Credentialing Specialist

Job not on LinkedIn

🕒 July 13

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 30%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Heartbeat Health

WebsiteLinkedInAll Job Openings

11 - 50 employees

🏥 Healthcare

⚕️ Healthcare Insurance

📡 Telecommunications

Healthcare • Healthcare Insurance • Telecommunications

Heartbeat Health is a revolutionary healthcare company focused on transforming cardiovascular care through virtual-first cardiology. By leveraging device connectivity and real-time clinical data, they provide accessible, high-quality cardiovascular care remotely, offering services such as televisits, same-day diagnostic reads, and comprehensive care programs. Heartbeat Health aims to make heart health care more accessible and effective, using a nationwide model that allows for coordinated delivery between patients, cardiologists, and primary care physicians. They collaborate with various partners to create a seamless, connected health experience, both synchronously and asynchronously. Their approach simplifies complex care processes into manageable steps, improving patient outcomes and engagement, especially in regions with limited access to cardiologists.

📋 Description

• Manage initial credentialing, re-credentialing, and payer enrollment for telehealth providers across the U.S. • Submit and track applications with Medicare, Medicaid, VA, Tricare, and commercial/private payers • Lead and mentor credentialing staff through training, guidance, and quality checks • Serve as subject matter expert for credentialing, payer enrollment, and revenue cycle processes • Optimize credentialing turnaround time and reduce payer enrollment delays affecting revenue • Monitor payer regulations and credentialing requirements across service states • Analyze credentialing and enrollment denial trends and implement corrective actions • Track payer roster accuracy and maintain data integrity between credentialing and billing systems • Maintain accurate provider records in CAQH, payer portals, and internal databases • Verify provider education, training, board certification, work history, malpractice history, and references • Align provider enrollment with billing requirements to reduce claim denials and reimbursement delays • Resolve payer roster and enrollment timeline issues • Support new provider onboarding before patient scheduling • Prepare credentialing, enrollment, and expiration reports for leadership and compliance • Assist with audits, quality checks, and process improvements

🎯 Requirements

• High school diploma or equivalent required • Associate’s or Bachelor’s degree in Healthcare Administration or related field preferred • 5–7 years of experience in healthcare credentialing and payer enrollment • Telehealth or multi-state experience strongly preferred • Strong knowledge of government and commercial payer enrollment requirements • Familiarity with revenue cycle management processes and credentialing’s impact on reimbursement • Proficiency with credentialing platforms and payer portals, including CAQH • Ability to manage multiple providers and payers across states • Strong communication skills for relationships with providers, payers, and internal teams • High attention to detail and accuracy • Ability to meet strict deadlines

🏖️ Benefits

• Remote-first work environment • Flexibility, autonomy, and trust • Equal opportunity workplace • Mission-driven culture • Fast-paced and agile work environment • Opportunities for learning and challenge