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