Healthcare Licensing and Credentialing (Remote)

Summary :

Responsible for verifying provider licensing and credentials, managing payer enrollment, and ensuring compliance with healthcare standards. Supports timely credentialing and re-credentialing for providers.

Responsibilities :

• Collect and verify provider documents (licenses, education, certifications, malpractice, etc.).
• Process credentialing and re-credentialing applications with payers (Medicare, Medicaid, commercial plans).
• Maintain provider files, databases, and systems (e.g., CAQH, NPPES, PECOS).
• Track expirations and ensure timely renewals.
• Communicate application status and requirements to providers and internal teams.
• Ensure compliance with HIPAA, NCQA, Joint Commission, and other regulations.

Qualifications :

Benefits

Why join us as?

You’ll see dozens of marketing analysis set-ups, you’ll learn how marketing strategies are built, what matters, and why. You’ll have the opportunity of solving real customer problems on an everyday basis.