Licensing and Credentialing Specialist

Posted:
11/12/2024, 2:11:12 AM

Experience Level(s):
Junior ⋅ Mid Level

Field(s):
Medical, Clinical & Veterinary

Workplace Type:
Remote

Ophelia is a venture-backed healthcare startup that helps individuals with OUD improve their health and quality of life. We make medical best practices for OUD discreet, convenient, and affordable by providing FDA-approved medication, support, and therapy through a telehealth platform. Our mission is to help patients manage their OUD by using evidence-based MAT, technology, and a commitment to patient privacy and choice. 

We are a team of doctors, scientists, startup veterans, and White House advisors, backed by leading technology and healthcare investors working to re-imagine and re-build OUD treatment in America.

Join us, save lives, and help fix healthcare for those who need it most.

The Role

The Licensing and Credentialing Specialist helps us achieve our Mission by ensuring our clinicians are properly credentialed, licensed, and enrolled in payor networks to care for our patients. The responsibilities include timely submission of new and renewal licensing requests, credentialing of Ophelia’s providers, and the enrollment of Physicians, Nurse Practitioners, and Physician Assistants in managed care organizations and government payors such as Medicare and Medicaid, as well as many commercial plans. The L&C Specialist also maintains accurate provider records within various databases, including CAQH and payer portals.

The L&C Specialist works with a team of other specialists and collaborates closely with Clinical Operations, Billing, and Contracting teams to ensure our patient care functions smoothly. The role reports to the Licensing and Credentialing Manager.

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