about solving emerging problems and potential process inefficiencies
  • Ability to contribute to the building of new processes and systems

Why You’ll Like Working with Athelas

  • Rockstar Team: Join a team with an incredible record - we are the smallest, fastest company in history to receive FDA hematology clearance. We are also the largest Remote Patient Monitoring company in the US, with a fast-growing SaaS Revenue Cycle Management business as well
  • Technology Focus: Revolutionizing how technology can be used in the healthcare industry
  • Strong Backing: $132M Series B raised from the likes of Sequoia, General Catalyst, Tribe, Y Combinator
  • Mission Driven: We are changing the way healthcare is provided, bringing it directly to the people who need it with technology-enabled solutions
  • Incredible Growth: 500% growth in 2021 and we're just getting started

Job Type: Full-time

Pay: $60,000.00 - $90,000.00 per year

Benefits:

  • 401(k)
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance

Experience level:

  • 2 years
  • 3 years
  • 4 years
  • 5 years
  • 6 years
  • 7 years
  • 8 years

Schedule:

  • Monday to Friday

Work Location: One location

Athelas Glassdoor Company Review
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Athelas DE&I Review
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CEO of Athelas
Athelas CEO photo
Tanay Tandon
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Digital tools made for modern healthcare organizations.

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DATE POSTED
March 28, 2023

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