Credentialing Specailist

metroveincenters; Detroit (MI); Remote; USD 60,000 - 80,000; Full time

Benefits offered by this job

Medical, Dental, and Vision Insurance

401(k)

PTO + Holidays

Life Insurance

Short-Term Disability Insurance

EAP

Job summary

Metro Vein Centers is seeking a Credentialing Specialist to manage credentialing, licensing, and onboarding support remotely. You will work with CAQH, payer portals, and state boards to ensure timely credentialing for providers and uninterrupted patient care.

The role emphasizes attention to detail, data accuracy, and experience with Medicare/Medicaid enrollment processes. A remote, self-starter mindset is essential.

Qualifications

• Minimum 2+ years in provider credentialing.
• Hands-on provider licensing experience (initial apps, renewals, verifications).
• Familiarity with CAQH attestations/rosters and payer portals.
• Knowledge of state licensing boards and Medicare/Medicaid enrollment.

Responsibilities

• Manage credentialing and recredentialing activities with documentation collection and tracking.
• Process initial license applications and renewals across state boards.
• Maintain CAQH attestations and provider data across portals and systems.
• Track license expirations and deadlines to avoid delays.
• Support onboarding of new providers and enrollment submissions.

Skills

Credentialing experience

Licensing experience

Attention to detail

Remote working

Communication

Prioritization in high-volume

Education

High school diploma or equivalent

Tools

CAQH

Availity

MD-Staff/Cactus

.xls/.xlsx (Excel/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, maintaining complete 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 delays or 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)
• Career Growth & Development Opportunities

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 ev