Source Job

$62,000–$72,000/yr
US

  • Ensure accurate credentialing by organizing applications and verifying education, licensure, and certifications.
  • Take full responsibility for credentialing tasks, providing regular updates to stakeholders to avoid delays.
  • Manage and submit documentation for client approval, ensuring compliance with specific requirements and deadlines.

Communication Organization Detail-oriented Self-motivation Process Improvement

11 jobs similar to Credentialing Specialist

Jobs ranked by similarity.

US

  • Manage primary source verification and credentialing processes for healthcare professionals, including licensure verification and databank queries.
  • Compile and assemble qualification packages for review by the customer's Security & Credentialing Office.
  • Supervise support staff and ensure compliance with DHA directives and credentialing procedures.

Planned Systems International (PSI) provides healthcare credentialing and privileging support for mission-critical programs. The company offers a competitive total compensation package including medical, dental, vision, 401(k) matching, and professional development opportunities.

$30–$37/hr
US

  • Supervise and train the credentialing associate team to ensure high performance.
  • Document and refine insurance credentialing workflows and processes.
  • Collaborate with the Credentialing Team Lead and partners to monitor metrics and resolve issues.

BetterHelp is the world's largest online therapy service, connecting millions of people with licensed therapists to make mental healthcare more accessible. As part of Teladoc Health, it offers startup energy with the support of a large company and a diverse, collaborative culture.

US

  • Manage provider credentialing and re-credentialing with commercial payers, Medicare, Medicaid, and managed care organizations.
  • Prepare and submit accurate medical claims with proper CPT, HCPCS, and ICD-10 coding to minimize denials and delays.
  • Reconcile payments, investigate denials, and maintain compliance with HIPAA and payer requirements.

$52,200–$58,000/yr
US

  • Support the full credentialing lifecycle, from initial applications to renewals and ongoing maintenance.
  • Manage provider enrollment processes with payers, including application submission, follow-up, and status tracking.
  • Keep provider records accurate and audit-ready while ensuring compliance with regulatory standards.

Thyme Care is a market-leading value-based oncology care enabler that partners with health plans, providers, and employers to improve outcomes for people with cancer. It is a tech-native startup that values human connection, diversity, and inclusion.

$32,000–$32,000/yr
US

  • Manage provider system enrollments and maintain accurate CAQH profiles.
  • Serve as the primary credentialing point of contact for providers and monitor enrollment requirements.
  • Develop and maintain standard operating procedures for credentialing workflows.

Sailor Health is revolutionizing mental health care for older adults, addressing one of the fastest-growing and most underserved healthcare segments in America. As a remote-first team, they focus on providing compassionate, effective care to over 60 million seniors, fostering a culture of growth, ownership, and collaboration.

US Unlimited PTO 16w maternity 8w paternity

  • Own end-to-end provider onboarding, credentialing, and recredentialing workflows.
  • Prepare and submit state licensing and payor enrollment applications.
  • Maintain compliance records and communicate status updates to stakeholders.

Sprinter Health brings healthcare directly to patients' homes, aiming to improve access to preventive and chronic care. The company has supported over 2 million patients across 22 states, raised over $125M, and maintains a 92 NPS with a team of clinicians, technologists, and operators.

US

  • Prepare and review credentialing and recredentialing applications, provider updates, termination letters, and TIN change documents.
  • Conduct biweekly follow-up with payers, track application progress, and maintain detailed records in internal systems and dashboards.
  • Support team projects such as new provider onboarding, payer roster updates, and quality reviews while protecting confidential information.

Specialty Dental Brands is a dental support organization that partners with pediatric dentistry, orthodontics, and oral surgery practices across the country, empowering teams with technology, resources, and support. The company values a people-first culture, collaboration, continuous learning, and creating positive experiences for providers, practices, and employees.

US

  • Review and verify credentialing documents, licenses, and background reports against client-specific standards.
  • Collaborate with onboarding teams to ensure files are accurate, complete, and ready for approval.
  • Monitor document trends and support continuous improvement to reduce errors and enhance efficiency.

This company provides healthcare staffing services with a focus on clinician credentialing and onboarding. While the company size is not specified, it fosters a collaborative, service-oriented culture emphasizing accuracy and compliance.

US

  • Manage a queue of licensing requests, ensuring accuracy and compliance with state requirements.
  • Review and quality-check license applications and primary source verifications, submitting them as needed.
  • Communicate with providers, clients, and internal teams to resolve deficiencies and support timely licensure.

Medallion builds a provider operations platform that automates licensing, credentialing, payer enrollment, and compliance monitoring for healthcare organizations. As one of the fastest-growing healthcare technology companies, Medallion is backed by $130M in funding from top investors and recognized as a great place to work.

Philippines

  • Execute credentialing and licensing research, data validation, and compliance checks for LicenseManager Pro and SanctionCheck.
  • Support the team by demonstrating proficiency in data management and assisting with foundational knowledge across related departments.
  • Exhibit flexibility and adaptability in performing a variety of tasks across multiple workflows to meet evolving business needs.

Cisive provides technology-first background screening, identity verification, and continuous monitoring solutions for organizations in highly regulated industries like healthcare, financial services, and transportation. It is a global leader with divisions such as PreCheck and Driver iQ, and emphasizes a culture of integrity, innovation, and teamwork.

US

  • Supports credentialing and enrollment teams by managing data across Monday.com, Airtable, and Credential Stream.
  • Drives process improvement initiatives and develops progress reports to keep stakeholders informed.
  • Collaborates with enterprise stakeholders to maintain accurate data sharing and best practices.

United Vein & Vascular Centers is a leading provider of comprehensive vein and vascular care with over 60 clinics across multiple states. The company emphasizes minimally invasive procedures, cutting-edge technology, and a patient-centric approach to deliver superior outcomes.