Cayaba Care

About Us

The US is one of the most dangerous developed countries to give birth and these poor maternal-fetal outcomes disproportionately impact minority women and underserved populations across major US cities.

Cayaba Care’s mission is to improve outcomes in communities by reimagining how maternity care is delivered. Our team is focused on building technology-enabled solutions to deliver clinical and non-clinical services in-home or in-office. The Cayaba Care care model focuses on integration not a replacement of patients’ primary Obstetric provider and reducing any barriers to the patient receiving the recommended care.

About the Job

Cayaba is seeking a Credentialing Specialist. The ideal candidate will be responsible for the gathering and submission of the payor enrollment and re-credentialing process for all providers including advanced practice providers, lactation consultants, and dietician. This role will also assist our clinicians with state licensing requirements, facility privileging, maintaining credentialing status in our EMR, and other basic revenue cycle tasks.

You will be a good fit for Cayaba Care if you:

  • Have a passion for doing impactful work and improving maternal and newborn outcomes
  • Pay attention to detail and take pride in your work
  • Have a deep commitment to diversity and inclusion
  • Commitment to learning and professional growth

What You’ll Do

  • Compile and maintain current and accurate records for all providers in our Credentialing database including up-to-date State Licenses, DEA certificates, Board Certifications etc.
  • Complete credentialing and recredentialing applications in a timely manner
  • Monitor applications and follow-up with payors accordingly
  • Maintain current CAQH database files for every provider per CMS guidelines every 120 days
  • Maintain current NPPES database files
  • Compile and submit or review, import, and return payor rosters in a timely manner
  • Complete online data verification/attestation through payor sites such as Availity or Lexis Nexus
  • Monitor general credentialing mailbox

Who are you?

Education:

Bachelor's degree from a four-year college or university; or one to two years' related experience and/or training; or equivalent combination of education and experience.

Experience:

  • 7 - 10 years experience in medical credentialing and or payor enrollment (NJ or PA credentialing preferred but not required, OBGYN specialty preferred, but also not required)
  • Knowledge of professional fee billing, coding/billing, and medical terminology a PLUS
  • Excellent listening, written and verbal communication skills
  • Strong organization skills with a high attention to detail
  • Ability to multitask and be flexible regarding priorities and deadlines
  • Ability to maintain confidential information
  • Comfortable working in a remote position, with a remote team
  • Intermediate computer skills

Why should you join?

A career at Cayaba Care is an opportunity to work on an important issue facing families today - our country’s maternal and fetal health crisis. Our team of clinicians is working together to help improve health outcomes in underserved populations. Opportunities for advancement with increasing administrative or management opportunities. At Cayaba Care, we are focused on building a company where individuals from all backgrounds have the opportunity to succeed and contribute to our mission. Competitive compensation and benefits.

What do you get?

Hours: Full-time preferred

Type: Onsite

Salary: Competitive with market and level of experience

Benefits: Health, Dental, Life insurance, 401K