Statement of the Position: Coordinates with the Funding Manager, Funding Supervisor, Branch Manager, Rehabilitation Technology Supplier (RTS), and other office support personnel to ensure all operational procedures are completed in accordance with company policy and within expected time frames. Responsible for helping to secure a payer authorization and/or gathering information and documents pertinent to the funding package and ensuring that all documentation is in place to obtain quality authorizations for equipment and repairs. Acts as the account manager for assigned work orders by coordinating with other funding areas and completing all tasks through the assigned work queue(s) and/or by report. Company Description: At all levels, working at National Seating & Mobility provides the opportunity to directly impact our client’s lives by giving them self-reliance and independence. Our teams are comprised of passionate individuals, dedicated to providing the best care to each client. We focus on abilities by leveraging technology and creating mobility solutions that are as unique as our client’s needs. Working at National Seating & Mobility is an opportunity to build a meaningful career, while leaving a lasting impact on the lives of those we serve. Located in more than 40 states, we strive for diversity and offer an array of benefits including 401k, company paid Long Term Disability, and tuition reimbursement. Duties and Responsibilities / Essential Functions: - Assists in managing transaction cycle time (TCT) from Ready to Submit to Final Funding Approval, making certain that all necessary steps are taken in the appropriate order ensuring timeliness of process and quality of funding approval. - Validates all required documents for submission to payer are present and complete. Coordinates with other funding teammates via Funding Action Required (FAR) process to secure missing documentation required for funding package or deferral, including but not limited to: proper prescriptions, Letters of Medical Necessity (LMN), RTS evaluation information, price lists, forms (AOR, AOB, ABN, rent or purchase letter). - Verifies insurance coverage information and benefits, ensuring accuracy of information in work order. - Requests and obtains proper prior authorization, pre-determination, and or denial notices as required by payer for all items on work order. - Conducts post-authorization quality assurance to ensure all approvals or requirements are met prior to logging authorization. - Communicates regularly with Payer and others as needed to secure authorization from payer. - Communicates changes and escalations in the process and collects information from branch personnel, clients, and others as needed. - Coordinates with other funding areas and is responsible for completing all tasks assigned through work queue(s) and/or by report. - Investigates deferrals and submits updates for any payer documentation requirements in the UPD. Shares trends with Funding Leaders. - Maintains communication with client throughout the process when applicable. - Follows up with payer sources to obtain timely authorization, by properly working the work queue(s) and/or by report. - Meets quality follow-up attempt frequency and quality per policy following the escalation process. When necessary, attempts are to be made more often and as directed by the Funding Manager and/or Funding Supervisor. - Performs any related job duties assigned by the Funding Director, Manager or Supervisor. Carries out all position expectations in a professional manner and with minimal supervision. - Responsible for completing all continuing education requirements to include assigned NSM University courses. - Must maintain regular and predictable attendance. Work Environment: This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, printers, photocopiers, filing cabinets and fax machines. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. The employee is regularly required to sit; use hands repetitively to operate standard office equipment. The employee is frequently required to reach with hands and arms. Required Education, Experience, & Competencies: - 2 years’ experience in Complex Rehab Technology, Medical Billing, or Funding preferred - High school diploma or G.E.D. - Proficient in Microsoft Excel, Word, and Outlook

WHO WE ARE At beBright, smiles are the most important part of every day. Founded with the purpose of creating smiles and providing superior dental outcomes with a dual specialty integrated care model, beBright is a leader in pediatric dentistry and orthodontics. Our doctor-owned and led shared services organization is centered around providing administrative and operational support with unlimited growth opportunities. POSITION SUMMARY beBright is seeking a highly organized and detail-oriented Credentialing Specialist to manage all aspects of provider and practice credentialing. This position will play a critical role in ensuring compliance and timely approval across payors and regulatory bodies by handling new provider credentialing, recredentialing, payor enrollments, and credentialing for new practices and locations. The ideal candidate will be adept at managing multiple priorities, meeting strict deadlines, and collaborating cross-functionally with teams such as Procurement, Operations, and Revenue Cycle Management. This is a remote position. Key Responsibilities Provider & Practice Credentialing - Manage initial credentialing for new providers across all specialties. - Oversee provider credentialing when expanding to new locations or practices. - Coordinate recredentialing efforts to ensure compliance with payor and regulatory timelines. - Process credentialing related to tax ID changes, name changes, or other organizational modifications. Payor Enrollment & Network Management - Credential providers and practices with new payor partners and maintain current relationships with existing payors. - Ensure timely completion of applications, documentation, and follow-up to minimize delays in network participation. - Track credentialing status across multiple payors and locations, proactively addressing pending or denied applications. New Practice & Location Expansion - Lead credentialing processes for new de novo practices and expansions. - Partner with internal stakeholders to ensure timely credentialing aligned with practice opening schedules. Compliance & Documentation - Maintain accurate and up-to-date