Senior Credentialing Analyst - Remote

Overview

Duet empowers Nurse Practitioners (NP) to tackle the primary care crisis by leading their own practices, closing the gap in access while keeping care local. We're a well-funded seed-stage company led by experienced entrepreneurs and Nurse Practitioners, and backed by investors like Lerer Hippeau and Kairos.

We’re building a vertically integrated platform for NP practices to thrive as standalone businesses in a time of corporate consolidation. Think of workflows to engage patients, streamline administration, forecast business growth, and drive high-quality care and value-based outcomes while building community among NPs. These solutions sit on a foundation of data that we harness across patients and providers for the benefit of care and business success.

In Short

• Oversees the end-to-end credentialing process for our network of nurse practitioners
• Develops, implements, and continuously improves credentialing, re-credentialing, and privileging processes, policies, and procedures to ensure compliance with regulatory requirements.
• Audits and assesses the effectiveness and efficiency of both delegated and non-delegated credentialing end-to-end processes.
• Conducts thorough investigations and verifications of healthcare providers' credentials by directly contacting primary sources.
• Collaborates on, coordinates and supports credentialing committee activities, including scheduling, preparation, facilitation, and documentation of meetings.
• Ensures compliance with and stays abreast of changes to legal and regulatory standards, including NCQA and National Practitioner Data Bank guidelines.
• Leverages technology platforms and software systems to streamline credentialing processes, maintain records, and enhance efficiency.
• Facilitates and participates in payor meetings.
• Collaborate with RCM on credentialing and enrollment related claims projects and denials.

Requirements

• 3+ years experience in provider credentialing and privileging processes
• Early-stage startup background preferred
• Primary care setting experience and familiarity with EHRs, billing/coding systems, and value-based care preferred
• Demonstrated knowledge of credentialing principles, industry regulations, state and deferral law, and accreditation standards
• Strong project management and organization skills
• Experience with credentialing platforms and related software
• Bachelor's Degree, preferable in a related area of study

Benefits

• Opportunity to shape the credentialing operations in a growing startup
• Work remotely with a flexible schedule
• Collaborate with a team of experienced professionals
• Contribute to improving healthcare access and quality