Prepare and submit provider enrollment applications and gather supporting documentation.
Track application status, follow up with payers, and resolve enrollment discrepancies.
Maintain accurate provider records in internal systems and coordinate with billing and credentialing teams.
We are a medical services company providing outsourced billing, coding, and claims processing solutions for provider groups and hospitals. Our team is fully remote and we value collaboration and attention to detail.
Enroll practitioners in health plans accurately and timely, monitoring progress and ensuring completion.
Validate and maintain provider enrollment forms, applications, and tracking systems.
Communicate with internal teams to meet enrollment goals and target start dates.
Pediatrix Medical Group is one of the nation's largest providers of prenatal, neonatal and pediatric services. With a focus on team approach, the company is home to a diverse group of business professionals dedicated to improving patient lives.
Manage end-to-end credentialing and payer enrollment for behavioral health providers and facilities.
Serve as subject matter expert on credentialing requirements, ensuring timely and compliant files.
Coordinate with HR, Talent Acquisition, and leadership to facilitate provider onboarding and resolve issues.
We are a leading provider of immediate-access behavioral health crisis care. We are physician-led and data-driven, with over 15 years of crisis care expertise, recognized as a national best practice.
Manage end-to-end credentialing and recredentialing processes for healthcare providers.
Coordinate payer enrollment applications and ensure timely processing across commercial and government payers.
Maintain accurate credentialing files in compliance with regulatory standards and support cross-functional teams.
Knownwell is a weight-inclusive healthcare provider offering obesity care, primary care, nutrition counseling, and health coaching. Backed by $50M in funding from investors like CVS Health Ventures and a16z, they are scaling fast to expand access to evidence-based obesity care nationwide.
Manage provider credentialing, recredentialing, and enrollment processes including application review and verification.
Maintain credentialing files, databases, and tracking systems for license renewals, certifications, and DEA registrations.
Apply for provider participation with insurance networks, Medicare, Medicaid, and other payer panels, monitoring application status.
Wellpath provides healthcare to underserved and vulnerable populations, including those in correctional facilities. With a large team and a people-first culture, they emphasize compassion, collaboration, and innovation in their mission to heal the world.
Manage provider credentialing, licensing, and payer enrollment activities from application through completion.
Research and resolve non-routine credentialing and provider data discrepancies, ensuring compliance.
Maintain accurate provider records, monitor deadlines, and communicate with stakeholders to prevent delays.
The company is a partner organization that manages hiring for healthcare credentialing roles. They operate remotely and foster a collaborative, deadline-driven culture focused on compliance and operational excellence.
Own the multi-state licensing roadmap and execute applications and renewals for clinicians across MD, DO, NP, and RN pathways.
Manage payer credentialing strategy, including CAQH profiles, commercial payer applications, and Medicare enrollment via PECOS.
Support clinical operations compliance, including scope of practice, collaborative agreements, and prescriptive authority tracking.
Daymark Health is a value-based oncology company redefining the cancer care experience for patients, providers, and health plans. The company is backed by leading venture firms and led by a team of pioneers in oncology and value-based care.
Collect, verify, and submit information necessary for enrollment of hospitals/physicians with Out-of-State Medicaid payers.
Develop and maintain ongoing policies and procedures specific to each state for new hospital/physician enrollments.
Manage work queue to ensure all timely submissions and deadlines of payor-specific forms and documents.
EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM platform. The company is a multi-year recipient of the Top Workplaces award, recognized as Black Book's #1 Specialty Revenue Cycle Management provider in 2024, and has been among the top one percent of Inc. 5000 fastest-growing private companies for eleven years.
Responsible for credentialing and recredentialing practitioner applicants to ensure regulatory compliance.
Conducts primary source verifications, reviews applications, and communicates with healthcare practitioners to obtain missing information.
Maintains credentialing database, monitors provider expirables, and assists with audit reviews.
Curana Health provides value-based care solutions, including on-site primary care, Accountable Care Organizations, and Medicare Advantage plans, to senior living communities and skilled nursing facilities. Founded in 2021, the company has grown to serve over 200,000 seniors across 1,500+ communities in 32 states, employing more than 1,000 clinicians and staff, and was ranked #147 on the Inc. 5000 list of fastest-growing private companies.
Build and strengthen credentialing structures to ensure timely and compliant provider credentialing.
Serve as subject matter expert for payer enrollments with health plans.
Coach and lead a team of specialists to achieve performance standards.
We are a comprehensive women's health provider specializing in expert, longitudinal care for women. Trusted by over 60,000 women, we are one of the fastest-growing women's health platforms in the U.S.
