Experienced Medical Credentialing Specialist (Virtual Assistant)
Experienced Medical Credentialing Specialist (Virtual Assistant)
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Job Description
Location: Remote (PH Based VA)
Job Type: Fulltime Contract
Industry: Telehealth / Healthcare
Experience Level: Mid to Senior Level
About Us:
We are a fastgrowing 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 recredentialing processes for healthcare providers across various states and facilities in the United States. This role requires a proactive detailoriented 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 recredentialing dates and other expirables to ensure timely action.
- Assist with maintaining CAQH profiles and other credentialingrelated platforms.
- Provide credentialing status updates and reports to management and clinical operations.
- Ensure confidentiality and integrity of provider data.
Qualifications:
- Minimum of 12 years of experience in medical credentialing preferably in a telehealth or multistate healthcare setting.
- Indepth 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 MDStaff Medallion).
- Strong understanding of state medical board requirements and multistate licensure.
- Excellent organizational and timemanagement 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 multistate provider regulations.
Required Experience:
Senior IC
Employment Type
Full-Time
