Credentialing Specailist

Metro Vein Centers; Detroit (MI); Remote; USD 55,000 - 75,000; Full time

Benefits offered by this job

Medical, Dental, and Vision Insurance

401(k)

Paid Time Off (PTO) + Holidays

Company-Paid Life Insurance

Short-Term Disability Insurance

Employee Assistance Program (EAP)

Job summary

Metro Vein Centers is seeking a Credentialing Specialist to support provider credentialing, licensing, and onboarding across payer enrollment. This remote role collaborates with Recruitment, Clinical leadership, and RCM to ensure timely start dates and uninterrupted patient care.

Ideal candidates bring 2+ years of credentialing experience, hands-on licensing knowledge, and strong data accuracy. You will work with CAQH, Availity, and payer portals to maintain records and support Medicare/Medicaid

Qualifications

• 2+ years of provider credentialing experience.
• Hands-on provider licensing experience, including initial applications, renewals, and verification.
• Working knowledge of CAQH attestations and credentialing systems.
• Familiarity with Medicare/Medicaid and commercial payer enrollment processes.
• Strong data accuracy and documentation habits.

Responsibilities

• Manage credentialing and recredentialing activities, tracking progress.
• Process initial provider license applications and renewals.
• Maintain CAQH attestations and payer data across portals and systems.
• Monitor expirables, revalidations, and deadlines to prevent delays.
• Assist onboarding of new providers: documents, NPI/taxonomy/locations setup.
• Coordinate with licensing boards to obtain documentation and resolve requirements.
• Support Medicare/Medicaid enrollment submissions and follow-ups.
• Respond to credentialing and licensing requests; resolve issues promptly.
• Escalate complex cases to Supervisor of Credentialing.

Skills

Detail-oriented

Strong communication

Self-starter

Remote work

Time management

Team collaboration

SOP adherence

Education

High school diploma or equivalent

Tools

CAQH

MD-Staff/Cactus

Availity

Excel/Google Sheets

Job description

Metro Vein Centers is a rapidly growing healthcare practice specializing in state-of-the-art vein treatments. Our board-certified physicians and expert staff are on a mission to improve people’s quality of life by relieving the painful, yet highly treatable symptoms of vein disease—such as varicose veins and heavy, aching legs.

With over 70 clinics across 9 states, and still growing,we’re building the future of vein care—delivering compassionate, results-driven care in a modern, patient-first environment.

We proudly maintain a Net Promoter Score (NPS) of 93, the highest patient satisfaction in the industry.

As a Credentialing Specialist at Metro Vein Centers, you are an integral team member to our continued growth. This role is responsible for provider credentialing, provider licensing, recredentialing, and onboarding support to ensure providers maintain the credentials and licenses needed for timely start dates and uninterrupted patient care. The role also supports Medicare/Medicaid and commercial payer enrollment activities as needed. Reporting to the Supervisor of Credentialing, you’ll work daily with CAQH, state licensing boards, payer portals (e.g., Availity), Medicare PECOS, and our credentialing database, collaborating closely with Recruitment, Clinical leadership, and RCM. The ideal candidate is detail-oriented, process-driven, and has hands‑on experience in both provider credentialing and provider licensing.

This is a remote role; we’re looking for a self‑starter with strong ownership and follow‑through.

What You’ll Do

• Manage provider credentialing and recredentialing activities, including collecting and verifying documentation, maintainingcomplete records, and tracking application progress.
• Process and track initial provider license applications, renewals, and license maintenance across applicable state licensing boards.
• Maintain CAQH attestations and accurate provider data across payer portals and internal credentialing systems.
• Monitor credentialing and licensing expirables, revalidations, and recredentialing deadlines to prevent lapses or delays.
• Support onboarding new providers: gather documents, set up NPI/taxonomy/locations, verify credentials and licenses, and coordinate start‑date readiness.
• Coordinate with providers and state licensing boards to obtain documentation, monitor application status, and resolve outstanding licensing requirements.
• Track provider license expiration dates, application statuses, and outstanding requirements to prevent onboarding delaysor interruptions in practice.
• Support Medicare/Medicaid (PECOS) and commercial payer enrollment submissions, follow‑ups, and effective‑date tracking as assigned.
• Respond to credentialing, licensing, and payer requests; supply additional documentation and resolve application issues promptly.
• Escalate concerns and complex cases to the Supervisor of Credentialing for timely resolution and participate in special projects as needed.

What You’ll Bring

• 2+ years of experience in provider credentialing (physician group, MSO, health plan, or hospital).
• Required hands‑on provider licensing experience, including initial applications, renewals, license verification, and tracking.
• Working knowledge of state medical or professional licensing board requirements, application processes, and license maintenance.
• Hands‑on with CAQH (attestations/rosters) and credentialing systems; familiarity with Medicare PECOS and payer portals (e.g., Availity).
• Working knowledge of provider onboarding, credentialing and recredentialing requirements; familiarity with Medicare/Medicaid and commercial payer enrollment processes.
• Proficient in credentialing systems (e.g., MD-Staff/Cactus) and Excel/Google Sheets.
• Strong data accuracy and documentation habits; able to maintain clean provider records across multiple systems.
• Effective written/verbal communication with payers, providers, and internal stakeholders; escalates issues appropriately.
• Proven ability to prioritize in a high-volume environment, meet deadlines, and follow SOPs with minimal supervision.
• Self‑starter mindset with ownership and follow‑through in a remote setting.
• High school diploma or equivalent required

Benefits to Support Your Wellbeing & Lifestyle

Full-time team members at Metro Vein Centers are eligible for:

• Medical, Dental, and Vision Insurance
• 401(k)
• Paid Time Off (PTO) + Paid Company Holidays
• Company-Paid Life Insurance
• Short-Term Disability Insurance
• Employee Assistance Program (EAP)

The Metro Vein Centers Difference

Healthy legs. Happier lives.
At Metro Vein Centers, we believe exceptional care begins with an exceptional experience. Our mission is to make vein care approachable, empowering, and connected to overall well‑being. From the first conversation to the final follow‑up, every patient interaction reflects our commitment to compassion, expertise, and trust.

A team united by purpose.
Our values guide everything we do:

• Patients First, Always – Every interaction should make our patients feel valued, heard, and cared for.
• Stronger Together – Teamwork and collaboration drive our success. We lift each other up to deliver the best for our patients.
• A Can-Do Spirit – We meet every challenge with positivity, flexibility, and problem-solving energy.
• Results That Make a Difference – We’re driven to improve lives through meaningful, measurable outcomes.
• Commitment to Growth – We invest in our people, fostering advancement and professional development at every level.

Metro Vein Centers is an Equal Opportunity Employer.
We’re committed to creating a workplace where everyone feels seen, heard, and supported. We do not discriminate based on race, color, religion, sex, national origin, age, disability, genetics, gender identity or expression, sexual orientation, veteran status, or any other protected status in accordance with applicable federal, state, and local laws. This policy applies to all aspects of employment, including recruitment, hiring, promotion, compensation, benefits, and termination.

Legal & Compliance Notice:
Metro Vein Centers complies with all applicable federal, state, and local employment laws, including those related to nondiscrimination, equal opportunity, and pay transparency. Where specific disclosures or postings are required by law, we provide this information as part of our hiring process or upon request.

Your privacy matters.
To learn more about how we collect, use, and protect your information, please review our privacy policy here .