Credentialing Specialist

Medallion; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

Join a fast-growing healthcare technology company that is transforming provider operations. As a Credentialing Specialist, you will play a vital role in ensuring efficient and accurate licensing and credentialing tasks. Your contributions will help create a seamless onboarding experience for clinicians, making a real difference in patient care. With a focus on teamwork and process improvement, you will work alongside dedicated professionals in a dynamic environment. This is an exciting opportunity to be part of a mission-driven organization that values innovation and excellence in healthcare.

Qualifications

• 2+ years of provider credentialing experience required.
• High attention to detail and effective communication skills are essential.

Responsibilities

• Ensure timely and accurate completion of credentialing files.
• Communicate with providers throughout the credentialing process.

Skills

Credentialing Experience

Attention to Detail

Effective Communication

Organizational Skills

GSuites Tools (GSheets, GDocs, GMail)

Tools

GSuites

Job description

At Medallion, we believe healthcare teams should focus on what truly matters—delivering exceptional patient care. That’s why we’ve built a leading provider operations platform to eliminate the administrative bottlenecks that slow healthcare organizations down. By automating licensing, credentialing, payer enrollment, and compliance monitoring, Medallion empowers healthcare operations teams to streamline their workflows, improve provider satisfaction, and accelerate revenue generation, all while ensuring superior patient outcomes.

As one of the fastest-growing healthcare technology companies—ranked No. 3 on Inc. Magazine’s 2024 Fastest-Growing Private Companies in the Pacific Region, No. 5 on LinkedIn's 2024 Top Startups in the US, a Glassdoor Best Place to Work in 2024 & 2025, and featured on The Today Show—Medallion is revolutionizing provider network management. Our CEO,Derek Lo,has been named one of the Top 50 Healthcare Technology CEOs of 2024 by The Healthcare Technology Report. Backed by $85M in funding from world-class investors like Sequoia Capital, Google Ventures, Optum Ventures, and Salesforce Ventures, we’re on a mission to transform healthcare at scale.

About the role

Our Credentialing team is core to our business and is responsible for making sure all of the licensing and credentialing tasks that we take on for our customers is completed efficiently and accurately. As a Credentialing Specialist, you will be responsible for primary source verifications and ensuring the completion of credentialing files. Your work is critical to creating a seamless onboarding experience for clinicians.

Compensation for this role is between $19/hr - $27/hr depending on location and level.

What you'll do

• Ensure credentialing files are being completed in a timely and accurate manner
• Adhere to Medallion internal SLAs
• Complete primary source verifications
• Education and Board verifications
• State Licenses
• Reviewing credentialing files and marking them as ready to complete the credentialing process
• Resolve day-to-day questions and blockers for your team and escalate priority issues when needed
• Participate in team meetings alongside other team members to discuss credentialing issues, provide feedback to product and engineering, and discuss process improvement changes
• Communicating with providers through the credentialing process, assigning out tasks and following up on outstanding tasks

Qualifications

• 2+ years of provider credentialing experience
• Experience working in a team environment
• High attention to detail including effective communications at all organizational levels
• Demonstrated organizational skills and ability to adhere to timelines and SLA metrics
• Expertise in using GSuites tools include GSheets, GDocs, and GMail
• Experience working at a startup is a bonus

Nice-to-haves:

• Familiarity or experience with provider enrollment or medical licensing