Payer Credentialing Specialist

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $55k - $70k / year

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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knownwell

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2022

🏥 Healthcare

🧘 Wellness

🔥 Funding within the last year

💰 $26.1M Series B - knownwell on 2025-10

Healthcare • Wellness

knownwell is a US-based healthcare provider focused on weight management and obesity care. It operates nationwide virtual clinics and in-person clinics across multiple states, offers personalized programs (including primary care, nutrition counseling, body composition testing, remote patient monitoring and a GLP-1 medication program with Medicare Bridge), and partners with payers and health systems to expand access and improve outcomes. The company provides patient-facing services (including teen programs) and clinician networks for obesity treatment.

📋 Description

• Manage end-to-end credentialing and recredentialing processes for new and existing providers, including verification of education, training, board certifications, and work history • Coordinate payer enrollment applications and updates for timely processing and provider participation across commercial and government payers • Maintain accurate and current credentialing files and records in compliance with internal standards and regulatory requirements • Collaborate with providers, health plans, and internal departments to resolve credentialing issues and delays • Track credentialing timelines and proactively follow up on outstanding applications and documentation • Ensure compliance with NCQA, CMS, state, and payer-specific regulations and standards • Participate in audits, surveys, and reporting related to provider credentialing and enrollment • Support clinical operations, revenue cycle, and human resources teams with credentialing-related information and processes

🎯 Requirements

• Minimum of 1 year of experience in provider credentialing and payer enrollment, preferably in a multi-state medical group or healthcare organization • Candidates with less than 1 year of experience are encouraged to apply if they believe they are a strong fit • Strong ownership mindset and ability to work independently in a remote role • High level of accuracy and attention to detail • Methodical approach to tracking applications, deadlines, and documentation • Reliable follow-through and ability to identify and escalate potential delays • Direct and transparent communication skills • Excellent time management and ability to manage multiple credentialing tasks and deadlines simultaneously • Familiarity with CAQH, NPPES, and PECOS is nice to have • Current authorization to work in the United States • Must address potential employment visa sponsorship requirements for work in the United States

🏖️ Benefits

• Medical, dental, and vision insurance • 401K retirement plan with company match • Up to 20 days of PTO per year plus company holidays • Up to 14 weeks of parental leave (12 for non-birthing parents) • Annual work from home stipend for remote employees • Fully remote opportunity