Payor Contracting & Credentialing Associate

Bicycle Health

Bicycle Health

Remote
Posted on Saturday, July 6, 2024

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.

The Payor Contracting & Credentialing Associate plays a key role in the revenue cycle management organization in propelling the organization forward with a variety of payers: Commercial, private health plans, Medicare and Medicaid.

Location: Remote

Schedule: Full time (40 hrs) M-F

Target Pay Range: $27.16 - $29.32 - 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

You can expect to:

  • Partner with Licensing and Payor Strategy teams on nationwide expansion plan, collaborating on provider credentialing for payors in new markets.
  • Rapidly approach payers in key markets to obtain new group contracts, quickly submitting new applications, following up on status, and escalating as needed to overcome barriers.
  • Ensure timely re-attestation of CAQH profiles
  • Manage new and existing payor contracts, ensuring terms are revisited before renewals.
  • Execute administrative duties as required, including maintaining lists of provider relations contacts, preparing reports on in-network payer status, and organizing contracted fee schedules, plans/products/networks, and contract agreements.
  • Develop relationships with regional health-plan decision makers and key points of contact to accelerate contract execution, networking to augment relationships as needed.
  • Regular and predictable attendance is expected.
  • All other duties as assigned.

Qualities we're looking for:

  • Minimum 4 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.
  • PECOS: Welcome to the Medicare Provider Enrollment, Chain, and Ownership System (PECOS) experience highly preferred
  • Comfort with ambiguity; you bring structure to the role, and take a proactive approach to getting things done.
  • Experience with multiple states is highly preferred.
  • Highly organized.
  • 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

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

#LIRemote

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.