Credentialing Specialist

Job not on LinkedIn

🔥 15 minutes ago

🇺🇸 United States – Remote

💵 $25 - $30 / hour

⏳ Contract/Temporary

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Bridge

WebsiteLinkedInAll Job Openings

11 - 50 employees

💳 Fintech

₿ Crypto

💸 Finance

Fintech • Crypto • Finance

Bridge is a cutting-edge payment platform designed to simplify global money movement using stablecoins. It offers innovative solutions such as orchestration APIs for seamless stablecoin integration and issuance APIs for creating custom stablecoins, allowing transactions in USD, EUR, USDC, USDT, and more. Bridge's infrastructure supports rapid cross-border transfers, real-time payouts, and financial operations enhancement, tailored for companies seeking to leverage digital dollars globally. By providing treasury optimization and enhanced savings and spending capabilities in US Dollars, Bridge is revolutionizing how businesses and customers engage with digital currencies, particularly in regions like LATAM.

📋 Description

• Own end-to-end provider credentialing from intake through committee-ready files • Complete primary source verification (PSV) and ensure compliance with NCQA standards and internal policy • Maintain data integrity across systems by reconciling discrepancies • Track licenses, certifications, training, and expirables to keep records audit-ready • Improve throughput and quality using digital tools and automation • Stay current on NCQA, CMS, CAQH, and payer policy changes • Collaborate with payer enrollment and partner operations teams to streamline handoffs and solve problems • Support partner and provider communication and help unblock complex escalations • Draft updates and coordinate internal and external stakeholders • Conduct quality assurance on credentialing files before committee submission • Identify and resolve discrepancies, time gaps, and red flags

🎯 Requirements

• 2–5+ years of credentialing experience in a high-volume, fast-paced environment (digital health, MSO, or healthcare operations) • Exceptional written and verbal communication skills • Comfortable and confident coordinating across internal and external stakeholders • Ability to translate complex credentialing issues into clear updates, next steps, and expectations • Detail-oriented with strong organizational skills • Ability to manage a large queue of credentialing files across multiple partners • Proficiency in startup tech stack, including Google Workspace, Notion, and Slack • Experience with Salesforce or similar CRM/credentialing platforms preferred • Understanding of NCQA and CAQH • Experience using credentialing software such as Verifiable, Medallion, Andros, CertifyOS, or similar • Experience with digital process optimization is a plus

🏖️ Benefits

• Foundational membership in a company revolutionizing how clinics interact with insurance • Partnering directly with clinic leaders • Direct impact on patient access, clinic sustainability, and affordability of care • Strong support from leadership • Culture that values experimentation, clarity, and doing the hard stuff right

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