Role Description
The Licensing & Credentialing Specialist is responsible for coordinating, verifying, and maintaining professional licenses, certifications, registrations, and credentialing records for providers. This role helps ensure compliance with organizational standards, payer requirements, accrediting bodies, and applicable state and federal regulations. The specialist works closely with internal teams, providers, agencies, and payers to support timely onboarding/credentialing, recredentialing, renewals, and accurate recordkeeping. The ideal candidate will be responsible for ensuring that all providers within our organization are properly licensed, credentialed, and enrolled with payors to practice in accordance with state regulations and organizational standards and will also be able to provide ongoing support to existing providers. The Licensing and Credentialing Specialist will be instrumental in advancing growth initiatives as Sidekick Therapy Partners expands into additional states as well. This position requires strong attention to detail, a proactive orientation to support our clinical team, ability to handle competing priorities, collaborative drive, and excellent task management skills.
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Manage initial credentialing, recredentialing, and licensing processes for all providers.
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Verify licenses, certifications, education, training, work history, and other required documentation.
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Maintain accurate and up-to-date credentialing files, databases, and tracking systems.
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Monitor expiration dates for licenses, certifications, registrations, and other credentials, and communicate renewal requirements in advance.
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Prepare and submit credentialing and enrollment applications to payers, regulatory agencies, and accrediting organizations as needed.
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Review/Complete applications and supporting documents for completeness, accuracy, and compliance with internal policies and external requirements.
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Follow up with providers, payers, licensing boards, and other agencies regarding application status, missing information, and approvals.
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Conduct regular audits and reviews of licensing and credentialing records to identify discrepancies, gaps, or potential areas of non-compliance.
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Maintain confidentiality of sensitive provider, employee, and organizational information.
Qualifications
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Strong attention to detail, accuracy, organization, and time management.
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Proficiency with credentialing databases, spreadsheets, and standard office software.
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Proficient in basic computer skills with a strong ability to learn and adapt to new technologies quickly.
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Ability to manage multiple deadlines and work independently in a fast-paced environment.
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Strong written and verbal communication skills.
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Familiarity with credentialing platforms, CAQH, PECOS, NPPES, or similar systems preferred but not required.
Requirements
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Attention to detail.
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Confidentiality and professionalism.
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Critical thinking and problem-solving.
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Follow-through and deadline management.
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Customer service and relationship management.
Benefits
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Health benefits (medical, dental, vision) for full-time employees with no waiting period.
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W2 employment.
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Company-paid short- & long-term disability for full-time employees.
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401(k) match for all employees.
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Professional development & leadership opportunities.
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Community involvement opportunities across TN & NC.
