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Sunbound · 1 month ago

Credentialing Analyst

United States

Full-time

Remote

New Grad, Entry Level

$60K/yr - $75K/yr

0+ years exp

Sunbound is building a modern platform for managing financial operations in senior care. The Credentialing Analyst will support end-to-end credentialing operations, manage day-to-day tasks, and contribute to process improvements to ensure timely licensing and payer enrollment for clients.

Assisted LivingElder CareFinTechInformation TechnologyNursing and Residential CareReal Estate

Responsibilities

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

Qualification

Healthcare credentialingRevenue cycle processesExcel proficiencyWorkflow automation toolsResilienceCan-do attitudeDetail-orientedOrganizational skillsClear communication