Credentialing Specialist - 100% Remote
About The Position
We’re a fast-growing, fully remote healthcare organization on a mission to improve access to care—and we know our people make that possible. As we expand, we are adding a new role to our leadership team. We are seeking a Credentialing Specialist who will be responsible for maintaining individual provider files, completing credentialing applications, and other associated duties that support the credentialing requirements at Expressable. About Expressable Expressable is a virtual speech therapy practice on a mission to transform care delivery and expand access to high-quality services, serving thousands of clients since our inception in late 2019. We are passionate advocates of parent-focused intervention. Our e-learning platform contains thousands of home-based learning modules authored by our clinical team, helping SLPs empower caregivers to integrate speech therapy techniques into their child’s daily life and improve outcomes. Our mission is to set a new standard in speech therapy by making every caregiver a champion of their loved one’s success. We envision a world where everyone can fulfill their communication potential. The ideal Credentialing Specialist brings a strong foundation in healthcare credentialing and enrollment, paired with exceptional attention to detail and follow-through. They are comfortable managing multiple payer processes simultaneously, working directly with providers to gather accurate information, and ensuring provider data remains current, compliant, and audit-ready across systems. This individual understands the downstream impact of credentialing on care delivery and reimbursement and takes ownership of resolving issues proactively. They are organized, process-oriented, and steady under deadlines, with the ability to communicate clearly and professionally with providers, payers, and internal partners.
Requirements
- High school diploma or equivalent required
- Hands-on experience completing and submitting credentialing and enrollment applications for commercial payers, medicaid, and medicare
- Experience maintaining provider files and ensuring compliance with payer and regulatory requirements
- Prior experience working directly with providers to collect, validate, and update credentialing information
- Familiarity with auditing provider data across multiple systems and resolving discrepancies
- Experience following up with payers regarding application status, re-credentialing, and demographic updates
- Proficiency with credentialing platforms and databases
- Strong working knowledge of payer credentialing and enrollment workflows
- Comfortable navigating payer portals and researching payer-specific requirements
- Experience with electronic document management and maintaining compliant provider files
- Proficient with standard office productivity and collaboration tools (Docs/Word, Sheets/Excel, email, shared drives, etc.)
Nice To Haves
- Exposure to denial resolution or authorization issues related to credentialing strongly preferred
Responsibilities
- Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications.
- Maintain accurate provider profiles on CAQH, NPPES and any other applicable profiles
- Complete credentialing applications to add current and new providers to commercial, Medicaid, and Medicare payers
- Work closely with current and onboarding providers to obtain all necessary information to complete the credentialing and enrollment process
- Audit provider information in various systems
- Follow up with payers as it relates to credentialing, enrollment, and demographic updates
- Research payer processes as it relates to credentialing, enrollment, and demographic updates
- Assist in identifying and resolving any denials or authorization issues related to provider credentialing
Benefits
- Exceptional paid time off policies that encourage and support life balance, including a winter break.
- 401k matching to ensure our staff have what they need to enjoy their retirement
- Health insurance options that ensure well being for the whole person and their family
- Company paid life, short-term disability, and long-term disability coverage
- Remote work environment that strives for connectivity through professional collaboration and personal connections
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
