Healthcare Licensing and Credentialing

Summary: Responsible for verifying provider licensing and credentials, managing payer enrollment, and ensuring compliance with healthcare standards. Supports timely credentialing and re-credentialing for providers. Responsibilities: • Collect and verify provider documents (licenses, education, certifications, malpractice, etc.). • Process credentialing and re-credentialing applications with payers (Medicare, Medicaid, commercial plans). • Maintain provider files, databases, and systems (e.g., CAQH, NPPES, PECOS). • Track expirations and ensure timely renewals. • Communicate application status and requirements to providers and internal teams. • Ensure compliance with HIPAA, NCQA, Joint Commission, and other regulations. Qualifications: • Experience in healthcare credentialing or provider enrollment preferred. • 2+ years in Behavioral Health credentialing • Experience working in Modio credentialing database • Knowledge of CAQH, PECOS, and payer requirements is an advantage. • Strong attention to detail, organization, and communication skills. • Proficient with Microsoft Office and credentialing systems. • Willing to work US hours from Monday to Friday Benefits Why join us as? You’ll see dozens of marketing analysis set-ups, you’ll learn how marketing strategies are built, what matters, and why. You’ll have the opportunity of solving real customer problems on an everyday basis.