[Remote] Credentialing Specialist at Blank Street

United States

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Not SpecifiedCompensation

Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, InsuranceIndustries

Requirements

Associate’s Degree or Bachelor’s Degree preferred
Credentialing experience in a healthcare or insurance setting preferred
Knowledge of URAC and relevant State and Federal guidelines
Excellent communication skills
Understanding of medical terminology
Critical thinking skills
Ability to manage time efficiently and meet specific deadlines
Computer literacy and typing skills
Ability to supply and support own internet services with uninterrupted connection for remote work
Ability to handle physical demands such as long periods of sitting and computer work, any lifting, bending, or traveling required

Responsibilities

Screen reviewers for required credentialing and background information, including professional sanctions and criminal background checks
Coordinate between multiple departments at Dane Street for reviewer credentialing support
Perform initial credentialing: enter reviewer application data, conduct online searches, primary source verification of board certifications, licenses, background checks, and malpractice checks; upload documents; produce Judgments page with Medical Director comments; apply client Do Not Use status; communicate status to Operations team including denials
Handle recredentialing: send applications to reviewers, conduct primary source verification of board certifications, licenses, and malpractice checks; perform online searches; refer "red flags" to Medical Director; indicate Do Not Use status and comments in Judgments document
Update expired licenses, board certifications, and Workers’ Compensation registrations by reviewing expiration status
Conduct exclusions, preclusions, background, and sanction checks: create and receive sanctions check reports, search for sanctions, find supporting documentation (e.g., court documents, National Practitioner Data Bank), send to Medical Director
Manage reactivating, deactivating, Do Not Use status, reviewer contact data, and W9 requests: obtain W-9 for address changes, clone profiles for fundamental data changes, remove reviewers from panel per requests
Edit fee schedules: perform data entry for new or updated fees, obtain new fee agreements
Participate in Quality Management Committee meetings (URAC requirement), including follow-up activities
Assist Dane Street team members with credentialing content and advice for leadership, contracting, and Operations
Perform other duties and special projects as assigned based on business needs
Maintain a positive working environment promoting client satisfaction and results

Skills

Key technologies and capabilities for this role

CredentialingPrimary Source VerificationBackground ChecksMalpractice ChecksLicense VerificationBoard CertificationsSanctions ChecksData EntryDocument ManagementOnline SearchesNational Practitioner Data Bank

Questions & Answers

Common questions about this position

Is this position remote?

Yes, this is a remote position.

What education is required for the Credentialing Specialist role?

An Associate’s Degree is required.

What are the main responsibilities of this role?

The role involves initial and recredentialing of reviewers, verifying licenses, certifications, background checks, sanctions, updating expired credentials, editing fee schedules, and participating in the Quality Management Committee.

What is the company culture like at Dane Street?

Dane Street emphasizes individual and team contributions, caring for customers and each other, and maintaining a positive working environment that promotes client satisfaction and results.

What salary or compensation does this position offer?

This information is not specified in the job description.

Blank Street

Specialty coffee shop with efficient service

About Blank Street

Blank Street provides a unique coffee shop experience by offering high-quality coffee and food at affordable prices. The company started with a small coffee cart in Brooklyn and has since expanded to major cities like New York, London, Boston, and Washington, D.C. Their product offerings include specialty coffees sourced from around the world and fresh, locally-sourced food. Customers can enjoy a quick yet premium experience, thanks to the efficiency of their small locations that help keep costs down. Blank Street differentiates itself from competitors by focusing on customer convenience through technology, such as their app that allows for ordering ahead, customizing drinks, and participating in loyalty programs. They also prioritize employee satisfaction by paying baristas above-market wages. The goal of Blank Street is to redefine the coffee shop experience by combining quality, affordability, and exceptional service, making it a significant player in the specialty coffee market.

New York City, New YorkHeadquarters

2020Year Founded

$50.6MTotal Funding

EARLY_VCCompany Stage

Food & Agriculture, Consumer SoftwareIndustries

201-500Employees

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Paid Vacation

Paid Sick Leave

Paid Holidays

Parental Leave

Flexible Work Hours

Company Equity

Risks

Rapid expansion may lead to operational inefficiencies and overextension.

Subscription program may not resonate with all customer segments, risking dissatisfaction.

Reliance on outsourced vendors poses risks if supply chain disruptions occur.

Differentiation

Automated espresso machines ensure consistent quality and enhance barista-customer interaction.

Small, cost-effective locations reduce overhead and allow competitive pricing.

Focus on high-quality, clean, and natural products at affordable prices.

Upsides

Rapid expansion into major cities increases brand visibility and market presence.

Subscription model provides steady revenue and enhances customer loyalty.

Partnerships with lifestyle brands boost brand visibility and customer engagement.

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