Execute credentialing and enrollment workflows for new providers.
Maintain accurate provider and practice data in credentialing database.
Complete Medicare revalidations, Medicaid recredentialing, and commercial recredentialing per payer schedules.
Integrated Dermatology is a leading national dermatology practice that acquires and partners with dermatology practices across the United States. The culture at ID is filled with hard-working, dynamic individuals who come together to ensure the success of our partner dermatologists.
Seamlessly transition clinicians from the credentialing phase into their active onboarding and training workflows.
Guide clinicians through a structured 30/60/90-day success roadmap, ensuring they hit specific productivity and quality milestones.
Constantly audit the onboarding funnel to identify and remove bottlenecks, reducing the "time-to-activation" for new providers.
Wheel Medical Group is a physician-owned professional corporation that serves patients across the United States, evolving the traditional care ecosystem by equipping the nation's most innovative companies with a premier platform to deliver high-quality virtual care at scale. They offer proven strategies and cutting-edge technologies to foster consumer engagement, build brand loyalty, and maximize return on investment.
Manage the credentialing and re-credentialing processes for physicians, nurses, and allied health professionals.
Verify licenses, certifications, education, training, and work history to ensure providers are fully qualified.
Maintain accurate and complete credentialing files, ensuring all staff are cleared before providing care.
Curana Health focuses on improving the health, happiness, and dignity of older adults. They are a national leader in value-based care, with over 1,000 clinicians serving 200,000+ seniors across 32 states.
Enroll and revalidate doctors and facilities with payors.
Process applications for licensing, permits, certifications, insurances, and relevant credentialing documents.
Review incoming insurance correspondence and mail and maintain and update credentialing spreadsheets accordingly.
CHOICE is the largest provider of pediatric dental care in the Southwest United States. They pride themselves on delivering high quality care to children in their communities.
Evaluate facility credentialing applications for accuracy and completeness.
Engage with facilities to clarify credentialing-related questions and obtain missing information.
Update and maintain credentialing software systems with necessary facility information.
Curana Health is dedicated to radically improving the health, happiness, and dignity of older adults. They are a national leader in value-based care, serving 200,000+ seniors in 1,500+ communities across 32 states, with a team of more than 1,000 clinicians and professionals.
Maintain and monitor external platforms, including responding promptly.
Coordinate onboarding and offboarding processes to ensure a smooth experience.
Support the planning and execution of internal culture-building activities.
The Foundation for Economic Education (FEE) is a nonprofit dedicated to advancing the economic, ethical, and legal principles of a free society. Since its founding in 1946, FEE inspires and educates individuals on the values of personal freedom, entrepreneurship, and sound economic thinking.
Collaborate with international teams and provider acquisition to move providers efficiently.
Partner with the team to pilot performance improvement projects and other projects as directed.
Call, text and email with Providers to encourage their activation and growth.
BetterHelp's mission is to remove the traditional barriers to therapy and make mental health care more accessible. Founded in 2013, they are the world’s largest online therapy service, providing affordable and convenient therapy across the globe.
Support the discovery and documentation needed for payer data integrations.
Transition payer data integrations from reactive troubleshooting to proactive monitoring.
Support key business functions including MA Stars, MA Risk, and financial monitoring.
Aledade empowers independent primary care practices to deliver better care to their patients. They are the largest network of independent primary care in the country, focusing on value-based contracts across various health plans.
Manage onboarding communications and proactively guide new hires.
Track attendance, training completion, and follow up on missing steps.
Maintain onboarding trackers and support administrative tasks.
Midi Health is dedicated to providing comprehensive healthcare solutions. While the exact employee count isn't specified, it's evident they foster an inclusive and growth-oriented culture.
Provide operational support to Director of Operations and Operations team.
Contact customers regarding accounts receivable.
Provide general administrative and organizational support to internal team members, including the CEO.
Alt Legal is changing how trademark professionals manage global intellectual property. They are trusted by over 1,000 global law firms, IP boutiques, and Fortune 100 companies, and are known for powerful automation, integrated tools, and exceptional customer service.
