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Healthcare Credentialing Specialist

🕒 yesterday
Medical CredentialingPhysician License VerificationProvider EnrollmentHealthcare Compliance
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📜 Description

  • Confirm licenses are active, valid, unrestricted, and appropriate for the intended practice state; check prescribing eligibility.
  • Review onboarding information for discrepancies, restrictions, disciplinary actions, expirations, and missing details.
  • Record verification results and maintain accurate audit trails in the digital prescribing platform.
  • Provide verification feedback within one hour during designated business hours and escalate questionable credentials.
  • Protect sensitive information under HIPAA and company confidentiality requirements.

🛠️ Requirements

  • At least one year of experience in medical credentialing, provider enrollment, physician licensing, healthcare compliance, or a related healthcare administrative role.
  • Experience researching and verifying information through state medical boards, government websites, or regulatory databases.
  • Familiarity with physician license status, expiration dates, restrictions, disciplinary actions, and prescribing eligibility.
  • Strong understanding of HIPAA, patient confidentiality, and secure handling of sensitive information.
  • Excellent attention to detail and ability to identify inconsistencies across multiple sources.
  • Strong written English communication skills.
  • Ability to meet a one-hour turnaround time during working hours.
  • Reliable computer, stable internet connection, and ability to access U.S. government and state regulatory websites.
  • Comfortable using VPN or other approved secure-access tools when required.
  • Ability to work independently with minimal supervision while maintaining high productivity and accuracy.

✨ Benefits

  • Dedicated HR & Contractor Support Team: Access to world-class support for questions, guidance, contract matters, and client communication.
  • Premium VPN Access (Optional): A secure VPN license can be provided upon request to enhance privacy and security for client-related tasks.
  • HIPAA & Cybersecurity Training + Certification (Provided): Access to our internal HIPAA compliance training
  • Certification to help you confidently handle PHI for U.S. healthcare clients
  • Top 1% VA Performance Training: Access to our proprietary training on communication, client management, productivity systems, and best practices to help you become a top-performing VA and increase long-term client retention.
  • Client-Approved U.S. Holidays: Contractors may take U.S. holidays off according to the client’s needs and schedule.
  • Client-Approved Paid or Unpaid Time Off: Time off may be granted by your client. Paid time off is optional and only if offered by the client.
  • Access to Tools & Resources: Templates, workflow guides, productivity tools, and client-specific SOP support to help you perform at your best.
  • Optional Performance-Based Incentives: Some clients may offer bonuses, incentives, or increased hours based on your performance.
  • Verify physician licenses through state medical boards, government sites, and national license databases.
Full job description

Job Title: Healthcare Credentialing Specialist

Position Type: Full-time

Working Hours:

Monday to Friday: 12:00 PM–6:00 PM Pacific Daylight Time

Saturday and Sunday: 8:00 AM–10:00 AM and 2:00 PM–5:00 PM

Salary rate: $5-$6

Job Responsibilities:

  • Manually verify physician licenses using official state medical board and government regulatory websites.
  • Access national license index databases and relevant authority databases to cross-reference physician information.
  • Confirm that each physician’s license is active, valid, unrestricted, and appropriate for the state in which they intend to practice.
  • Verify whether physicians are authorized to prescribe in the states they claim to serve.
  • Review physician information submitted during onboarding and identify discrepancies, restrictions, disciplinary actions, expirations, or missing details.
  • Document verification results accurately within the company’s digital prescribing platform.
  • Provide physicians and internal teams with verification feedback within one hour during designated business hours.
  • Escalate questionable, incomplete, or potentially invalid credentials to the appropriate compliance team.
  • Maintain accurate records and audit trails of all verification activities.
  • Protect physician and organizational information in accordance with HIPAA and company confidentiality requirements.
  • Work independently and communicate effectively in an asynchronous remote environment.

Requirements

  • At least one year of experience in medical credentialing, provider enrollment, physician licensing, healthcare compliance, or a related healthcare administrative role.
  • Experience researching and verifying information through state medical boards, government websites, or regulatory databases.
  • Familiarity with physician license status, expiration dates, restrictions, disciplinary actions, and prescribing eligibility.
  • Strong understanding of HIPAA, patient confidentiality, and secure handling of sensitive information.
  • Excellent attention to detail and ability to identify inconsistencies across multiple sources.
  • Strong written English communication skills.
  • Ability to meet a one-hour turnaround time during working hours.
  • Reliable computer, stable internet connection, and ability to access U.S. government and state regulatory websites.
  • Comfortable using VPN or other approved secure-access tools when required.
  • Ability to work independently with minimal supervision while maintaining high productivity and accuracy.

Basic Requirements

  • Must speak and write English clearly and professionally.
  • Must have relevant work experience.
  • Must be able to provide an NBI Clearance and/or Local Police Clearance before onboarding (mandatory).
  • Must be available to attend video meetings with camera on when required.

Technical Requirements

  • Computer: Reliable laptop or desktop computer.
  • Internet: Stable high-speed internet connection (minimum 25 Mbps).
  • Audio: Noise-canceling headset.
  • Video: Working webcam for virtual meetings.
  • Workspace: Quiet and professional work environment.

Benefits

  • Dedicated HR & Contractor Support Team: Access to world-class support for questions, guidance, contract matters, and client communication.
  • Premium VPN Access (Optional): A secure VPN license can be provided upon request to enhance privacy and security for client-related tasks.
  • HIPAA & Cybersecurity Training + Certification (Provided): Access to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. healthcare clients.
  • Top 1% VA Performance Training: Access to our proprietary training on communication, client management, productivity systems, and best practices to help you become a top-performing VA and increase long-term client retention.
  • Client-Approved U.S. Holidays: Contractors may take U.S. holidays off according to the client’s needs and schedule.
  • Client-Approved Paid or Unpaid Time Off: Time off may be granted by your client. Paid time off is optional and only if offered by the client.
  • Access to Tools & Resources: Templates, workflow guides, productivity tools, and client-specific SOP support to help you perform at your best.
  • Optional Performance-Based Incentives: Some clients may offer bonuses, incentives, or increased hours based on your performance.

These are optional resources and client-approved allowances available to you as an independent contractor. Any resources, training, or allowances listed are optional contractor perks and not employee benefits.

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