Sunbound

Compensation

Full Description

Job Description: • Manage the full credentialing lifecycle for new and existing providers under client contracts, ensuring all payer requirements are met for successful enrollment. • Complete, track, and maintain Managed Care Organization (MCO) contract applications for Medicaid-credentialed communities and SNFs, as applicable. • Support process improvement efforts by identifying workflow gaps and recommending opportunities for automation, new tools, or more efficient steps. • Create and update Standard Operating Procedures (SOPs) for new payer contracts and credentialing workflows; help drive consistent implementation across the team. • Assist with revenue cycle tasks including claims follow-up, cash posting, reconciliation, and data cleanup as needed. • Track credentialing metrics and provide clear reporting on progress, roadblocks, and timelines; suggest ways to make reporting more actionable. • Communicate effectively with client contacts and internal teams to share updates, prioritize workloads, and gather needed information. Requirements: • Bachelors degree with 0-5 years experience • Prior healthcare credentialing or revenue cycle exposure is helpful, but not required for entry-level candidates—we will train the right person. • Strong overall computer and systems aptitude; able to learn new tools quickly and troubleshoot independently • You are an Excel wizard - comfortable with formulas, filters, pivot tables, VLOOKUP/XLOOKUP, and cleaning/organizing data • Detail-oriented with strong organizational and follow-through skills. • Clear written and verbal communication skills, especially when tracking multiple items and stakeholders. • Ability to manage deadlines in a fast-paced, client-focused environment. • A resilient person with a “can do” attitude • Someone who is determined to win Benefits: • Offers Equity