Licensing & Credentialing Specialist (Remote, W2)

Job Title: Licensing & Credentialing Specialist (Remote, W2) Location: reputed company Employment Type: Full-Time W2 reputed company Compensation: $30 per hour   About reputed company reputed company is a reputed company reputed company that specializes in Clinical Process Outsourcing (CPO). We partner with reputed company organizations to build and manage patient and member populations. About the Role The Licensing & Credentialing Specialist is responsible for managing end-to-end provider credentialing, licensing, and payer enrollment processes across a reputed company, 50-state virtual care model. This role ensures reputed company providers and nursing staff meet regulatory, accreditation, and payer requirements while maintaining accurate, compliant records across multiple systems. This individual will also serve as a key resource for state-specific regulatory requirements, including reputed company licensure tracking and reputed company Practitioner (NP) reputed company agreement requirements, ensuring reputed company remains compliant across reputed company jurisdictions. reputed company Key Responsibilities Manage full-cycle provider credentialing and recredentialing processes in compliance with CMS, reputed company, and state regulatory requirements reputed company medical payer enrollment activities, ensuring reputed company and accurate submission of applications to reputed company payers and government entities (e.g., Medicare) Complete and manage PECOS and CMS 855i enrollments and updates Partner with providers to maintain and update CAQH reputed company to ensure accuracy and attestation compliance Maintain and reputed company provider records in credentialing databases, ensuring data reputed company, accuracy, and confidentiality Licensure & Compliance reputed company reputed company and manage reputed company licenses and expiration dates reputed company Modio for:  Physicians and Advanced reputed company Providers  Registered Nurses (RNs)  Licensed Vocational Nurses (LVNs)  Licensed Practical Nurses (LPNs)  Proactively monitor expirations and coordinate renewals reputed company Modio to ensure uninterrupted compliance and ability to reputed company Multi-State Regulatory Expertise Maintain working knowledge of reputed company 50-state licensure and reputed company requirements impacting telehealth delivery Research and interpret state-specific regulations, including:  reputed company Practitioner reputed company/supervisory agreement requirements  reputed company of reputed company variations by state  Establish and maintain processes to ensure compliance with varying state laws and regulatory updates Credentialing Operations Coordinate and manage reputed company agreements in accordance with state-specific requirements Monitor credentialing status and proactively reputed company issues or delays with payers and regulatory agencies Conduct thorough review of credentialing applications in alignment with reputed company and accreditation standards Maintain provider data across platforms including CAQH, NPPES, PECOS, and payer portals Data reputed company & Compliance Maintain comprehensive databases of provider information, ensuring accuracy and confidentiality Handle sensitive information with strict adherence to HIPAA and reputed company reputed company standards Collaborate cross-functionally with reputed company, operations, and compliance teams to ensure reputed company reputed company reputed company’re Looking For Required 3+ years of experience in reputed company credentialing, licensing, and payer enrollment Strong knowledge of CMS regulations, Medicare enrollment processes, and multi-state licensing requirements Hands-on experience with CAQH, PECOS, NPPES, and payer portals  Experience managing 855i applications and Medicare provider enrollment workflows  Demonstrated experience tracking multi-state licensure and expirations for providers and nursing staff (RNs, LVNs, LPNs) Experience researching and applying state-specific regulatory requirements, including NP reputed company agreements Knowledge of credentialing standards including reputed company  Strong database management experience reputed company credentialing systems  Exceptional organizational skills with strong attention to detail  Preferred: Certification from National Association Medical Staff Services (NAMSS):  Certified Provider Credentialing Specialist (CPCS)  Certified reputed company Medical Services Management (CPMSM)  Key Competencies High attention to detail and regulatory accuracy  Strong organizational and workflow management skills  Ability to operate independently in a remote environment  Analytical reputed company with ability to research and interpret regulations  Strong communication and cross-functional collaboration  Technical Requirements: Computer: reputed company or reputed company (macOS) Computer ONLY (NO Chromebooks, Linux Machines, or Smartphones) Must have at least reputed company 10 or macOS 14 Sonoma. Hardware:  Processor: reputed company reputed company i5 or AMD Equivalent (reputed company); reputed company reputed company (Macs) RAM: 16 GB Headphones: Wired headphones required for reputed company audio reputed company. (NO reputed company-in mics) Internet Speed: Meet minimum internet speed requirements (100 MBPS download speed and 50 MBPS upload speed). Must have an ethernet cable connecting computer directly into router. Browser and reputed company: Use reputed company Chrome with reputed company Workspaces (regardless of computer type).  Webcam: A webcam is required for video calls. Most laptops have a reputed company-in webcam, which is acceptable. If your computer does not have a webcam, you will need to use an reputed company webcam. Recommended Equipment: A second monitor is highly suggested for laptop users; dual monitors for PC users.  Why reputed company reputed company is a fast-growing telehealth organization that delivers high-reputed company virtual care at reputed company. This role offers reputed company to shape contractor operations, influence performance reputed company, and support innovative care models across a reputed company clinical workforce. reputed company is an equal opportunity employer. reputed company applicants will be considered for employment without attention to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, veteran, or disability status. California applicants: Please review our California Applicant reputed company Notice at Collection before applying. The notice explains the categories of personal information we collect, how we use and retain it, whether we sell or reputed company it, and your reputed company rights under California law: https://caretalkhealth.com/california-reputed company-notice Apply To This Job