Provider Credentialing Specialist

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $45 - $50 / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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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Zeel

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

🧘 Wellness

Healthcare • Wellness

Zeel is a company that offers massage services, including in-home massages, allowing clients to enjoy therapeutic treatments in the comfort of their own homes. The company often provides promotional offers on massage packages, making wellness more accessible and affordable for their customers.

📋 Description

• Conduct primary source verification of medical credentials, certifications, and background checks for new provider applicants • Collect, validate, and store credentialing documents according to internal policies and HIPAA standards • Maintain and update provider records in credentialing systems and databases • Support recredentialing outreach and application assistance • Assist with audits, reporting, and compliance filings related to provider credentials and service eligibility • Communicate with providers to request missing documentation and provide credentialing status updates • Manage end-to-end provider account creation • Collaborate with Onboarding, Compliance, and Provider Experience teams to support timely provider activation • Track state-specific requirements, expirations, and renewal timelines • Monitor changes in licensure regulations, background check requirements, and clinical credentialing standards • Help manage relationships with credentialing and occupational health vendors • Schedule providers in mobile health, facilitate clinical authorization forms, and review medical documents with clinical members

🎯 Requirements

• 2–4 years of experience in credentialing, compliance, provider enrollment, or healthcare administration • Familiarity with provider credentialing processes and standards (e.g., NCQA, URAC, state board licensure, NPDB) • Strong attention to detail and ability to manage documentation across high volumes and multiple deadlines • Excellent communication skills and comfort working directly with healthcare professionals • Proficiency with credentialing systems, Google Workspace, and project tracking tools • Eligibility to work in the US; work visas are not sponsored • Experience in credentialing licensed massage therapists or other allied health professionals preferred • Knowledge of credentialing compliance for VA, Medicaid, or Medicare Advantage programs preferred • Background in multi-state provider networks or mobile care delivery models preferred • NAMSS certification (CPCS or CPMSM) is a plus • Bilingual in English and Spanish is a bonus • Experience using Salesforce, Verifiable, Evident, and Kustomer is a plus