About Clarity RCM Clarity RCM is the nation’s leading revenue cycle platform for dermatology, partnering with independent practices in over 40 states to improve financial performance, streamline operations, and deliver exceptional patient experiences. We are a profitable, fast-growing company with a fully remote U.S. team and a large in-office operation in India. The Role US-Based Candidates only. International applicants will not be considered. We are seeking a highly organized, detail-oriented, and execution-focused Credentialing Specialist who will own provider enrollment, credentialing workflows, and payer setup for dermatology practices nationwide. This is a critical role that requires someone who can make sense of complex, disparate information and turn it into clear, repeatable processes. The ideal candidate thrives in environments that need more structure. You enjoy bringing order to moving parts, synthesizing information from many sources, and building systems where none exist. You take pride in creating workflows, organizing information, documenting steps, and establishing processes that allow the credentialing function to scale. You should be comfortable with complex requirements, persistent follow-up, and maintaining accurate, audit-ready documentation at all times. You are tech savvy, proactive, and committed to delivering clean, reliable work that enables providers to practice without interruption. What You Will Do Credentialing and Provider Onboarding - Own the full lifecycle of credentialing for physicians and advanced practice providers, including initial onboarding, primary source verification, re-credentialing, and ongoing monitoring. - Verify education, training, licenses, board certifications, malpractice insurance, and work history with complete accuracy. - Ensure all credentialing files meet NCQA, TJC, CMS, and payer-specific requirements. Payer Enrollment and Maintenance - Prepare, submit, and track enrollment applications with commercial payers including BCBS, UHC, Aetna, and Cigna, as well as Medicare and Medicaid. - Manage CAQH ProView including quarterly attestations and document maintenance. - Process Medicare enrollments and updates through PECOS. - Verify that providers are correctly linked to group tax IDs to prevent out-of-network billing issues. - Track effective dates and panel statuses and communicate updates to internal stakeholders. Process Building and Workflow Design - Create structure in areas that currently have few or inconsistent processes. - Organize credentialing inputs from multiple sources and turn them into clear workflows, trackers, and checklists. - Identify bottlenecks, design solutions, and implement improvements that enhance accuracy, speed, and consistency. - Document processes and maintain updated SOPs that support ongoing team alignment and scale. Cross-Functional Collaboration - Work closely with internal teams to keep credentialing and enrollment workflows moving. - Support account managers, operations, and revenue cycle teams by providing accurate status updates and resolving credentialing-related blockers. - Partner with billing and AR teams to investigate and resolve claim denials caused by credentialing or enrollment issues. Data Management and Documentation - Maintain accurate provider data across CAQH, PECOS, payer portals, and internal systems. - Own a master tracker that includes effective dates, expirables, re-credentialing deadlines, panel statuses, and outstanding items. - Keep all credentialing records continuously audit-ready with complete and up-to-date documentation. Licensing Support - Monitor expiring state licenses, DEA registrations, malpractice insurance, and board certifications. - Communicate proactively with providers to ensure renewals are completed well before expiration dates. What You Will Bring - Experience: 2 to 3 years of hands-on medical credentialing or payer enrollment experience. - Technical Knowledge: Familiarity with CAQH, PECOS, payer portals, and credentialing software. Strong understanding of NCQA, TJC, CMS, and standard credentialing requirements. - Structure Building: A track record of bringing order to complex or unstructured environments and building processes that scale. - Attention to Detail: Ability to identify inconsistencies instantly and maintain clean, accurate files. - Follow-Through: Persistent and professional when gathering documentation or resolving gaps. - Communication: Clear, concise, and confident written and verbal communication skills. - Technology Mindset: Comfortable navigating multiple systems and adopting new tools. - Judgment: Ability to handle PHI and sensitive information with complete discretion. - Mindset: Process-driven, organized, proactive, resourceful, and committed to continuous improvement. Additional Details Location: Fully remote role based in the United States. Compensation: Competitive salary with benefits, commensurate with experience. Why Join Clarity RCM At Clarity, you will join a mission-driven, founder-led organization transforming how independent dermatology practices operate. You will help build a credentialing function known for accuracy, speed, and reliability, and you will be part of a culture that values operational excellence, collaboration, and continuous improvement.