Manage end-to-end provider licensing, payer enrollment, and credentialing operations.
Build scalable internal processes and drive fast time-to-credentialing metrics.
Serve as the primary bridge between providers, health plans, billing, and client success teams.
Nadia Care reimagines maternity care for underserved communities, providing trust-based engagement and wrap-around support for expectant mothers. Our growing team of empathetic professionals collaborates to improve pregnancy, birth, and postpartum outcomes.
Review facility credentialing applications for accuracy and completeness based on applicable standards.
Communicate with facilities to resolve discrepancies and obtain missing information.
Manage data entry, monitor compliance, and prepare reports for the Credentialing Committee.
Curana Health is a national leader in value-based care for senior living communities and skilled nursing facilities. Founded in 2021, the company serves 200,000+ seniors across 1,500+ communities in 32 states with a team of over 1,000 clinicians and professionals, and was ranked #147 on the Inc. 5000 list.
Maintain and update provider information in Provider Data Management systems, ensuring data accuracy and completeness.
Verify provider data from external sources, coordinate with partners to obtain missing information, and resolve discrepancies.
Collaborate with internal teams and support audits to maintain compliance with industry standards and regulations.
Curana Health is a national leader in value-based care, offering solutions to senior living communities and skilled nursing facilities. Founded in 2021, the company has grown to serve over 200,000 seniors in 1,500+ communities across 32 states, with a team of more than 1,000 clinicians and support staff.
Lead a pod of Credentialing or Enrollments Associates, setting priorities and ensuring quality.
Own complex payer enrollment and credentialing programs end to end.
Build scalable workflows and use metrics to manage capacity and execution risk.
Nourish is an AI-native digital health clinic that connects patients with dietitians and provides insurance-covered metabolic care. Founded four years ago, it has completed millions of appointments, tripled year-over-year, and partnered with health plans covering 200M+ Americans, with $215M in total funding.
Respond to member and provider inquiries about Medicare benefits, claims, and enrollment via phone and email.
Analyze issues, document outcomes, and maintain accurate records in internal systems.
Collaborate across departments to resolve service issues and support contact center documentation.
Curana Health provides value-based primary care services for the senior living industry, including skilled nursing facilities and assisted living communities. With over 1,000 clinicians serving more than 1,500 communities across 34 states, the company has experienced rapid growth since 2021 and participates in innovative CMS programs.
Support all aspects of credentialing and state licensing for the Medical Team, including Nurse Practitioners and Registered Nurses.
Maintain accurate provider credentials, ensure ongoing compliance, and contribute to departmental goals.
Manage credentialing files, perform primary source verifications, and obtain new/renewed state licenses.
Meds.com is a rapidly growing consumer technology firm operating healthcare businesses like BlueChew & MOD, aiming to better patients' lives through innovative solutions. With a team of 350 professionals, they've built scalable pharmacy, telemedicine, and e-commerce platforms using cutting-edge technology.
Lead credentialing and payer enrollment functions, setting strategic objectives and performance standards.
Manage vendor relationships and resolve enrollment-related revenue cycle issues.
Develop scalable processes, dashboards, and compliance initiatives to reduce backlogs and improve efficiency.
Jobgether is a platform that uses AI to match job seekers with opportunities. They partner with companies to manage applications and next steps, aiming to streamline the hiring process.
Own the end-to-end cycle of licensing applications for new and existing providers across the U.S., ensuring all requirements are met.
Develop SOPs for new state or provider licensing and streamline existing processes with automation and optimizations.
Provide direct support to providers and collaborate with cross-functional teams on licensing communications and updates.
Nourish is an AI-native digital health system that matches patients with Registered Dietitians, physicians, medications, and lab testing to deliver insurance-covered care across all 50 states. Founded four years ago, the company has completed millions of appointments, tripled year-over-year, and raised $215M in funding, seeking high-talent, resilient, and ego-free individuals.
Conduct patient outreach and enrollment for chronic care management programs.
Coordinate communication between patients, providers, and healthcare partners.
Document patient interactions and ensure compliance with Medicare billing requirements.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered approach. They are committed to improving patient outcomes and quality of life, with a culture of innovation and compassion.
Initiate and manage compliance onboarding for healthcare contractors, including credentialing verification.
Collaborate with staffing agencies and internal stakeholders to meet compliance deadlines.
Monitor credential expirations and maintain accurate records in the Vendor Management System.
Trio Workforce Solutions helps healthcare organizations manage workforce challenges through technology and services. The company is a mission-driven organization with a collaborative culture and growth opportunities nationwide.