Healthcare Credentialing Specialist

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Winning Assistants LLC

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51 - 200 employees

At Winning Assistants, we help doctors, healthcare professionals, and business owners save time, cut costs, and scale their operations with highly skilled, HIPAA-compliant virtual assistants. Our VAs handle tasks like admin support, medical office management, marketing, and customer service, allowing you to focus on growth.

📋 Description

• Manually verify physician licenses using official state medical board and government regulatory websites. • Access national license index databases and relevant authority databases to cross-reference physician information. • Confirm that each physician’s license is active, valid, unrestricted, and appropriate for the state in which they intend to practice. • Verify whether physicians are authorized to prescribe in the states they claim to serve. • Review physician information submitted during onboarding and identify discrepancies, restrictions, disciplinary actions, expirations, or missing details. • Document verification results accurately within the company’s digital prescribing platform. • Provide physicians and internal teams with verification feedback within one hour during designated business hours. • Escalate questionable, incomplete, or potentially invalid credentials to the appropriate compliance team. • Maintain accurate records and audit trails of all verification activities. • Protect physician and organizational information in accordance with HIPAA and company confidentiality requirements. • Work independently and communicate effectively in an asynchronous remote environment.

🎯 Requirements

• At least one year of experience in medical credentialing, provider enrollment, physician licensing, healthcare compliance, or a related healthcare administrative role. • Experience researching and verifying information through state medical boards, government websites, or regulatory databases. • Familiarity with physician license status, expiration dates, restrictions, disciplinary actions, and prescribing eligibility. • Strong understanding of HIPAA, patient confidentiality, and secure handling of sensitive information. • Excellent attention to detail and ability to identify inconsistencies across multiple sources. • Strong written English communication skills. • Ability to meet a one-hour turnaround time during working hours. • Reliable computer, stable internet connection, and ability to access U.S. government and state regulatory websites. • Comfortable using VPN or other approved secure-access tools when required. • Ability to work independently with minimal supervision while maintaining high productivity and accuracy. • Basic Requirements • Must speak and write English clearly and professionally. • Must have relevant work experience. • Must be able to provide an NBI Clearance and/or Local Police Clearance before onboarding (mandatory). • Must be available to attend video meetings with camera on when required. • Technical Requirements • Computer: Reliable laptop or desktop computer. • Internet: Stable high-speed internet connection (minimum 25 Mbps). • Audio: Noise-canceling headset. • Video: Working webcam for virtual meetings. • Workspace: Quiet and professional work environment.

🏖️ Benefits

• Dedicated HR & Contractor Support Team: Access to world-class support for questions, guidance, contract matters, and client communication. • Premium VPN Access (Optional): A secure VPN license can be provided upon request to enhance privacy and security for client-related tasks. • HIPAA & Cybersecurity Training + Certification (Provided): Access to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. healthcare clients. • Top 1% VA Performance Training: Access to our proprietary training on communication, client management, productivity systems, and best practices to help you become a top-performing VA and increase long-term client retention. • Client-Approved U.S. Holidays: Contractors may take U.S. holidays off according to the client’s needs and schedule. • Client-Approved Paid or Unpaid Time Off: Time off may be granted by your client. Paid time off is optional and only if offered by the client. • Access to Tools & Resources: Templates, workflow guides, productivity tools, and client-specific SOP support to help you perform at your best. • Optional Performance-Based Incentives: Some clients may offer bonuses, incentives, or increased hours based on your performance.