Role Description Supports the mission of People's Community Clinic by coordinating all aspects of the credentialing and/or re-credentialing process, as well as changes in privileges/specialty or demographic information for health care professionals practicing with People’s Community Clinic health centers. This position ensures health care professionals are appropriately credentialed and have privileges, including ongoing maintenance and verification of current information on file and within the credentialing database, and other duties required to maintain compliance with regulatory agencies and People’s Community Clinic policies and procedures. Responsibilities - Under the supervision of the Clinical Quality & Risk Management Director, this individual’s primary responsibilities include: - Internal Credentialing & Privileging: - Reviews, screens, and completes initial credentialing and/or re-credentialing, and additional privilege request applications for completeness, accuracy, and compliance with federal, state, local, and People’s Community Clinic policies and procedures. - Perform and collect primary source verifications (PSV) of all credentialing elements and validate the information for accuracy. - Maintain credentialing and privileging files for all licensed and certified staff in compliance with Federal Tort Claims Act (FTCA) requirements. - Maintain and enter new applications in the credentialing database. - Work with the Chief Medical Officer to process applications for appointment and reappointment of privileges. - Track expirations and maintain current copies of licenses, certifications, DEA, board certifications, CPR training, and professional liability. - Provide consistent and timely follow-up on all outstanding credentialing/re-credentialing files. - Report issues in a timely manner to the Clinical Quality & Risk Management Director and the Chief Medical Officer, as necessary, for decision-making in accordance with credentialing and privileging policies. - Conduct required National Databank and OIG searches for new and current providers and coordinate with human resources for completion of required criminal background checks. - Identify opportunities to improve workflow, work processes, and patient care, and work cooperatively to implement those improvements. - Assist with the development and revision of relevant policies and procedures. - Other Job Responsibilities: - Responsible for the monthly ongoing monitoring of licenses and sanctions. - Respond to emails timely and effectively. - Provide support to physicians, physician office staff, and company departments as necessary. - Responsible for ensuring practitioners’ credentials are sent to the third-party payor enrollment contractor. - Prepare and maintain credentialing files and reports for all individual providers, including maintenance of credentialing software, provider rosters, and spreadsheets to comply with group delegation requirements, as required. - Answer questions, process requests from staff/providers related to credentialing information, and provide support as needed in all aspects of the credentialing process. Qualifications - High School Diploma/GED - Bachelor’s or associate degree from an accredited college/university with a major in a related field may substitute for two years of the required experience. - Two years of relevant credentialing experience; FQHC experience is a plus. - Knowledge and understanding of the credentialing process. - Ability to organize and prioritize work and manage multiple priorities. - Excellent verbal and written communication skills, including letters, memos, and emails. - Excellent attention to detail. - Strong organizational, problem-solving, and critical thinking skills, and proactively prioritizes needs and effectively manages resources. - Ability to work independently with minimal supervision. - Ability to establish and maintain effective working relationships with providers, management, staff, and contacts outside the organization. - Proficient use of Microsoft Office applications (Word, Excel, Access) and internet resources. - Ability to function effectively in a remote work environment. - Certified Provider Credentialing Specialist (CPCS) within the first 3 years of employment if not already certified upon hire. Benefits - 18 PTO days per year & 11 paid holidays - Major Medical Health Insurance Coverage. Most employees experience $0 in out-of-pocket medical expenses. - Dental & Vision - Flexible Spending Accounts - Employer-paid Life Insurance - Employer-paid Short-Term and Long-Term Disability - Annual Training - 403(b) with 5% employer matching

Role Description The Credentialing Specialist is responsible for credentialing, enrollment of practitioners reporting for all states and jurisdictions in IVX Health operates. The Credentialing Specialist prepares, tracks, and submits licensure, certification and credentialing applications to various government and commercial payor offices. The Credentialing Specialist is responsible for maintaining active status for all providers by successfully completing initial and subsequent credentialing packages as required by commercial payers, Medicare, and Medicaid. Responsibilities - Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications. - Credential new providers and re-credential current providers with clinics at which they hold staff privileges. - Responsible for facilitating the completion of all payer practitioner linking applications. - Manage and maintain contracts, licenses and credentials for all current providers. - Perform regular communication with payers including but not limited to receiving quarterly fee schedules, updates, and any additional relevant documentation. - Develop, implement, and monitor processes and procedures to ensure the consistent delivery of quality contracting and credentialing services in an efficient and cost-effective manner. - Ensure that the credentialing program is compliant with health plans, as well as State and Federal regulations including Medicare, Joint Commission, IMQ, AAAHC and other accrediting bodies. - Track enrollment status with each required organization, agency, affiliate, and third-party payer. - Maintain accurate provider profiles on CAQH, PECOS, and CMS databases. - Maintain databases for all active provider files to include Verity and Availity. Essential Competencies - Exceptional written and verbal communication skills, with a proven ability to interact effectively with a variety of external and internal constituents. - Strong analytical and problem-solving skills. - Ability to recognize and resolve ambiguous or conflicting objectives. - Knowledge of provider credentialing and its direct impact on the practices revenue cycle. - Proficiency with standard office software applications (Microsoft Office, Outlook, Teams, etc.). Qualifications - Bachelor's degree or equivalent work experience. - 3-5 years experience and demonstrated success in provider and facility contracting and credentialing with commercial and government payers. - Certified Provider Credentialing Specialist (CPCS) certification preferred. - Demonstrated experience in working with multi-site and/or multi-state providers. - Experience with Infusion, G/I, Rheum, Neuro and/or large distributed medical practices desired. Pay Pay is based on factors such as market location, job-related knowledge, skills, and experience, and is benchmarked against similar organizations in our size and industry. It is not typical for an individual to be hired at or near the top of the posted range, as compensation decisions depend on the facts and circumstances of each case. Credentialing Specialist Pay Range: $20 — $26 USD Benefits - Comprehensive Healthcare – Medical, dental, and vision coverage, including prescription drug plans and telemedicine services. - Flexible Savings Options – Choose from Health Savings Accounts (HSA) and Health Reimbursement Arrangements (HRA) to manage healthcare costs. - Supplemental Protection – Accident, critical illness, and hospital indemnity plans to provide additional financial security. - Dependent Care FSA – Pre-tax savings for eligible childcare and dependent care expenses. - 401(k) Retirement Plan – Secure your future with a competitive company match. - Disability Coverage – Voluntary short-term and long-term disability plans to protect your income. - Fertility and Family Support – Resources and benefits designed to support fertility care and family planning. - Life and AD&D Insurance – Financial protection for you and your loved ones. - Counseling and Wellness Support – Free resources to support emotional, physical, and financial well-being. - Education Assistance – Tuition reimbursement and certification support to help you grow in your career. - Continuing Education – Access to a CEU library for ongoing professional development. - Charitable Giving and Volunteer Program – Matched donations and paid volunteer time off to support causes you care about. - Employee Referral Bonus – Earn rewards for helping us find top talent.

