Credentialing Specialist

1 month ago

New York, United States LifeMD Full time
Job DescriptionJob Description

About us

LifeMD is headquartered in NYC and is a leading provider of virtual primary care. LifeMD offers telemedicine, laboratory and pharmacy services, and specialized treatment across more than 200 conditions, including primary care, men’s health, women’s health, allergy & asthma, and dermatology. Leveraging a vertically-integrated, proprietary digital care platform, a 50-state affiliated medical group, and a US-based patient care center, LifeMD is elevating healthcare by increasing access to top-notch and affordable care. LifeMD is currently in the midst of immense growth and was recently ranked #166 in the 2023 Deloitte Fast 500.

About the role

The Credentialing Specialist reports to the Director of Payor Enrollment, Licensing & Credentialing and is responsible for supporting all aspects of the medical licensing and credentialing processes. The Credentialing Specialist will ensure the efficient operation of medical licensing, credentialing, and payer contracts to maximize provider efficiency.

Responsibilities

  • Credential/Re-credential LifeMD providers with insurance payors and/or hospitals. Maintain and update insurance credentialing and the CAQH Provider System
  • Maintain credentialing matrices for all LifeMD providers and markets/states
  • Provide follow-up correspondence with insurance payors on a regular basis for all credentialing matters
  • Work with other LifeMD departments to facilitate the onboarding/offboarding of LifeMD providers
  • Assist LifeMD providers with any ancillary credentialing, licensing or payor enrollment questions
  • Obtain necessary licensure and/or privileges for LifeMD providers
  • Create, maintain and update provider credentialing rosters for LifeMD
  • Performs external research and conducts verification of all LifeMD licensure, malpractice and educational degrees, diplomas and certifications
  • Checks insurance payor websites for accurate directory listings and performs regular updates
  • Meet LifeMD expectations for payor application submission on a consistent basis
  • Performs complex and confidential administrative functions including developing and typing written correspondence. Responds to routine external correspondence. Types memos, and other department forms and documents
  • Handles confidential and non-routine information and maintains provider confidence and protects 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
  • Reliability- 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

Requirements

  • Credentialing Certification, Bachelor’s Degree in Business Administration/Healthcare Administration or equivalent experience
  • 3+ years of relatable experience performing credentialing and administrative functions
  • Certified Provider Credentialing Specialist (CPCS), Certified Medical Services Management (CPMSM)
  • Expertise in credentialing, licensing and payor enrollment functions and processes
  • Excellent analytical skills with the ability to interpret and act on complex data
  • Key to have knowledge of healthcare regulations and compliance requirements
  • Proficiency and ability to adapt to new credentialing software
  • 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
  • Fantastic organizational and time management skills with a high attention to detail

Benefits

  • Health Care Plan (Medical, Dental & Vision)
  • Retirement Plan (401k, IRA)
  • Life Insurance (Basic, Voluntary & AD&D)
  • Unlimited Paid Time Off
  • Paid Holidays
  • Short Term & Long Term Disability
  • Training & Development

  • Credentialing Specialist

    2 months ago

    New York, United States Pride Health Full time

    We're looking for Credentialing Specialist for our client with a leading hospital in New York, NY.Please find below details of the position.Position: Credentialing SpecialistLocation: New York, NYDuration: 3 months contract with extension possibilities.Shift: 9:00 AM-5:00 PMPay - $27/hrJob Duties:The Credentialing Specialist is responsible for facilitating...

  • Credentialing Specialist

    2 months ago

    New York, United States Atria Consulting Full time

    Busy New York City Hospital Corporation is looking for an experienced and organized Credentialing Specialist. The Credentialing Specialist is responsible for facilitating all aspects of provider credentialing, including initial appointment, reappointment, credential audits, as well as clinical privileging for Medical Staff, Allied Health Professionals, and...

  • Credentialing Specialist

    2 weeks ago

    New York, New York, United States RTA US Full time

    Job OverviewRTA US, a prominent player in the eyewear industry, is looking for a Credentialing Specialist.The Credentialing Specialist will be a key contributor in managing the credentialing and re-credentialing processes within the organization.Employment Type: Contract/ HybridLocation: New York, NYCompensation: $20-$24/hr, based on experienceKey...

  • Credentialing Specialist

    2 months ago

    New York, United States ProKatchers LLC Full time

    Job Title : Credentialing SpecialistLocation : Manhattan NY 10004Duration : 3 Months Job Description:Credentialing: Responsible for all aspects of provider credentialing and re-credentialing.License Renewals: Ensures that physician licenses are renewed prior to expiration.Primary Source Verification: Completes primary source verification for new and existing...

  • Credentialing Specialist

    2 months ago

    New York, United States ProKatchers LLC Full time

    Job Title : Credentialing SpecialistLocation : Manhattan NY 10004Duration : 3 Months Job Description:Credentialing: Responsible for all aspects of provider credentialing and re-credentialing.License Renewals: Ensures that physician licenses are renewed prior to expiration.Primary Source Verification: Completes primary source verification for new and existing...

  • Credentialing Specialist

    2 months ago

    New York, United States Pride Health Full time

    Job Title: Credentialing SpecialistLocation: New York, NY 10004Duration: 2 Months with strong possibility of extension. Pay Range: $25 to $31/Hour.Job Description:Responsible for all aspects of provider credentialing and re-credentialing.License Renewals: Ensures that physician licenses are renewed prior to expiration.Primary Source Verification: Completes...

  • Physician Credentialing Specialist

    3 weeks ago

    New York, United States Insight Global Full time

    Overview Our Credentialing Team in South Jersey is searching for credentialing specialists that will be supporting physician and high level allied health onboarding for the entire health system. This team processes credentialing files for providers in all departments of the hospital. The team is typically managing a high volume of files at a time, on average...

