Credentialing Specialist

🔥 2 minutes ago

🇺🇸 United States – Remote

💵 $25 - $30 / hour

⏳ Contract/Temporary

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

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Bridge

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2023

🏥 Healthcare

⚕️ Healthcare Insurance

🔌 API

Healthcare • Healthcare Insurance • API

Bridge is a B2B healthcare infrastructure platform that connects health plans to credentialed providers and enables nationwide insurance billing and in-network virtual care. Bridge provides developer-friendly APIs and EMR integrations, a 50-state provider credentialing and enrollment (PC) model, real-time eligibility and patient cost-estimate engines, and enterprise-grade compliance (SOC2) to help telehealth and provider businesses launch insurance billing and scale nationally in weeks. The platform emphasizes low operational lift, end-to-end enrollment management, and multi-specialty provider coverage across all 50 states.

📋 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 • Leverage digital tools and automation to improve throughput and quality • Stay current on NCQA, CMS, CAQH, and payer policy changes • Collaborate with payer enrollment and partner operations teams to streamline handoffs and improve enrollment speed and quality • Support partner and provider communication and help unblock complex escalations • Draft updates and coordinate internal and external stakeholders • Conduct quality assurance on credentialing files against internal rubrics and NCQA standards 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 • 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 • Strong 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 role at a company revolutionizing how clinics interact with insurance • 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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