Committed to improving speech and language outcomes for children and adults with affordable, online therapy.
Credentialing Specialist
Location
United States
Posted
14 days ago
Salary
$22 - $27 / hour
Seniority
Senior
Job Description
Credentialing Specialist
Expressable
• Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications. • Maintain accurate provider profiles on CAQH, NPPES and any other applicable profiles • Complete credentialing applications to add current and new providers to commercial, Medicaid, and Medicare payers • Work closely with current and onboarding providers to obtain all necessary information to complete the credentialing and enrollment process • Audit provider information in various systems • Follow up with payers as it relates to credentialing, enrollment, and demographic updates • Research payer processes as it relates to credentialing, enrollment, and demographic updates • Assist in identifying and resolving any denials or authorization issues related to provider credentialing
Job Requirements
- High school diploma or equivalent required
- Hands-on experience completing and submitting credentialing and enrollment applications for commercial payers, medicaid, and medicare
- Experience maintaining provider files and ensuring compliance with payer and regulatory requirements
- Prior experience working directly with providers to collect, validate, and update credentialing information
- Familiarity with auditing provider data across multiple systems and resolving discrepancies
- Experience following up with payers regarding application status, re-credentialing, and demographic updates
- Exposure to denial resolution or authorization issues related to credentialing strongly preferred
- Proficiency with credentialing platforms and databases
- Strong working knowledge of payer credentialing and enrollment workflows
- Comfortable navigating payer portals and researching payer-specific requirements
- Experience with electronic document management and maintaining compliant provider files
- Proficient with standard office productivity and collaboration tools (Docs/Word, Sheets/Excel, email, shared drives, etc.)
Benefits
- Exceptional paid time off policies that encourage and support life balance, including a winter break.
- 401k matching to ensure our staff have what they need to enjoy their retirement
- Health insurance options that ensure well being for the whole person and their family
- Company paid life, short-term disability, and long-term disability coverage
- Remote work environment that strives for connectivity through professional collaboration and personal connections
Related Guides
Related Categories
Related Job Pages
More General Jobs
Global Alliance Lead
dbt Labsdbt Labs is a technology consultancy on a mission to “help analysts create and disseminate organizational knowledge.” Specializing in analytics, data engine
• Own the global Microsoft alliance at the partner and executive level, building trusted relationships with Fabric, Azure, and field leadership across Microsoft's sales, product, and engineering teams • Define and execute a multi-year joint strategy that positions dbt and Fivetran as the default analytics engineering and transformation layer within Microsoft's Fabric and Azure data ecosystem • Represent dbt and Fivetran at Microsoft's internal forums, customer briefings, and industry events - including FabCon, Ignite, and AI Tours - articulating a compelling narrative around trusted data transformation and AI-ready data on Microsoft • Drive key product milestones forward in partnership with dbt Labs' product and engineering teams • Work with Microsoft's Fabric CAT and engineering teams to embed dbt into standard Microsoft reference architectures, solution patterns, and customer-facing platform narratives • Ensure dbt and Fivetran is positioned as cross-platform but Azure-aligned — supporting Fabric, Snowflake on Azure, and Databricks on Azure so Microsoft can win regardless of customer platform preference • Build and run a structured enablement program for Microsoft field teams globally - Fabric specialists, cloud specialists, and solution engineers - through hands-on labs, Feature Fridays, in-office sessions, and joint delivery assets • Partner with Microsoft's alliances and marketing teams to develop joint go-to-market campaigns anchored to Fabric, AI-ready data, and enterprise analytics engineering • Own the co-sell playbook end to end: account mapping, seller-to-seller engagement, targeted plays, and clear asks of Microsoft teams on active opportunities • Drive measurable progress against commercial targets - including Microsoft-sourced revenue, Microsoft-engaged revenue, Azure Marketplace TCV, and Azure consumption • Own Azure Marketplace execution: ensure clean, predictable MACC drawdown and marketplace-backed deal flow with no last-minute surprises • Maintain a rigorous view of Microsoft-attributed pipeline - tracking opportunity sourcing, co-sell progression, and closed business across the alliance • Build and run the global Microsoft operating model: annual business plan, quantifiable goals, named stakeholders, regular cadence with Microsoft, and internal business review rigor • Serve as the internal owner of Microsoft strategy, deal motion, and escalation - the trusted subject matter expert that sales, marketing, product, and technical teams turn to • Define and track the signals of a healthy alliance: field enablement depth, co-sell activity, marketplace execution, product milestone progress, and revenue contribution • Report regularly to alliance and go-to-market leadership on alliance health, pipeline contribution, and strategic progress — and surface risks early
Care Coordinator
Metro Vein CentersSpecialized provider of minimally-invasive medical and cosmetic treatments for varicose veins and spider veins.
• Handle financial navigation and patient motivation • Assist patients in scheduling evaluations and understanding costs • Walk patients through personalized treatment estimates and insurance questions • Update CRM and EMR records, process payments, and track authorizations
Senior Acquisition Specialist
Martek Global Services, Inc.Whether your requirements are PMO, facilities, technology enabled solutions or healthcare support, Martek delivers.
• Ensure all work is completed in accordance with the FAR, DFARS • Provide pre-solicitation advice and document support • Assist in preparing pre-award PWS, Statements of Work (SOW), and other requirements documents • Provide advice and recommendations for acquisition plans • Assist in evaluation process and assure written documentation • Prepare Request for Quotes (RFQs) and Request for Proposals (RFPs) • Monitor contractor performance and ensure compliance • Prepare appropriate documentation for closing out contract actions
• Generate, process, and manage orders using TMS software. • Accurately enter shipment data, track order progress, and provide follow-ups as necessary. • Procure carriers and negotiate competitive rates for available shipments. • Dispatch pickup orders and manage daily load activities to ensure timely, efficient delivery. • Track and monitor shipments to ensure accurate and timely deliveries. • Provide rate quotes and negotiate pricing directly with sales teams, ensuring prompt and transparent communication. • Actively monitor all loads, collaborating with team members to address issues proactively. • Engage regularly with carriers, shippers, and sales teams to meet service commitments and resolve issues.