  • Credentialing Specialist

    1 week ago

    New York, New York, United States Bernard Nickels & Associates Full time

    TIME COMMITMENT: Full-timeJOB TYPE: TemporaryGENERAL FUNCTION:The Credentialing Specialist plays a vital role in managing the credentialing and re-credentialing processes within the organization. This position is responsible for ensuring that all healthcare providers fulfill the essential credentialing criteria for participation.KEY...

  • Credentialing Specialist

    1 week ago

    New York, New York, United States Bernard Nickels & Associates Full time

    TIME COMMITMENT: Full-timeJOB TYPE: TemporaryGENERAL FUNCTION:The Credentialing Specialist plays a vital role in managing the credentialing and re-credentialing processes within the organization. This position is essential in ensuring that all healthcare providers meet the required standards for participation.KEY RESPONSIBILITIES:Facilitate the overall...

  • Credentialing Specialist

    2 weeks ago

    New York, New York, United States Bernard Nickels & Associates Full time

    TIME COMMITMENT: Full-timeJOB TYPE: TemporaryGENERAL FUNCTION:The Credentialing Specialist plays a crucial role in managing the credentialing and re-credentialing processes within the organization. This position is responsible for ensuring that all healthcare providers meet the essential credentialing criteria for participation.KEY...

  • Credentialing Specialist

    2 weeks ago

    New York, New York, United States Bernard Nickels & Associates Full time

    TIME COMMITMENT: Full-timeJOB TYPE: TemporaryGENERAL FUNCTION:The Credentialing Specialist plays a crucial role in managing the credentialing and re-credentialing processes within the organization. This position is responsible for ensuring that all healthcare providers fulfill the required credentialing standards for participation.KEY...

  • Medical Credentialing Specialist

    3 weeks ago

    New York, United States Pride Now Full time $23 - $27

    Job DescriptionJob DescriptionJob Title: Medical Credentialing Specialist Location: Manhattan, New York, NY USA  10004 Shift: 9:00 AM-5:00 PMPayrate: $23 to $27 per hour Duties: Responsible for facilitating all aspects of provider credentialing, including initial appointment, reappointment, credential audits, as well as clinical privileging for...

  • Healthcare Credentialing Specialist

    7 days ago

    New York, New York, United States Atria Consulting Full time

    About the RoleAtria Consulting is seeking an experienced Credentialing Specialist to facilitate all aspects of provider credentialing. The successful candidate will be responsible for:Initial appointment and reappointment processesCredential audits and verificationsClinical privileges and scope of practiceKey Responsibilities:Ensure compliance with...

  • Provider Credentialing Specialist

    1 week ago

    New York, New York, United States Momentum Resource Solutions Full time

    Job OverviewPosition Summary: The Provider Credentialing Specialist plays a crucial role in ensuring that healthcare providers meet the necessary qualifications and standards to deliver quality care.Key Responsibilities:1. Establish and maintain effective communication with credentialing representatives at various facilities and provider locations to...

  • Credentialing Specialist

    4 days ago

    New York, New York, United States NavitsPartners Full time

    Job Title: Credentialing SpecialistAt NavitsPartners, we are seeking a highly skilled Credentialing Specialist to join our team. The successful candidate will be responsible for facilitating all aspects of provider credentialing, including initial appointment, reappointment, credential audits, as well as clinical privileging for Medical Staff, Allied Health...

  • Credentialing Specialist

    1 week ago

    New York, New York, United States New York Cancer & Blood Specialists Full time

    Job OverviewPosition: Credentialing CoordinatorLocation: Shirley, NYAt New York Cancer & Blood Specialists, we create a supportive atmosphere where dedicated professionals excel. Our extensive team of over 200 oncologists, hematologists, and support staff across multiple locations is committed to transforming the landscape of cancer and blood disorder...

  • Credentialing Specialist

    2 weeks ago

    New York, New York, United States New York Cancer & Blood Specialists Full time

    Job OverviewPosition: Credentialing CoordinatorLocation: Shirley, NYAt New York Cancer & Blood Specialists, we create a supportive atmosphere where dedicated professionals excel. Our extensive team of over 200 oncologists, hematologists, and support staff across multiple locations is driven by a shared mission: transforming the landscape of cancer and blood...

  • Credentialing Specialist

    1 week ago

    New York, New York, United States New York Cancer & Blood Specialists Full time

    Job OverviewPosition: Credentialing CoordinatorLocation: Shirley, NYAt New York Cancer & Blood Specialists, we cultivate a workplace where dedicated professionals excel. Our extensive team of over 200 oncologists, hematologists, and support staff across multiple locations is driven by a shared mission: to transform the landscape of cancer and blood disorder...

  • Credentialing Specialist

    2 days ago

    New York, New York, United States TEKsystems Full time

    About the RoleWe are seeking a highly skilled Credentialing Specialist to join our team at TEKsystems. As a Credentialing Specialist, you will play a critical role in ensuring the integrity of our provider database and facilitating the credentialing process for medical staff and advanced practice providers.Key ResponsibilitiesPrepare and Submit Credentialing...

  • Lead Onboarding and Credentialing Specialist

    2 weeks ago

    New York, New York, United States Sollis Health Full time

    As the Lead Onboarding and Credentialing Specialist at Sollis Health, you will act as a key resource for all aspects of new employee integration, provider credentialing, and ongoing provider assessments across various Sollis locations. Your role will involve ensuring adherence to all relevant Sollis policies as well as applicable State and Federal...