Credentialing Specialist

Job Summary

Supporting the medical licensing and credentialing processes, the full-time remote Credentialing Specialist will manage provider credentialing with insurance payors, maintain credentialing matrices, and facilitate onboarding and offboarding of providers.

Key responsibilities

• Credential and re-credential LifeMD providers with insurance payors and hospitals, maintaining the CAQH Provider System
• Conduct verification of licensure, malpractice, and educational credentials for all LifeMD providers
• Collaborate with various departments to ensure efficient onboarding and offboarding of providers while responding to credentialing inquiries

Required qualifications

• Credentialing Certification and a Bachelor's Degree in Business Administration/Healthcare Administration or equivalent experience
• Minimum of 2 years of relevant experience in credentialing and administrative functions
• Certified Provider Credentialing Specialist (CPCS) or Certified Medical Services Management (CPMSM) certification
• Expertise in multi-state licensing and payor enrollment processes
• Strong analytical skills and knowledge of healthcare regulations and compliance requirements