Credentialing Specialist

Accountabilities:

• Manage initial credentialing, re-credentialing, and payer enrollment processes for a large network of providers across multiple states.
• Submit, monitor, and maintain applications with government payers and commercial insurance organizations.
• Ensure provider enrollment activities align with billing requirements to minimize claim denials.

Requirements:

• 5–7 years of experience in healthcare credentialing and payer enrollment.
• Strong understanding of government and commercial payer enrollment requirements.
• Experience working with credentialing platforms and payer portals such as CAQH.

Benefits:

• Fully remote work opportunity with flexibility and autonomy.
• Opportunity to contribute to improving healthcare access through innovative virtual care solutions.
• Mission-driven environment focused on transforming cardiovascular healthcare delivery.