Assist with healthcare operations projects, including workflow analysis and process improvement.
Support corporate compliance and regulatory documentation.
Apply healthcare policies, industry trends, and best practices.
UnityPoint Health is recognized as a Top 150 Place to Work in Healthcare. They champion a culture of belonging where everyone feels valued and respected, honoring the ways people are unique and embracing what brings us together.
Review and maintain assigned queue to ensure completeness and accuracy.
Review and quality check license applications for accuracy and completeness.
Monitor and resolve deficiencies, including Board communication as needed.
Medallion is a leading provider operations platform that eliminates administrative bottlenecks for healthcare organizations. With 130M in funding, they empower healthcare operations teams to streamline workflows and improve provider satisfaction.
Collaborate with hospital marketers to ensure patients are well taken care of
Coordinate with the clinical team to confirm that necessary medical services are in place before accepting patient referrals
Manage the referral process and maintain accurate, up-to-date patient documentation
Limitlessli specializes in recruiting, hiring, and managing high-caliber remote staff for dynamic and growing healthcare facilities. Leveraging our extensive global network, we connect clients with highly qualified professionals, offering tailored services to meet our clients' unique business needs.
Manage multiple channel interactions professionally and efficiently.
Effectively present products/services to providers with integrity, understanding, and accuracy.
Focus on provider retention through first call resolution and maintain positive relationships.
Capital Blue Cross promises to go the extra mile for its team and community. Employees consistently vote it one of the “Best Places to Work in PA”, valuing professional/personal growth by investing heavily in training and continuing education.
Ensure timely resolution and completion of payer enrollment.
Streamline processes and workflows for the onboarding department.
Work with internal and external stakeholders to resolve complex provider enrollment issues.
Privia Health collaborates with medical groups, health plans, and health systems to optimize physician practices and improve patient experiences. The Privia Platform consists of scalable operations and end-to-end, cloud-based technology.
Screen and evaluate applicants to identify good-fit candidates.
Schedule and coordinate interviews.
Facilitate the onboarding and offboarding process for interns and volunteers.
Our National Conversation (ONC) seeks to reduce partisanship and promote effective solutions to America’s challenges. Powered by America’s youth, we host a media outlet, produce educational materials and facilitate dialogue intended to make America a better country.
Coordinate the end-to-end provider enrollment process for physicians, nurse practitioners, and physician assistants joining the medical group.
Prepare and submit enrollment applications to Medicare, Medicaid, and other applicable payers to establish billing privileges.
Maintain accurate provider data within internal systems (e.g., NPPES, PECOS, CAQH, and iCIMS/HRIS) to ensure consistency across platforms.
Curana Health is dedicated to radically improving the health, happiness, and dignity of older adults. They are a national leader in value-based care, serving 200,000+ seniors in 1,500+ communities across 32 states and employing more than 1,000 clinicians plus other professionals.
Track and manage prior authorization requests, renewals, and extensions.
Verify member eligibility and benefits to confirm coverage requirements.
Upload, organize, and maintain member records and clinical documentation accurately and timely.
Leap is a benefits solution company focused on reshaping how life-changing therapies are delivered and financed. They are a fast-growing company that partners with Fortune 500 companies and leading TPAs, focusing on lower costs, improved access, and better care.
Support Shields operations team at health system partners with day-to-day operations.
Organize and maintain required documentation to enable operational success.
Partake in liaison audit process, including conducting audits and providing feedback to Manager of Patient Services.
Shields Health Solutions partners with health systems to develop specialty pharmacies. We provide integrated pharmacy solutions to improve patient care, drive growth, and reduce costs.
Implement established marketing and operational systems
Engage with and qualify professional candidates via phone and/or video conversations
Support and guide individuals through structured onboarding and development processes
They are a global personal growth and success education company delivering award-winning online programs alongside live virtual and destination events worldwide. Their work supports individuals to grow personally, professionally, and financially and to design life on their own terms.