Credentialing Analyst
Sunbound
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $60,000 - $75,000 per year
Job Level
Junior
About the role
- Manage the full credentialing lifecycle for new and existing providers under client contracts, ensuring all payer requirements are met for successful enrollment.
- Complete, track, and maintain Managed Care Organization (MCO) contract applications for Medicaid-credentialed communities and SNFs, as applicable.
- Support process improvement efforts by identifying workflow gaps and recommending opportunities for automation, new tools, or more efficient steps.
- Create and update Standard Operating Procedures (SOPs) for new payer contracts and credentialing workflows; help drive consistent implementation across the team.
- Assist with revenue cycle tasks including claims follow-up, cash posting, reconciliation, and data cleanup as needed.
- Track credentialing metrics and provide clear reporting on progress, roadblocks, and timelines; suggest ways to make reporting more actionable.
- Communicate effectively with client contacts and internal teams to share updates, prioritize workloads, and gather needed information.
Requirements
- Bachelors degree with 0-5 years experience
- Prior healthcare credentialing or revenue cycle exposure is helpful, but not required for entry-level candidates—we will train the right person.
- Strong overall computer and systems aptitude; able to learn new tools quickly and troubleshoot independently
- You are an Excel wizard - comfortable with formulas, filters, pivot tables, VLOOKUP/XLOOKUP, and cleaning/organizing data
- Detail-oriented with strong organizational and follow-through skills.
- Clear written and verbal communication skills, especially when tracking multiple items and stakeholders.
- Ability to manage deadlines in a fast-paced, client-focused environment.
- A resilient person with a “can do” attitude
- Someone who is determined to win
Benefits
- Offers Equity 📊 Resume Score Upload your resume to see if it passes auto-rejection tools used by recruiters Check Resume Score
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
credentialingrevenue cycledata cleanupclaims follow-upcash postingreconciliationworkflow improvementStandard Operating ProceduresExceldata organization
Soft skills
detail-orientedorganizational skillscommunication skillsdeadline managementresilienceproblem-solvingteam collaborationadaptabilityprioritizationindependent troubleshooting