Medical Licensing and Credentialing Specialist - Remote

Overview

Heyday Health is seeking a highly organized and detail-oriented Medical Licensing and Credentialing Specialist to join our rapidly growing company. We are a virtual-first primary care practice dedicated to improving the primary care experience for seniors as well as our providers. We founded Heyday Health because we saw the health system leaving our elderly loved ones behind and were driven to create a better solution. Our practice is being built from the ground up with the mission of transforming how, where, and when we deliver care to achieve exceptional outcomes.

In Short

• Manage and coordinate the licensing process for all MDs and APPs.
• Handle the credentialing process with insurance carriers and medical groups.
• Maintain up-to-date knowledge of healthcare regulations.
• Prepare and submit documentation for credentialing and privileging.
• Coordinate with hospital systems and payer organizations.
• Monitor and track expiration dates for medical licenses.
• Assist with patient invoicing and billing processes.
• Apply appropriate medical codes for diagnoses and procedures.
• Ensure compliance with regulations regarding licensure and coding.
• Provide training or support to new staff members.

Requirements

• Valid U.S. work authorization.
• High school diploma or equivalent required.
• Minimum of 3 years’ experience in medical credentialing.
• Knowledge of medical coding and patient invoicing preferred.
• Familiarity with payer systems including Medicare and Medicaid.

Benefits

• Monthly wellness stipend.
• Flexible and generous PTO.
• Health insurance benefits.
• Paid parental leave.
• 401k and 401k matching.
• Professional development support.