Department: 10336 Enterprise Revenue Cycle - Revenue Cycle Scheduling Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Monday-Friday, 8:30am-5:30pm. Pay Range $21.85 - $32.80 The Pre‑Service Scheduler plays a vital role in delivering an exceptional patient experience by ensuring timely, accurate, and courteous scheduling of outpatient diagnostic testing and procedures. In this remote position, you will serve as a key point of contact for patients, physician offices, and clinical departments—helping coordinate care, remove barriers to access, and ensure patients are fully prepared for their appointments. This role requires strong attention to detail, excellent communication skills, and the ability to work independently in a fast‑paced, high‑volume environment. If you are passionate about patient service, enjoy problem‑solving, and thrive in a structured yet dynamic setting, this role offers meaningful impact and growth opportunity. Essential Functions - Provide prompt, professional, and courteous service to patients, physicians, physician office staff, and hospital departments. - Interview patients to accurately assess scheduling needs and coordinate appointments for outpatient diagnostic testing and procedures. - Accurately collect, analyze, and document patient demographic, insurance, financial, and clinical information from multiple sources. - Utilize computerized central scheduling systems to schedule appointments efficiently while preventing conflicts and ensuring proper test sequencing. - Enter and maintain complete and accurate patient registration data within established policy timeframes. - Inform patients of insurance requirements, pre‑payment financial obligations, and assist with financial transactions as applicable. - Complete Medicare Questionnaires for all Medicare patients and maintain working knowledge of Medicare, Medicaid, and third‑party payer requirements, including pre‑authorization and referral guidelines. - Obtain and accurately transcribe provider orders for scheduled outpatient exams. - Provide patients with clear and accurate preparation and arrival instructions prior to scheduled exams. - Maintain knowledge of Advocate Aurora Health department operations to appropriately address or route patient and staff inquiries. - Actively participate in staff meetings, training sessions, group projects, and continuing education to maintain competency and support departmental improvement initiatives. - Attend all mandatory in‑services and complete required safety and skills competencies. - Maintain strict confidentiality of patient information in compliance with HIPAA and organizational policies. Education & Experience - High school diploma or equivalent required. - One (1) year of experience in healthcare, insurance, call center, or customer service environment typically required. - Experience working with patient registration, scheduling systems, or insurance verification preferred. - Ability to work independently in a high‑volume, high‑stress environment while meeting deadlines and prioritizing work effectively. - Strong problem‑solving skills with the ability to analyze information, identify issues, and draw logical conclusions. - General computer proficiency and comfort working across multiple systems and applications. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation - Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training - Premium pay such as shift, on call, and more based on a teammate's job - Incentive pay for select positions - Opportunity for annual increases based on performance Benefits and more - Paid Time Off programs - Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability - Flexible Spending Accounts for eligible health care and dependent care expenses - Family benefits such as adoption assistance and paid parental leave - Defined contribution retirement plans with employer match and other financial wellness programs - Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

In a world of possibilities, pursue one with endless opportunities. Imagine Next! At Parsons, you can imagine a career where you thrive, work with exceptional people, and be yourself. Guided by our leadership vision of valuing people, embracing agility, and fostering growth, we cultivate an innovative culture that empowers you to achieve your full potential. Unleash your talent and redefine what’s possible. Job Description: T5 Program Summary: The Federal Aviation Administration (FAA) awarded the Technical Support Services Contract 5 (T5) to Parsons in April 2023. Parsons is the prime contractor. This $1.8+ billion contract has a 4-year base period with two 3-year options. The statement of work includes a variety of activities that support the FAA’s Capital Investment Plan (CIP) and certain reimbursable programs, the FAA NextGen Program, national security programs and aviation safety. Specifically, work includes site selection and engineering, construction, environmental and fire/life safety, equipment installation and testing, drafting, contract surveillance, and other technical services as required. Work is performed across the nation in each of the FAA’s nine regions as well as the Aeronautical Center in Oklahoma City, Oklahoma, and the Technical Center in Atlantic City, New Jersey and in several U.S. territories. An average staff of 500 with a peak staff over 650 supports this contract, in addition to those subcontractors who perform construction work. POSITION OVERVIEW: Under general supervision of the T5 National Resource Manager (NRM), performs a variety of routine and non-routine resource related administrative tasks in accordance with established procedures. This administrative position requires the incumbent to exercise good judgment and initiative in order to work within established deadlines. NRM provides guidance in completing non-routine assignments. SPECIFIC RESPONSIBILITIES: - As directed by the NRM, Maintains reports for training, employee resources and other metrics/reports as needed. Main POC for DOL rate requests across the program on a National basis. - Assist the Resource team in maintenance of Resource program functions such as onboarding, offboarding, subcontractor badging, and employee rosters/records. - Assist the Resource team with coordination of new hire onboarding, assets, DOT Badging and cell phones along with other new hire onboarding activities. - Reconciles various