Credentialing Specialist

TeleMed2U•Austin, TX

14h•$21 - $30•Remote

About The Position

At TeleMed2U, we believe that time is the most valuable resource in healthcare— whether it is time to diagnosis, time to treatment, or time to better health. That is why, since our founding in 2011, we have been dedicated to increasing access to care across 20 medical and behavioral health specialties nationwide. By breaking down traditional barriers to specialty care, TeleMed2U has become a leading technology-enabled healthcare services company, delivering high-quality, convenient, and easy-to-access virtual healthcare solutions. Our integrated approach to chronic disease management empowers both patients and providers, improving health outcomes through seamless care coordination. With a focus on patient-centered innovation, provider collaboration, and data-driven care delivery, TeleMed2U is redefining specialty care—making it faster, simpler, and more accessible for all.

Requirements

Credentialing experience
High School Diploma or equivalent
3 years of experience in credentialing
1 year minimum healthcare experience
Credentialing Specialist II w/ TeleMed2U min 1 year
4 years experience minimum in Credentialing and/or Licensing.
Top performer at current level, who has demonstrated proficiency in all areas of Credentialing.
Excellent verbal and written communication skills
Ability to multitask and work independently
Excellent attention to detail
Experience with state licensure application submission process for multiple states
High school diploma required/GED

Nice To Haves

Medicare and Medicaid enrollment experience preferred
Bachelor’s degree preferred
1-3 years of experience in licensing, payor enrollment and credentialing preferred

Responsibilities

Assist physicians and support the Credentialing team with preparing and submitting credentialing, enrollment, recredentialing applications and follow up on the status of applications for Physicians and Payers and keep a detailed log of all tasks.
Support all aspects of credentialing and recredentialing and any other administration duties assigned by management.
Support the TeleMed2U Provider Network’s credentialing process for all TeleMed2U clinical providers, in accordance with NCQA, URAC, Joint Commission and CMS accreditation standards, Federal and State laws, and TeleMed2U’s policies.
Assist with the management of TeleMed2U Provider Network’s credentialing applications, to ensure distribution, receipt, processing, and timely management through our credentialing process.
Ensure all credentialing and enrollment applications accuracy prior to submission.
Monitor provider enrollment application status, follow up with the payors.
Manage CAQH profiles for TeleMed2U’s Provider Network.
Prepare and submit rosters to health insurance plans to ensure provider participation.
Update various databases to ensure proper tracking of payor enrollments, credentialing and update requests.
Maintain necessary records of outstanding enrollment applications and requests.
Coordinate all managed care credentialing activities to ensure provider participation status.
Credentialing activities require substantial contact with outside agencies.
Maintain Credentialing database.
Follow-up with managed care companies to ensure expedient credentialing.
Remain current on policies affecting provider enrollment credentials & delegated clients/payers.
Serve as a liaison for training new team members.
Identify conflicting or questionable information while processing applications and highlight sensitive information for committee members.
Act as a mentor to other Credentialing Specialists.
Provide support and assistance within the department.
Lead with minimal supervision.
Prepare specialized reports as requested, including analysis and presentation findings.
Other duties as assigned.