Were building Rockstar Credentialing a new end-to-end credentialing service for private practices. This role has a unique opportunity to build this service offering from the ground up!
Credentialing is one of the most expensive bottlenecks in a therapy practice. A provider who isnt credentialed cant bill insurance cant get paid and cant see patients under a payer plan no matter how qualified they are. Initial credentialing with commercial payers typically takes 90 to 120 days Medicare enrollment through PECOS runs 60 to 90 days and payers now require continuous monitoring of licenses sanctions and exclusion lists rather than periodic checks. Miss a step and a practice loses revenue it cant easily recover.
Were building a service that takes that entire burden off practice owners: primary source verification CAQH management payer enrollment recredentialing ongoing compliance monitoring all of it done right and done fast. This role is the person who builds that service and runs it.
What Youll Do
Stand up the service. Youll help design and launch Rockstar Credentialing from the ground up. That means building the workflows setting the quality standards choosing the tools and defining what done right looks like for every credentialing file that comes through. Youre not inheriting a playbook. Youre writing it.
Own the operation end to end. Once its live you run it. Application intake primary source verification CAQH profile management payer and Medicare/Medicaid enrollment recredentialing cycles and ongoing license and sanctions monitoring all sit with you. Youre accountable for turnaround time accuracy and compliance across every file.
Build and scale the team. Youll hire train and manage the credentialing specialists who do this work day to day. As practice partners come on board youll grow the team to match without letting quality slip.
Keep practices compliant and paid. Youll track every providers status across every payer catch expirations and gaps before they become problems and make sure no practice partner loses billing privileges because a step got missed.
Partner across Rockstar. Youll work closely with the VA operations team sales and leadership to make sure credentialing fits into the broader partner experience not as a bolt-on service but as a core part of what makes Rockstar different.
Requirements
4 years in provider credentialing payer enrollment or medical staff services ideally with direct experience in a multi-location or multi-payer environment
Real hands-on knowledge of CAQH ProView PECOS and payer-specific credentialing requirements (Medicare Medicaid and major commercial payers)
Experience managing re-credentialing cycles and ongoing compliance monitoring not just initial applications
A track record of building or significantly improving a process not just running one someone else designed
Team leadership experience or clear readiness to hire and manage a growing team
Comfort with ambiguity. This is a new service line. Youll be making calls without a precedent to point to
Sharp attention to detail. A missed field on a CAQH profile can cost a practice weeks of revenue
Experience in PT OT or SLP credentialing is a strong plus but not required
Why This Role
Youre not joining an existing team to maintain whats already built. Youre building the thing. If credentialing gets done well practices get paid faster providers see patients sooner and Rockstar becomes the partner practices cant imagine running without. Thats the job.
Benefits
Competitive salary commensurate with experience.
Opportunities for professional development and growth.
Work in a dynamic and supportive team environment.
Make a meaningful impact by helping to build and strengthen families across the globe.
Required Skills:
Previous experience in a medical administrative role (medical assistant medical receptionist or similar) is preferred. Familiarity with WebPT EMR and Therabill for patient payment posting is a plus. Strong communication skills both written and verbal. Ability to manage multiple tasks and prioritize effectively. Excellent organizational skills and attention to detail. High level of professionalism and commitment to maintaining patient confidentiality. Comfortable with remote work and proficient in using virtual communication tools. Knowledge of insurance verification and pre-authorizations is a plus. Ability to work collaboratively with a team and contribute to a positive patient experience.
This is a remote position.The Role Were building Rockstar Credentialing a new end-to-end credentialing service for private practices. This role has a unique opportunity to build this service offering from the ground up! Credentialing is one of the most expensive bottlenecks in a therapy prac...
This is a remote position.
The Role
Were building Rockstar Credentialing a new end-to-end credentialing service for private practices. This role has a unique opportunity to build this service offering from the ground up!
Credentialing is one of the most expensive bottlenecks in a therapy practice. A provider who isnt credentialed cant bill insurance cant get paid and cant see patients under a payer plan no matter how qualified they are. Initial credentialing with commercial payers typically takes 90 to 120 days Medicare enrollment through PECOS runs 60 to 90 days and payers now require continuous monitoring of licenses sanctions and exclusion lists rather than periodic checks. Miss a step and a practice loses revenue it cant easily recover.
Were building a service that takes that entire burden off practice owners: primary source verification CAQH management payer enrollment recredentialing ongoing compliance monitoring all of it done right and done fast. This role is the person who builds that service and runs it.
What Youll Do
Stand up the service. Youll help design and launch Rockstar Credentialing from the ground up. That means building the workflows setting the quality standards choosing the tools and defining what done right looks like for every credentialing file that comes through. Youre not inheriting a playbook. Youre writing it.
Own the operation end to end. Once its live you run it. Application intake primary source verification CAQH profile management payer and Medicare/Medicaid enrollment recredentialing cycles and ongoing license and sanctions monitoring all sit with you. Youre accountable for turnaround time accuracy and compliance across every file.
Build and scale the team. Youll hire train and manage the credentialing specialists who do this work day to day. As practice partners come on board youll grow the team to match without letting quality slip.
Keep practices compliant and paid. Youll track every providers status across every payer catch expirations and gaps before they become problems and make sure no practice partner loses billing privileges because a step got missed.
Partner across Rockstar. Youll work closely with the VA operations team sales and leadership to make sure credentialing fits into the broader partner experience not as a bolt-on service but as a core part of what makes Rockstar different.
Requirements
4 years in provider credentialing payer enrollment or medical staff services ideally with direct experience in a multi-location or multi-payer environment
Real hands-on knowledge of CAQH ProView PECOS and payer-specific credentialing requirements (Medicare Medicaid and major commercial payers)
Experience managing re-credentialing cycles and ongoing compliance monitoring not just initial applications
A track record of building or significantly improving a process not just running one someone else designed
Team leadership experience or clear readiness to hire and manage a growing team
Comfort with ambiguity. This is a new service line. Youll be making calls without a precedent to point to
Sharp attention to detail. A missed field on a CAQH profile can cost a practice weeks of revenue
Experience in PT OT or SLP credentialing is a strong plus but not required
Why This Role
Youre not joining an existing team to maintain whats already built. Youre building the thing. If credentialing gets done well practices get paid faster providers see patients sooner and Rockstar becomes the partner practices cant imagine running without. Thats the job.
Benefits
Competitive salary commensurate with experience.
Opportunities for professional development and growth.
Work in a dynamic and supportive team environment.
Make a meaningful impact by helping to build and strengthen families across the globe.
Required Skills:
Previous experience in a medical administrative role (medical assistant medical receptionist or similar) is preferred. Familiarity with WebPT EMR and Therabill for patient payment posting is a plus. Strong communication skills both written and verbal. Ability to manage multiple tasks and prioritize effectively. Excellent organizational skills and attention to detail. High level of professionalism and commitment to maintaining patient confidentiality. Comfortable with remote work and proficient in using virtual communication tools. Knowledge of insurance verification and pre-authorizations is a plus. Ability to work collaboratively with a team and contribute to a positive patient experience.
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