Complete credentialing and re-credentialing applications for physicians, ancillary providers, and facilities with third-party payers and government programs.
Perform primary source verification services including license, malpractice, and work history verification.
Maintain CAQH profiles and credentialing databases, partner with client liaisons, and follow up with payers on submitted applications.
BerryDunn is a client-centered, people-first professional services firm providing tax, advisory, and consulting services since 1974. The firm is led by CEO Sarah Belliveau and is recognized for its diverse and inclusive workplace culture and focus on learning, development, and well-being.
Manage the credentialing process for clinical team members across multiple healthcare facilities.
Ensure all required documentation including licenses, certifications, and background checks is complete and up to date.
Serve as a point of contact between healthcare facilities and the credentialing team to address inquiries and provide updates.
VIC the PICC is a specialized healthcare provider focused on vascular access consulting services to acute care hospitals, skilled nursing facilities, and home healthcare. We emphasize a supportive culture with core values of integrity, respect, and compassion.
Lead the full credentialing and recredentialing process for W-2 clinicians across multiple states and payer networks.
Develop and maintain credentialing policies aligned with NCQA, CMS, and state-specific guidelines.
Partner with recruiting, clinical operations, legal, and finance to ensure efficient onboarding and regulatory compliance.
Headlight is a mental healthcare company founded by psychiatrists, transforming access to care and delivery methods for clinicians. They are a growing organization with a collaborative culture, focusing on innovation and whole-person care.
Coordinate and monitor provider/facility payer credentialing and re-credentialing processes.
Send, review, and verify credentialing applications and maintain provider information in online database.
Track license and certification expirations and ensure timely renewals for medical staff.
Bozeman Health is a healthcare organization dedicated to caring for the communities of Southwest Montana. They foster a Culture of Excellence emphasizing high performance, transparent communication, and continuous learning.
Manage provider credentialing and enrollment processes to ensure compliance with NCQA, URAC, Joint Commission, CMS, and state regulations.
Oversee a team of specialists, monitor KPIs like "Days to Enroll," and resolve complex application rejections to protect cash flow.
Collaborate with Compliance, Billing, Legal, and Clinical teams to troubleshoot credentialing-related claim denials and maintain database accuracy.
Sleep Doctor is a trusted sleep health company helping millions get better rest through clinical expertise and consumer-first experiences. They foster a collaborative, growth-oriented culture where every team member contributes to bold solutions.
Provide day-to-day guidance, training, and support to credentialing associates.
Design, document, and implement scalable credentialing workflows and standard operating procedures.
Maintain accurate provider information, track application statuses, and analyze data to improve efficiency.
BetterHelp aims to remove traditional barriers to therapy and make mental health care more accessible. Founded in 2013, it is the world’s largest online therapy service, with a network of over 30,000 licensed therapists and a team of clinicians, engineers, marketers, and business leaders committed to expanding access.
Provide account registration, billing and administrative support to physicians and the Corporate Office.
Prepare billing and registration worksheets, collect and verify demographic information, and contact insurance companies when needed.
Prepare and submit daily and monthly statistics, and assist the Medical Director and physicians with administrative support.
Pediatrix Medical Group is a physician-led organization and one of the nation’s largest providers of prenatal, neonatal and pediatric services. They offer a diverse range of opportunities, competitive salaries and benefits, and a commitment to clinical excellence with a team approach to improve patients' lives.
Manage the full Authorization process, from initial notification to determination and discharge, with detailed documentation in EMR and payer systems.
Verify patient eligibility and benefits, act as a liaison between hospital staff and health payers, and track pending authorizations for timely responses.
Maintain HIPAA compliance, escalate issues causing delays or denials, and manage workloads through accurate record keeping.
CorroHealth is a partner to healthcare providers, solving revenue cycle challenges through a mix of services, consulting, and technology. The company focuses on scalability and clinical expertise, building long-term careers by investing in employee development.
Serve as a liaison between OHSU providers and patients, scheduling clinic visits and ancillary procedures while managing referrals and authorizations.
Handle high-volume incoming calls, faxes, and mail, ensuring prompt and professional communication with patients and referring providers.
Verify patient insurance eligibility, process prior authorizations, and follow up on denied claims to ensure smooth care coordination.
OHSU is Oregon's only public academic health center, providing patient care, research, and education. As Portland's largest employer, it fosters a multicultural and anti-racist workplace.
Oversee credentialing and enrollment for medical providers, ensuring compliance with NCQA, URAC, Joint Commission, CMS, and state regulations.
Manage relationships with commercial insurers, Medicare, and Medicaid, monitoring KPIs like 'Days to Enroll' to protect cash flow.
Lead a team of specialists, maintain CAQH profiles and licenses, and coordinate external audits.
Sleep Doctor is a sleep health company that helps people improve their sleep through expert-driven content and care across brands like SleepDoctor.com and SleepFoundation.org. The company values rapid growth, collaboration, and an inclusive culture, with a hybrid model in Seattle and remote options.