Note: Only those who complete the two assessments associated with this role will be considered.

The Baby Academy | Credentialing & Contracting Specialist

Company Overview:

The Baby Academy is a global leader in digital pregnancy and parenting education, providing unique content and inspirational educators. Our company is revolutionizing the way new parents learn across the US, Canada, UK and Ireland. Established in 2019, we have experienced rapid growth, boasting 16 full-time staff and 92 dedicated educators. We are expanding our team and seeking a talented Credentialing & Contracting Specialist to join us based in Asheville, North Carolina.

Role Overview:

As a Credentialing & Contracting Specialist at The Baby Academy, you will play a pivotal role in coordinating all aspects of the credentialing and re-credentialing, licensing, and contracting process for The Baby Academy’s providers and payers. They will be responsible for ensuring accuracy and completeness of all documentation in accordance with state and federal requirements. This position is an in-office position in Asheville NC.

Responsibility:

Work alongside the VP of Revenue Cycle Management to execute the company’s US in-network strategy.
Full ownership of contracting and credentialing with payers, along with provider licensing with state bodies.
Review provider credentialing applications for completeness, accuracy, and compliance with current credentialing guidelines, CAQH, state, and federal requirements.
Review and perform primary source verification of all applicant licensure, education and training, relevant employment history, and affiliations; assesses risk exposure during and at the time of recredentialing.
Facilitate initial appointment, re-appointment and tracking of expired documents/contracts.
Responsibility for the accuracy and integrity of the credentialing database system and related applications.
Work with payers to ensure proper enrollment for billing and payment receipt.
Monitor contracting status with major insurance payers per state.
Handle escalated contracting issues as they arise.
Process EDI and ERA enrollments.
Stay up-to-date with the latest industry trends, emerging platform technologies, and best practices.

Requirements:

Minimum of 2 years of experience in a similar role, preferably with exposure to each of contracting with payers, credentialling of healthcare professionals, and licencing of healthcare professionals.
Proficient in Microsoft Office Suite and proprietary database applications.
Ability to use independent judgment and to manage and impart confidential information.
Excellent written and verbal communication skills, with the ability to effectively present ideas and collaborate within a team environment.
High level of awareness of pertinent details; excellent organizational skills.
A passion for the parenting industry and a genuine interest in the educational needs of parents.

Salary and Benefits:

Annual salary: $50,000 plus health insurance.
Full-time in-office position, offering flexibility and work-life balance.
Collaborate with a diverse and talented team of professionals across five countries.

Working Hours:

Monday to Friday: 8.30am-5.30pm ET

If you are eager to contribute to a fast-growing company, and ready to make a significant impact in the parenting education space, we would love to hear from you. To apply, please submit your resume, a cover letter highlighting your relevant experience. We are excited to review your application and potentially welcome you to The Baby Academy team!

EEO Statement:

The Baby Academy does not discriminate in employment on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factor.

Eligible States:

Currently only accepting candidates located in NC.

Note: Due to the high volume of applications, only shortlisted candidates will be contacted for further steps in the selection process.

Job Type: Full-time

Salary: $50,000.00 per year

Benefits:

Health insurance

Schedule:

Monday to Friday

Experience:

credentialing and contracting: 2 years (Preferred)

Work Location: In person

The Baby Academy

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