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📋 Job Title: Provider Credentialing Specialist 📍 Location: Remote 🕒 Type: Full-Time 🏢 About RevGroMD RevGroMD helps healthcare practices across the US and Canada grow by providing expert support in Insurance Credentialing , Revenue Cycle Management , and Digital Marketing . Our mission is to eliminate operational roadblocks for healthcare providers so they can focus on delivering excellent care. We are looking for a detail-oriented and process-driven Credentialing Specialist to join our operations team and manage the end-to-end provider enrollment process. 🎯 Role Overview As a Provider Credentialing Specialist , you will be responsible for handling new and re-credentialing applications, ensuring compliance with payer requirements, and facilitating smooth provider onboarding. You’ll play a crucial role in accelerating our clients’ revenue cycles by securing timely approvals from commercial and government payers. 🔍 Key Responsibilities ✅ Prepare and submit credentialing and re-credentialing applications to commercial and government insurance payers (e.g., Medicare, Medicaid, BCBS, Aetna, Cigna, etc.). ✅ Maintain accurate provider records in systems like CAQH , PECOS , NPPES , and internal databases. ✅ Follow up proactively with payers to track application status and resolve delays. ✅ Communicate with clients/providers to obtain missing documents, signatures, or clarifications. ✅ Track and manage re-credentialing deadlines to ensure continued network participation. ✅ Update internal tracking systems and maintain detailed logs for every case. ✅ Collaborate with cross-functional teams to support seamless provider setup. ✅ Ensure 100% compliance with payer, state, and federal regulations. 📌 Qualifications & Skills ✔ 1+ years of experience in provider credentialing or healthcare operations (preferred). ✔ Strong knowledge of payer portals, credentialing processes, and enrollment guidelines. ✔ Familiarity with CAQH, PECOS, NPPES, and payer-specific platforms. ✔ Excellent written and verbal communication skills. ✔ Ability to manage multiple priorities, stay organized, and meet deadlines. ✔ Proficiency in Google Workspace or MS Office (Excel, Word). ✔ Strong attention to detail and problem-solving skills. 🌟 What We Offer ✨ Opportunity to work with a fast-growing startup ✨ Collaborative, supportive, and process-driven work environment ✨ Exposure to cross-functional projects in RCM, marketing & automation ✨ Skill development in a high-demand healthcare operations niche Show more Show less
