Licensing & Credentialing Specialist

LifeMD•New York, NY

4h•$50,000 - $60,000

About The Position

This position reports to the Director of Payor Enrollment, Licensing & Credentialing and is responsible for assisting with all aspects of the Licensing and Credentialing process. The Licensing & Credentialing Specialist will ensure efficient working operations (with a heavy focus on) Licensing and Credentialing of LifeMD providers to maximize revenue and enhance patient satisfaction.

Requirements

Credentialing Certification, bachelor’s degree in business administration, healthcare administration or equivalent experience
3+ years of experience performing credentialing and administrative services
Strong understanding of credentialing, licensing and payor enrollment functions and processes
Knowledge of healthcare regulations and compliance requirements

Nice To Haves

Certifications such as Certified Provider Credentialing Specialist (CPCS) and/or Certified Medical Service Management (CPMSM) via NAMSS
Excellent analytical skills with the ability to interpret and act on complex dataProficiency with credentialing software and Microsoft Office Suite
High level of proven communication skills, including written, verbal and conceptual presentation
Ability to work in a fast-paced, dynamic growth environment
Creative problem solver, strategic thinker and team player who thrives in a collaborative environment
Organizational and time management skills with a high attention to detail

Responsibilities

Obtain necessary licensure and/or privileges for LifeMD providers
Create, maintain and update provider Licensing rosters for LifeMD
Perform external research and conduct verification of all LifeMD licensure, malpractice and educational degrees, diplomas and certifications
Create, maintain and update LifeMD provider Collaborative Practice Agreements
Maintain and update insurance credentialing and the CAQH Provider System
Obtain and manage renewal licensure and/or privileges for LifeMD providers
Work with other LifeMD departments to facilitate the onboarding/offboarding of LifeMD providers where it pertains to licensure and scheduling
Perform correspondence with state boards for LifeMD providers
Assist LifeMD providers with any ancillary licensing or credentialing questions
Perform complex and confidential administrative functions including developing and typing written correspondence. Respond to routine external correspondence. Type memos, and other department forms and documents
Handle confidential and non-routine information and maintains provider confidence and protect operations by keeping all provider and LifeMD practice information confidential
Work independently and within a team on special and nonrecurring and ongoing projects at the request of the Director of Payor Enrollment, Licensing & Credentialing, which may include updating Excel spreadsheets or other systems, and disseminating information
Maintain reliability, as it is an essential function of this position to report to work on time for your scheduled hours, ready for work
Perform other related duties as required