Credentialing Onboarding Specialist (CAQH)
About The Position
Sailor Health is hiring a full-time, remote Credentialing Onboarding Specialist (CAQH) to coordinate provider credentialing onboarding, enrollments, and systems access. The role owns end-to-end coordination of provider enrollments, maintains accurate CAQH profiles, establishes standard operating procedures, and monitors credentialing timelines. As part of the Provider Onboarding team, the specialist works cross-functionally with Credentialing, Payer, and RCM Support teams to keep the provider network compliant, current, and prepared for success. The position involves coordinating providers’ required Medicare enrollment actions, maintaining provider credentials, licenses, and practice information, serving as a primary credentialing contact, tracking outstanding requirements and deadlines, resolving enrollment blockers with internal stakeholders, and developing and improving credentialing workflow procedures. Sailor Health describes the work as fast-paced and sometimes ambiguous. The role calls for strong organization and follow-through, initiative, sound judgment about urgency and escalation, and warm, empathetic communication. The company emphasizes its mission to improve mental health care for older adults, its remote-first collaborative team, and opportunities to take ownership and shape processes as the organization grows.
Requirements
- Extremely organized, with reliable follow-through and the ability to identify issues early and ensure they have a resolution plan.
- Proactive and comfortable working with ambiguity; takes initiative and builds structure when instructions or processes are unclear.
- Sound judgment in prioritizing urgent matters and determining when to resolve an issue or escalate it.
- Warm, empathetic communication skills; communicates clearly and kindly with providers, including in difficult interactions.
Responsibilities
- Coordinate provider Medicare enrollment actions, profile and system connections, and timely signing of applications and other documents.
- Maintain complete, accurate, and up-to-date CAQH profiles, including provider credentials, licenses, and practice information.
- Serve as a primary credentialing point of contact for providers by answering questions, communicating required actions, and following up on outstanding items.
- Track provider actions, signature requests, correction requests, notices, deadlines, and other outstanding requirements to move Medicare enrollment forward.
- Partner with Credentialing, RCM Support, and other internal stakeholders to align priorities, communicate progress, and resolve credentialing and enrollment blockers.
- Build, document, and continuously improve standard operating procedures for credentialing workflows, and incorporate them into day-to-day operations.
Benefits
- Remote work flexibility.
- Opportunity to take initiative, shape processes, and grow with the company.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