credentialing files and records in accordance with industry standards. - Monitor regulatory and payor requirements to ensure ongoing compliance. - Generate reports and maintain tracking systems for credentialing timelines, expirations, and renewals. EFT Setup - Collaborate with practices to establish Electronic Funds Transfers (EFTs) - Assist new acquisitions in transitioning existing EFTs to bB banking - Ensure all EFT information is accurately set up and verified New Acquisitions - Partner with the Practice Administrator (PA) to address credentialing requirements - Coordinate malpractice insurance coverage and collect all necessary documentation - Manage the transition of all existing EFTs to bB banking - Verify completion and accuracy of all financial and compliance-related setups Cross-Functional Collaboration - Partner with the Procurement team to coordinate malpractice coverage and documentation. - Collaborate with Operations and Revenue Cycle Management teams to ensure credentialing supports timely billing and reimbursement. - Serve as a resource for providers and practice leaders regarding credentialing processes and status. Qualifications - Associate’s or Bachelor’s degree in Healthcare Administration, Business, or related field preferred. - Minimum of 2–3 years of experience in provider credentialing, ideally within a dental or healthcare setting. - Experience in Revenue Cycle Management is preferred. - Strong understanding of credentialing requirements, payor processes, and healthcare compliance. - Excellent organizational skills with proven ability to manage multiple projects and deadlines simultaneously. - Strong attention to detail and accuracy. - Exceptional communication and follow-up skills, with the ability to build effective relationships across teams and with external payors. - Proficiency in Microsoft Office Suite and credentialing management software. Benefits - Competitive salary commensurate with experience. - Comprehensive benefits package including health, dental, and vision coverage. - Retirement savings plan with employer safe harbor program. - Paid time off and holidays. - Remote work flexibility. - Continuing education opportunities to grow skills in credentialing and revenue cycle support.

Role Description The Specialist, while working remotely (from home), will ensure the quality of services to clients, coordinate day-to-day operations of the program, and recommend and implement changes that would improve the delivery of services. They will be expected to provide direct service counseling, ongoing counseling, prevention services, and education services to adults, families, and youth. Directly supervise remote (from home) clinical staff. Remote but must be an AZ resident. Essential Responsibilities - Answer all chats & texts in a timely and professional manner while meeting agency goals. - Effectively assess clinical situations and needs of all chatters. - Provide quality assurance of the program's service delivery. - Complete clinical documentation thoroughly, clearly, and accurately, including information critical to data collection and reporting to funders. - Forward internal referrals to the appropriate program(s) with all required information in a timely manner. - Monitor call-in times for clients placed on a 72-Hour Suicide Watch or Safety Follow-Up. - Will be required to work beyond his/her shift with no advance warning if the crisis situation warrants or if required paperwork is not complete at the end of the shift. - Attend all required meetings and training courses, even if they fall outside of the regularly scheduled shift. Evening and night hours may be required. - Comply with and assure compliance by staff with the agency's standard of care for service delivery. - Assist with Quality Management, Quality Assurance, and Utilization Review as assigned by management. - Ensure quality service delivery including clinical care and all associated documentation. - Maintain all client records in accordance with agency policies and procedures. - Take an active role in ad hoc committees and work groups as assigned by the Manager or Director of Programs. - Provide instruction and training for interns and staff. - Adhere to the agency's policies and procedures and assure that staff is in compliance. - Maintain professional conduct consistent with ethical professional practice and the policies and procedures of the agency. - Provide comprehensive services to clients and coordinate communication with other departments in the agency to accomplish continuity of care. - Provide and deliver at least 40 hours of work per week. - Attend meetings and training outside of regularly scheduled work hours. - Program Coordinators will be required to work beyond scheduled work hours to complete required paperwork or to complete crisis stabilization tasks. What you’ll provide - Excellent oral and written communication skills. - Clear and effective communication. - Strong customer service. - Strong problem-solving and analytical skills. - Ability to document detailed information. - Ability to multitask. - Demonstrated ability to remain calm in crisis situations, work independently and cooperatively, recognize personal limitations, and relate positively and with empathy to all persons regardless of age, race, creed, gender, or sexual orientation. - Maintain professional conduct consistent with ethical professional practice and the policies and procedures of the agency. - Maintain a professional demeanor while working remotely (from home) and positive working relationships with internal and external team members, stakeholders, and community and business partners. Education and Experience - A bachelor's degree in counseling, social work, or a related field is required. - Minimum of 5 years of experience in the behavioral health field. - Crisis Experience preferred. - Supervisory experience preferred. - Program Development preferred. What you’ll experience - The typical work environment will be remote. - Employees must be able to lift up to 25 pounds at times. Benefits - Generous PTO. - 10 paid holidays per year. - Medical plans (4 choices). - Dental plans (2 choices). - Vision plans (2 choices). - 403(b) retirement plan. - Retirement Allowance. - Company-paid Life/AD&D and Long Term Disability. - Voluntary additional Life and Short-term Disability. - Tuition Reimbursement. - Licensure Reimbursement. - Elder Care Assistance. - Pet Insurance and much more!

