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Posted Apr 10Credentialing Manager
at Finni Health
United StatesRemote
Responsibilities
- - Operational Efficiency and Project Management: Lead workflow optimization initiatives within RCM, manage specific projects, and drive continuous process improvements to maximize reimbursement and minimize denials.
Requirements
- experience in credentialing or related roles, preferably in an early-stage startup, behavioral or mental health, or healthcare tech.
- Strong understanding of the payer credentialing processes, including core credentialing prerequisites, credentialing blockers and solutions to remediate, roster management, and demographic updates.
- Medicaid experience is required.
- - Collaborative & Independent Contribution: Proven ability to work effectively within a team environment, contributing to collective success, and independently driving credentialing initiatives.
- - RCM Expertise: Deep understanding of the full revenue cycle, including billing, claims processing, collections, accounts receivable management, payer contracting, and compliance (e.g., CMS billing).
- - Communication & Collaboration: Excellent written and verbal communication skills, with proven ability to effectively collaborate with internal teams and external stakeholders (payers, vendors, providers).
- - Organizational & Time Management: Exceptional organizational and time management skills, with the ability to manage multiple priorities and projects in a fast-paced environment.
- - Tech Proficiency: Proficient in Google Suite, Slack, CRM/support software, and EHR/RCM management tools.
- Experience with various EMR/EHR work queue management within RCM is a plus. - Mission Alignment: Passion for Finni’s mission to democratize autism care and empower providers through robust RCM. - Adaptability & Agility: Comfortable thriving in a dynamic, fast-paced startup environment, embracing change, and navigating ambiguity with a proactive mindset.
Experience
- Experience: 5+ years of relevant