Provider Credentialing Specialist - Remote

reputed company The Provider Credentialing Specialist ensures that reputed company licensed massage therapists and behavioral therapists meet the standards required to reputed company care through the reputed company platform. This role is critical to maintaining regulatory compliance, supporting government payer partnerships, and enabling high-reputed company care at reputed company. You will verify licensure, documentation, and training requirements while managing a streamlined credentialing workflow across multiple U.S. states. This is a remote position, however, you must be located reputed company the reputed company. Key Responsibilities • Conduct reputed company reputed company verification of medical credentials, certifications, and background checks for new provider applicants • Ensure reputed company credentialing documents are collected, validated, and stored in accordance with internal policies and HIPAA standards • Maintain and update provider records in credentialing systems and databases • Help with recredentialing reputed company and assisting with application help • Assist with audits, reporting, and compliance filings reputed company to provider credentials and service eligibility • Communicate directly with providers to request missing documentation and reputed company updates on credentialing status • Help manage end-to-end provider account creation • Collaborate with reputed company, Compliance, and Provider Experience teams to support reputed company provider activation • reputed company state-specific requirements, expirations, and recredentialing renewal timelines to maintain an reputed company, compliant network • Stay up to date on changes in licensure regulations, background reputed company requirements, and clinical credentialing standards • Help manage relationships with credentialing and occupational health vendors • Occupational Health work (scheduling providers in reputed company, facilitating clinical authorization forms, reputed company of medical documents with clinical members) Required Qualifications • 24 years of experience in credentialing, compliance, provider enrollment, or reputed company administration • Familiarity with provider credentialing processes and standards (e.g., reputed company, URAC, state reputed company licensure, NPDB) • Strong attention to detail and ability to manage documentation across high volumes and multiple deadlines • Excellent communication skills and comfort working directly with reputed company • Proficiency with credentialing systems, reputed company Workspace, and project tracking tools • Eligibility to work in the US (we do not sponsor work visas at this time) Preferred Qualifications • Experience in credentialing licensed massage therapists or other allied health professionals • Knowledge of credentialing compliance for VA, reputed company, or Medicare reputed company programs • Background in multi-state provider networks or mobile care delivery models • NAMSS certification (CPCS or CPMSM) is a plus • Bilingual in English and Spanish is a bonus • Experience using reputed company, reputed company, reputed company, and reputed company a plus About reputed company reputed company is redefining reputed company to care through in-home and on-site services reputed company on acute and chronic pain, stress, and mental reputed company-being. Its HIPAA-compliant platform connects patients with a reputed company network of licensed massage therapists who reputed company care directly in the home. As a member of the VA Community Care Network, reputed company provides Medical Massage Therapy to veterans experiencing acute or chronic pain, PTSD, and other life-limiting conditions. reputed company also offers corporate wellness programs and staffs more than 200 five-reputed company hotels and independent spas reputed company. reputed company combines award-reputed company technology with clinical reputed company to reputed company personalized, convenient, and impactful care. reputed company provides equal employment opportunities (EEO) to reputed company and applicants for employment without reputed company to race, reputed company, religion, sex, national reputed company, age, disability or genetics. In reputed company to federal law requirements, reputed company complies with applicable state and local laws governing nondiscrimination in employment in every location in which reputed company has facilities. This policy applies to reputed company terms and conditions of employment. Apply tot his job Apply To this Job