Credentialing Specialist
7 days ago
LifeMD is a leading provider of virtual primary care, headquartered in NYC. Our vertically-integrated digital care platform, 50-state affiliated medical group, and US-based patient care center enable us to elevate healthcare by increasing access to top-notch and affordable care.
We are currently in the midst of immense growth and were recently ranked #166 in the 2023 Deloitte Fast 500.
About the RoleThe 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.
Key Responsibilities- Credential and 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.
- Perform external research and conduct verification of all LifeMD licensure, malpractice and educational degrees, diplomas and certifications.
- Check insurance payor websites for accurate directory listings and perform regular updates.
- Meet LifeMD expectations for payor application submission on a consistent basis.
- 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.
- 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
6 days ago
New York, New York, United States eTeam Full timeCredentialing Specialist Job DescriptionThe Credentialing Specialist plays a critical role in ensuring the accuracy and integrity of provider credentialing processes. This position is responsible for facilitating all aspects of provider credentialing, including initial appointment, reappointment, credential audits, and clinical privileging for Medical Staff,...
-
Credentialing Specialist
2 weeks ago
New York, New York, United States NavitsPartners Full timeCredentialing Specialist Job Description **Job Summary:** The Credentialing Specialist is a critical role at NavitsPartners, responsible for ensuring the accuracy and integrity of provider credentialing processes. **Key Responsibilities:** * Facilitate all aspects of provider credentialing, including initial appointment, reappointment, credential audits,...
-
Credentialing Specialist
7 days ago
New York, New York, United States LanceSoft Full timeCredentialing Specialist Job DescriptionLanceSoft is seeking a skilled Credentialing Specialist to facilitate all aspects of provider credentialing, including initial appointment, reappointment, credential audits, and clinical privileging for Medical Staff, Allied Health Professionals, and other providers.Key Responsibilities:Utilize MDStaff credentialing...
-
Credentialing Specialist
1 week ago
New York, New York, United States ATD Technology LLC Full timeJob SummaryWe are seeking a highly skilled Credentialing Specialist to join our team at ATD Technology, LLC. As a Credentialing Specialist, you will be responsible for facilitating all aspects of provider credentialing, including initial appointment, reappointment, credential audits, and clinical privileging for Medical Staff, Allied Health Professionals,...
-
Credentialing Specialist
5 days ago
New York, New York, United States Central Office Full timeCredentialing Specialist Job DescriptionCentral Office is seeking a skilled Credentialing Specialist to facilitate all aspects of provider credentialing, including initial appointment, reappointment, credential audits, and clinical privileging for Medical Staff, Allied Health Professionals, and other providers as per corporate policies and hospital...
-
Credentialing Specialist
5 days ago
New York, New York, United States DIVERSE LYNX LLC Full timeCredentialing Specialist Job DescriptionThe Credentialing Specialist is a vital member of the DIVERSE LYNX LLC team, responsible for ensuring the accuracy and integrity of provider credentialing and clinical privileging processes. This role requires a high level of attention to detail, strong organizational skills, and the ability to work effectively in a...
-
Credentialing Specialist
6 days ago
New York, New York, United States Network Temp Inc Full timeJob DescriptionNetwork Temp Inc is seeking a skilled Credentialing Specialist to join our team. As a Credentialing Specialist, you will play a critical role in ensuring the accuracy and completeness of provider credentialing information. Your attention to detail and organizational skills will be essential in maintaining communication with facilities and...
-
Credentialing Specialist
1 month ago
New York, New York, United States RTA US Full timeJob 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
3 weeks ago
New York, New York, United States NavitsPartners Full timeNavitsPartners is seeking a skilled Credentialing Specialist to oversee the comprehensive process of provider credentialing. The ideal candidate will possess a strong understanding of accrediting and regulatory agency standards, as well as proficiency in utilizing MDStaff or similar credentialing software applications. Key responsibilities include executing...
-
Credentialing Specialist
7 days ago
New York, New York, United States Atria Consulting Full timeAtria Consulting is seeking a skilled Credentialing SpecialistThe ideal candidate will be responsible for facilitating all aspects of provider credentialing, including initial appointment, reappointment, and credential audits. This role requires strong organizational and communication skills to ensure seamless credentialing processes.Key...
-
Credentialing Specialist
2 weeks ago
New York, New York, United States Atria Consulting Full timeAtria Consulting is seeking a skilled Credentialing Specialist to facilitate provider credentialing processes. Key responsibilities include initial appointment, reappointment, credential audits, and clinical privilege management. The ideal candidate will possess strong organizational skills and experience in healthcare credentialing. If you are a...
-
Medical Credentialing Specialist
3 weeks ago
New York, New York, United States TemPositions Full timeMedical Credentialing Specialist Job DescriptionWe are seeking a highly skilled Medical Credentialing Specialist to join our team at TemPositions. As a Medical Credentialing Specialist, you will be responsible for credentialing physicians and other medical providers into various insurance companies.Key Responsibilities:Verify and validate provider...
-
Medical Credentialing Specialist
1 week ago
New York, New York, United States TemPositions Full timeMedical Credentialing Specialist Job DescriptionWe are seeking a highly skilled Medical Credentialing Specialist to join our team at TemPositions. As a Medical Credentialing Specialist, you will be responsible for credentialing physicians and other medical providers into various insurance companies.Key Responsibilities:Verify and validate provider...
-
Credentialing Specialist
4 weeks ago
New York, New York, United States Bernard Nickels & Associates Full timeTIME 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
4 weeks ago
New York, New York, United States Bernard Nickels & Associates Full timeTIME 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
1 month ago
New York, New York, United States Bernard Nickels & Associates Full timeTIME 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
1 month ago
New York, New York, United States Bernard Nickels & Associates Full timeTIME 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...
-
Credentialing Specialist
1 day ago
New York, New York, United States Network Temp Inc Full timeJob DescriptionNetwork Temp Inc is seeking a skilled Credentialing Specialist to join our team.Key Responsibilities:Maintain effective communication with credentialing contacts at facilities and provider sites to ensure timely receipt of information required for credentialing, re-credentialing, and update of provider credentialing information.Review provider...
-
Healthcare Credentialing Specialist
2 weeks ago
New York, New York, United States Global Channel Management Full timeHealthcare Credentialing Specialist Role Overview At Global Channel Management, we are seeking a skilled Healthcare Credentialing Specialist to join our team. The successful candidate will be responsible for managing the credentialing process and partnering with doctors to ensure all paperwork is complete, accurate, and accounted for. Key...
-
Medical Credentialing Specialist
2 weeks ago
New York, New York, United States TemPositions Full timeMedical Credentialing Specialist Job DescriptionWe are seeking a highly skilled Medical Credentialing Specialist to join our team at TemPositions. As a Medical Credentialing Specialist, you will be responsible for credentialing physicians and other medical providers into various insurance companies.Key Responsibilities:Credentialing physicians and other...
