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Credentialing Specialist - Remote

Posted 7 days ago
All others
Full Time
USA
25USD/hour

Overview

The Credentialing Specialist supports Pair Team’s growing central operations team by owning the end-to-end credentialing and re-credentialing process for providers and facilities, ensuring compliance and operational efficiency.

In Short

  • Own the end-to-end credentialing and re-credentialing processes for providers and facilities
  • Track and ensure timely completion of credentialing tasks
  • Submit credentialing applications to health plans
  • Monitor and document expirables like licenses and certifications
  • Maintain accurate provider records across systems
  • Support audits and compliance reviews
  • Assist with health plan contracting as needed
  • Maintain group enrollment records for Medicaid and Medicare

Requirements

  • 2+ years of credentialing experience in healthcare
  • Familiarity with credentialing standards (e.g., NCQA, URAC, CMS)
  • High attention to detail and organizational skills
  • Technical proficiency with CRM databases and Microsoft Office
  • Must have a HIPAA-compliant home work environment

Benefits

  • Salary: $25/hour
  • Comprehensive health, vision & dental insurance
  • 401k
  • Monthly $100 work from home stipend
  • Flexible vacation policy
  • All equipment needed for the role provided
Pair Team logo

Pair Team

Pair Team is dedicated to enhancing the wellbeing of underserved communities by providing access to high-quality care through a community-led, virtual care model. The organization focuses on the holistic needs of high-need Medicaid recipients, addressing both clinical and health-related social needs such as housing instability and food access. By collaborating with local community-based organizations and employing a multidisciplinary care team, Pair Team aims to improve the lives of individuals facing complex challenges. The company values integrity, resilience, and a commitment to care, fostering a culture that prioritizes the needs of patients and encourages personal and professional growth.

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