Credentialing Associate

🔥 16 hours ago

🇺🇸 United States – Remote

💵 $25 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 3%

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Logo of Pair Team

Pair Team

11 - 50 employees

💼 Consulting

📦 Logistics

🏥 Healthcare

Consulting • Logistics • Healthcare

Pair Team is dedicated to connecting underserved communities with high-quality care. They connect vulnerable patients to local care teams, ensuring access to physical, mental, and social services. Through partnerships with local community organizations, they provide whole-person care, coordination of care, and resources. Their community network includes registered nurses, behavioral health clinicians, and various healthcare providers, aimed at improving outcomes and wellbeing for community members. Focus is given on building trust and providing a holistic approach to patient care, reducing emergency room visits, and engaging previously unengaged patients with primary care providers.

📋 Description

• Track renewal deadlines for all active NP, MD, and RN licenses and prompt clinical staff to initiate renewals • Coordinate with CVO and providers on timely license renewal submissions • Manage CAQH re-attestation cycles every 60–90 days • Maintain and monitor provider CAQH profiles for completeness and accuracy • Manage Medicare and Medicaid group-level revalidation cycles • Manage payer recredentialing, demographic updates, and enrollment updates • Track submission status and follow up on outstanding items • Collect and update provider documentation, including licenses, addresses, board certifications, and CPR certifications • Manage credentialing offboarding for departing providers • Support new-state expansion activity and new-state license applications and group enrollment submissions • Support CVO or vendor-coordinated workflows during new market surges

🎯 Requirements

• High attention to detail and comfort managing deadline-driven, recurring workflows • Strong organizational skills, with the ability to track multiple providers across multiple credentialing cycles and platforms simultaneously • Clear communication skills for coordinating with clinical staff on documentation needs • Comfort working in spreadsheet and tracking tools • Must have a quiet, HIPAA-compliant at-home work environment with reliable internet and cell phone access • 1–2 years of experience in healthcare licensing operations or credentialing support preferred, not required • Familiarity with CAQH and clinical licensing management is a plus • Pair Team participates in E-Verify to verify employment eligibility for new hires • Any offer of employment is conditioned upon passing a pre-employment background check

🏖️ Benefits

• Comprehensive health, vision & dental insurance • 401k • Monthly $100 work from home expense stipend for your WFH days • Flexible vacation policy -- take the time you need to recharge! • We provide all of the equipment needed for the role

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