Role Description SmartScale360 is looking for a Billing and Recruitment Support Specialist to support our U.S.-based operations. You’ll handle billing tasks and assist with recruitment processes to ensure smooth day-to-day operations and a seamless candidate and client experience. This role is ideal for candidates with experience in billing, administrative support, or recruitment who are proactive and thrive in a fast-paced environment. Billing Responsibilities - Create and maintain care plans for long-term care insurance clients - Submit long-term care insurance documentation accurately and on time - Process billing through the Veterans Affairs (VA) portal for veteran clients - Handle inbound billing-related inquiries from clients professionally - Prepare and submit weekly billing summaries and reports to leadership Recruiting Responsibilities - Conduct initial phone screenings for candidates - Verify employment history by contacting previous employers - Ensure accuracy and legitimacy of candidate work history - Follow up with candidates from social media leads and complete missing details - Collect key information such as availability, work type (live-in/hourly), and schedule preferences - Maintain and update caregiver records within the ERP system Qualifications - Experience in administrative, billing, or recruitment support roles - Proficiency in Excel and QuickBooks - Strong attention to detail and organizational skills - Ability to multitask and manage multiple responsibilities efficiently - Strong English communication skills - Excellent written and verbal communication - Experience with scheduling or workforce management tools - Reliable remote work setup Requirements - Device: Intel i5 + 8 GB RAM minimum - 100 Mbps internet - Backup device, internet, and power supply Benefits - 10 days PTO - Annual Appraisal - Career Growth Opportunities - Healthcare Benefits Company Description Join a supportive team, grow your career, and play a key role in ensuring patients receive the care they need. Apply now and help us make home care seamless for U.S. clients!

Certified Coding and Billing Compliance Specialist Location: Placerville California US Department: 0.25 Job Description: Who We Are Snowline Health is a non-profit organization serving the western slope of El Dorado County and the Greater Sacramento Region. For over 40 years, we’ve provided compassionate, high-quality care tailored to the unique needs of patients and families. Guided by our core values of teamwork, service, contribution, and excellence, we’re committed to delivering exceptional care and supporting the communities we serve.     Benefits and Wellness Snowline offers a supportive culture and a strong benefits package, including:  - Comprehensive medical, dental, and vision insurance, plus life insurance and a 401(k) with employer match  - Generous paid time off, vacation and sick leave  - Continuing education and training opportunities, including tuition reimbursement for relevant courses  - Hybrid work environment (role requires regular onsite presence)  - Employee Assistance Program offering confidential counseling and support  - Team-centered culture with collaborative, mission-driven colleagues  The Certified Coder and Billing Compliance Specialist is responsible for reviewing and coding medical records to ensure accurate, compliant billing in accordance with Medicare, Medicaid, and private insurance requirements. This role evaluates clinical documentation, assigns ICD-10, CPT, HCPCS, E/M, CCM, and TCM codes, identifies missed or incorrect charges, and resolves coding and claim discrepancies prior to submission. The position works closely with providers and the billing team to support documentation integrity, denial prevention and resolution, audit readiness, and regulatory compliance, while providing education and reporting to strengthen revenue integrity. Through these efforts, the role helps ensure timely reimbursement and supports the financial sustainability of Snowline Health’s mission-driven care programs.           Required Skills and Qualifications  - Certified Professional Coder (CPC) from AAPC, or Certified Coding Specialist – Physician based (CCS-P) from AHIMA, with proficiency in medical coding systems (CPT, ICD-10, HCPCS).  - Minimum 2 years of experience in medical records coding and clinic/multi-specialty billing compliance.  - Familiarity with Electronic Medical Record (EMR) systems and billing platforms.  - Communication – Excellent written and verbal communication is essential for effective collaboration with providers, billing staff, and management.  - Knowledge and practical understanding of CMS regulations and conditions of participation and OIG audit trends, as they relate to Hospice, Palliative Care and In Home Based Primary Care reimbursement models.  A deep understanding of medical terminology, anatomy, physiology, and pharmacology is essential for accurate interpretation of medical records.  - Excellent attention to detail, analytical and organizational skills.  - Ethical judgment, exercising discretion and maintaining patient confidentiality in accordance with HIPAA  - Ability to work independently and as part of a team.  - Preferred – CPMA, and CPB certifications.      Compensation details: 55000-75000 Yearly Salary                 PI47e3637ddb49-29963-40489653