The Vendor Management Specialist manages the relationship for all business services being performed by external vendors as related to credentialing. Management of these vendors include but are not limited to: responding to internal inquiries regarding business needs related to the credentialing verification organization (CVO); keeping internal stakeholders informed of credentialing decisions and issues found within the primary source verification (PSV) process as completed by the CVO; oversight of delegated vendor/entity audits as completed by the CVO; monthly monitoring of provider network; Credentialing Committee preparations including but not limited to agenda, provider summaries, reporting, etc. Routine Tasks Daily review of incoming credentialing cases across PITS and UPE, identify delegated providers and update case notes as needed, import new non-delegated initial providers into CVO, and assign cases to designated credentialing staff. Provide feedback and communicate issues to CVO as identified when using the platform and by the credentialing staff. Log and track CVO support tickets as needed. Coordinate bi-weekly Medical Director ad-hoc emails for approval of clean individual providers and vendor/facilities, adding these decisions into the designated spreadsheet, notifying stakeholders, and updating all approval statuses within the CVO platform. Identify provider network changes and current credentialing status to import into CVO with the appropriate designation (delegated or non-delegated). Create internal data requests with business analysts as needed to retrieve all required information for importing providers into CVO platform. Communicate identified data issues to internal stakeholders for root cause analysis and resolution. Weekly monitoring of Healthfirst network with actions or sanctions and exclusions identified by internal reporting and CVO reporting, notifying internal stakeholders as received; update internal tracker used for monthly reporting to the NYSDOH. Attend weekly meetings with CVO to discuss issues identified and recommend solutions. Attend monthly meetings with CVO to discuss current states of delegated vendor audits. Coordinate bi-monthly Credentialing Committee and create/edit summaries for providers identified as having actions or sanctions meeting our Leveling Criteria for committee review. Review and process telehealth applications for bi-weekly ad-hoc Medical Director email approval, entering approvals into PLM for directory purposes. Prepare quarterly QIC and DVO presentations with CVO updates for committee meetings. Monitor and follow up on CVO CAP deliverables as applicable and provide updates to Compliance. De-roster CAQH providers quarterly to prevent recurring charges. (due April 2026) Oversee annual audits of four delegated vendors with CVO and Healthfirst DVO team of CVO/Healthfirst delegated vendor overlap. Assist with special projects and other duties based on business need Attend ad-hoc meetings as needed. Minimum Qualifications - 5 years of experience in healthcare vendor management - Bachelor’s degree from an accredited institution preferred - Healthcare industry experience (i.e. managed care organization, commercial health insurance plans, hospital, etc.); Credentialing experience preferred - Able to work in a complex environment with multiple priorities and undefined processes with changing timelines - Intermediate/advanced experience with MS Office suite, DocuSign, and SharePoint - Strong collaborative skills - Very detail oriented - Team player possessing a strong work ethic and problem-solving skills WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified. If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within HF Management Services, LLC will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with HF Management Services, LLC. Know Your Rights All hiring and recruitment at Healthfirst is transacted with a valid “@healthfirst.org” email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process.