reports and records; Follows up as needed to ensure timeliness and avoidance of missed deadlines. - Prepares reports for the NRM on a recurring and/or ad hoc basis. - Performs other responsibilities associated with this position as may be appropriate. EDUCATION/EXPERIENCE: - Associate's Degree in Accounting, Finance, Business, HR (or equivalent) and 3-5 years of related work experience, preferable within government contracts. SKILLS/COMPETENCIES: - Good written and oral communication, organizational, and interpersonal skills are required. Proficiency in MS Office with expertise in Microsoft Word, PowerPoint and Excel is required. - Experience working with SCA/DBA or government is plus but not required. Security Clearance Requirement: None This position is part of our Federal Solutions team. The Federal Solutions segment delivers resources to our US government customers that ensure the success of missions around the globe. Our intelligent employees drive the state of the art as they provide services and solutions in the areas of defense, security, intelligence, infrastructure, and environmental. We promote a culture of excellence and close-knit teams that take pride in delivering, protecting, and sustaining our nation's most critical assets, from Earth to cyberspace. Throughout the company, our people are anticipating what’s next to deliver the solutions our customers need now. Salary Range: $22.93 - $40.14 We value our employees and want our employees to take care of their overall wellbeing, which is why we offer best-in-class benefits such as medical, dental, vision, paid time off, 401(k), life insurance, flexible work schedules, and holidays to fit your busy lifestyle! This position will be posted for a minimum of 3 days and will continue to be posted for an average of 30 days until a qualified applicant is selected or the position has been cancelled. Parsons is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, veteran status or any other protected status. We truly invest and care about our employee’s wellbeing and provide endless growth opportunities as the sky is the limit, so aim for the stars! Imagine next and join the Parsons quest—APPLY TODAY! Parsons is aware of fraudulent recruitment practices. To learn more about recruitment fraud and how to report it, please refer to https://www.parsons.com/fraudulent-recruitment/.

Join Us in Shaping the Future of Health Care At MVP Health Care, we’re on a mission to create a healthier future for everyone. That means embracing innovation, championing equity, and continuously improving how we serve our communities. Our team is powered by people who are curious, humble, and committed to making a difference—every interaction, every day. We’ve been putting people first for over 40 years, offering high-quality health plans across New York and Vermont and partnering with forward-thinking organizations to deliver more personalized, equitable, and accessible care. As a not-for-profit, we invest in what matters most: our customers, our communities, and our team. What’s in it for you: - Growth opportunities to uplevel your career - A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team - Competitive compensation and comprehensive benefits focused on well-being - An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace. You’ll contribute to our humble pursuit of excellence by bringing curiosity to spark innovation, humility to collaborate as a team, and a deep commitment to being the difference for our customers. Your role will reflect our shared goal of enhancing health care delivery and building healthier, more vibrant communities. Qualifications you’ll bring: - Associate’s degree or relevant training in a business school/health care - setting. - The availability to work full-time, virtual - Minimum of 2 years of employment experience working in the medical - community (medical office, medical records, medical billing), claims - processing, health care or health insurance required. - Ability to meet and maintain required departmental quality and quantity - standards, ability to monitor and follow up on outstanding items identified. - Ability to work independently, ability to handle multiple tasks at one time, ability to meet deadlines. - Strict attention to detail. - Curiosity to foster innovation and pave the way for growth - Humility to play as a team - Commitment to being the difference for our customers in every interaction Your key responsibilities: - Conducts RPA verifications and manual verifications of and processes credentialing, recredentialing, registration applications of providers and organizational facilities in accordance with MVP Policies, NCQA standards, CMS, NYS Department of Health and other regulatory agencies. - Processes Credentialing and Recredentialing Applications for practitioners and organizational providers including preparing files for the MVP Credentials Committee. - Conducts primary source verifications from various sources (hospitals, residency programs, internet sources, physicians, practitioners, and insurance companies). - Reviews files to ensure all necessary documentation and information has been received and conducts follow up, as necessary. - Processes provider specialty/category change requests, ongoing monitoring files, early files, and staff review files. - Data enters Credentialing information into sProvider (formerly Cactus) Credentialing software and performs cleanup projects, as directed. - Enters Billing information into Facets. Monitor and maintain outstanding record reports and noncompliance reports to ensure regulatory compliance. - Liaison between IPAs, Professional Relations, Provider Data Management, Network Development and Credentialing department. - Ability to maintain confidentiality and adhere to regulatory compliance issues as they exist and change from time to time. - Must be able to work additional hours as needed. - Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer. Where you’ll be: Virtual within New York State Pay Transparency MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role. We do not request current or historical salary information from candidates. $24.00-$31.92 MVP's Inclusion Statement At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration. MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications. To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at hr@mvphealthcare.com.