Source Job

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.

MS Office Communication

15 jobs similar to Senior Credentialing Specialist

Jobs ranked by similarity.

$56,000–$63,000/yr
US

  • Complete credentialing and re-credentialing applications for physicians, ancillary providers, and facilities with third-party payers and governmental programs.
  • Perform primary source verification, maintain CAQH profiles, and update credentialing databases accurately.
  • Partner with client liaisons and payers to manage enrollment status, follow up on applications, and communicate updates to providers and clients.

BerryDunn is a professional services firm providing tax, advisory, and consulting services to businesses, nonprofits, and government agencies across the US. The firm is known for its client-centered, people-first culture and commitment to diversity, learning, and well-being.

US

  • Serve as a supportive point of contact for onboarding providers, guiding them through paperwork and expectations.
  • Collect, verify, and review provider credentials, applications, and CAQH profiles for accuracy and completeness.
  • Maintain tracking records, update internal databases, and collaborate with cross-functional teams to meet provider start dates.

Privia Health is a technology-driven, national physician enablement company that partners with medical groups, health plans, and health systems to optimize practices and improve patient care. The company is led by top industry talent and exceptional physician leadership, with a culture that encourages employees to bring their whole selves to work.

Philippines

  • Manage end-to-end facility credentialing and privileging for providers across SNFs nationwide.
  • Prepare and track credentialing applications, facility packets, and compliance files.
  • Coordinate with facilities to resolve credentialing, access, and EMR issues in a timely manner.

Limitlessli specializes in recruiting, hiring, and managing high-caliber remote staff for healthcare facilities, leveraging a global network to connect clients with qualified professionals. The company offers a flexible remote work environment where employees collaborate with an international team and contribute to a growing business.

US

  • Oversee credentialing workflows, quality, and compliance standards to ensure provider satisfaction and regulatory adherence.
  • Develop effective credentialing strategies based on data analysis, regulatory requirements, and operational observations.
  • Manage credentialing staff, provide coaching and feedback, and drive turnaround time improvement initiatives.

Sutherland is a global digital transformation company combining AI, automation, cloud engineering, and advanced analytics for iconic brands. It creates over 200 inventions and pairs human expertise with AI to unlock performance and deliver measurable results.

US Unlimited PTO

  • Lead a production-focused pod of Operations Analysts and Credentialing Specialists, owning day-to-day credentialing operations.
  • Drive team performance by monitoring speed, quality, and efficiency metrics, ensuring SLAs are consistently met.
  • Coach, mentor, and train team members, conducting daily standups and weekly performance reviews.

CertifyOS builds the data infrastructure for modern healthcare, automating provider licensing, credentialing, and network monitoring. It is backed by leading investors and values authenticity, accountability, collaboration, results, and openness to feedback.

US

  • Own delegated credentialing operations across assigned payer relationships.
  • Manage payer audits, compliance reporting, and audit-ready credentialing files.
  • Support NP and group practice credentialing while partnering with internal teams.

Tava Health is reimagining mental health care to make it as accessible and stigma-free as a checkup, connecting patients with therapists and improving provider care. It is a fast-growing, mission-driven team leveraging technology to deliver high-quality mental health care to everyone.

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.

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.

$70,000–$90,000/yr
US

  • Manage day-to-day credentialing workflows and lead data analysis projects for payer enrollment.
  • Conduct routine audits of task boards and triage inquiries to improve process efficiency.
  • Develop and distribute reporting on credentialing status for cross-functional stakeholders.

Natera is a global leader in cell-free DNA testing, dedicated to oncology, women's health, and organ health. The company comprises highly dedicated professionals from world-class institutions, who care deeply for their work and each other, fostering a culture that values hard work and growth.

$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.

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.

$90,000–$110,000/yr
US 3w PTO

  • Lead end-to-end provider onboarding and offboarding, including license pathways, compact assessments, and payer enrollments.
  • Oversee multi-state licensing, credentialing, and payer enrollment operations to prevent lapses and ensure compliance.
  • Manage and coach the L&C team, drive process improvements, and accelerate onboarding timelines.

Synapticure is a specialty care and life sciences company focused on neurodegenerative diseases like Alzheimer's, Parkinson's, and ALS. Founded by patients and caregivers, it operates a remote-first, 50-state clinical network and research engine with a culture of empathy, curiosity, and action.

$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

  • 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

  • Obtain managed care authorizations and verify patient insurance benefits prior to services.
  • Review office schedules daily and update EHR systems with authorization and insurance details.
  • Coordinate with staff and providers on denials, peer-to-peer reviews, and monthly re-verification of coverage.

Surgery Partners operates a network of surgical facilities and provides healthcare services across the United States. The company fosters a diverse and inclusive workplace, offering comprehensive benefits and professional development opportunities.