Job Description

Location: Remote (PH Based - VA)

Job Type: Full-time | Contract

Industry: Telehealth / Healthcare

Experience Level: Mid to Senior Level

About Us:

We are a fast-growing telehealth company dedicated to improving healthcare access and delivery through innovative digital platforms. Our team is composed of passionate professionals committed to excellence in virtual patient care. We are seeking a highly experienced Medical Credentialing Specialist to join us remotely as a Virtual Assistant to support our provider onboarding and credentialing processes.

Job Summary:

The Medical Credentialing Specialist VA will be responsible for managing the credentialing and re-credentialing processes for healthcare providers across various states and facilities in the United States. This role requires a proactive, detail-oriented professional with a strong understanding of credentialing standards, telehealth regulations, and healthcare compliance requirements.

Key Responsibilities:

• Coordinate and manage initial and ongoing credentialing and privileging processes for physicians and advanced practice providers.
• Collect, verify, and evaluate credentialing documents, including licenses, certifications, education, work history, malpractice coverage, and references.
• Submit and track provider applications to insurance payers and health systems.
• Maintain accurate and current provider data in credentialing databases and systems.
• Ensure compliance with regulatory and accreditation standards (e.g., NCQA, URAC, CMS).
• Liaise with internal departments, payers, and licensing boards to resolve credentialing issues.
• Monitor license renewals, re-credentialing dates, and other expirables to ensure timely action.
• Assist with maintaining CAQH profiles and other credentialing-related platforms.
• Provide credentialing status updates and reports to management and clinical operations.
• Ensure confidentiality and integrity of provider data.

Qualifications:

• Minimum of 1-2 years of experience in medical credentialing, preferably in a telehealth or multi-state healthcare setting.
• In-depth knowledge of credentialing and payer enrollment processes.
• Familiarity with regulatory and compliance standards such as NCQA, URAC, and CMS .
• Experience working with credentialing databases (e.g., CAQH, Availity, MD-Staff, Medallion ).
• Strong understanding of state medical board requirements and multi-state licensure.
• Excellent organizational and time-management skills; ability to manage multiple providers and deadlines.
• Strong written and verbal communication skills.
• Proficiency in Microsoft Office and G Suite tools.
• Ability to work independently in a remote environment with minimal supervision.
• Certification in Credentialing Specialist (e.g., NAMSS CPCS or CPMSM ) is a plus.

Preferred Qualifications:

• Previous experience as a Virtual Assistant in a healthcare setting.
• Experience with provider enrollment for Medicare, Medicaid, and commercial insurers .
• Familiarity with telehealth delivery models and multi-state provider regulations.

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