Credentialing Specialist

Belle; United States; Remote; USD 50,000 - 90,000; Full time

Job summary

An innovative healthcare company is seeking a Credentialing Specialist to enhance access to vital services. This role involves securing Medicare Advantage contracts and ensuring compliance for all providers. With a focus on rapid credentialing, you'll play a key role in maintaining high standards of care and compliance. Join a mission-driven team dedicated to improving healthcare outcomes and making a real difference in the lives of seniors. This position offers the flexibility of remote work and the potential for both full-time and part-time engagement, making it an exciting opportunity for those passionate about healthcare.

Benefits

Health, Dental, and Vision Insurance

401k

PTO, Sick, and Paid Holidays

Career Growth Opportunities

Ability to Impact Lives

Qualifications

• 3-5+ years of experience in healthcare credentialing.
• Strong knowledge of regulatory requirements.

Responsibilities

• Manage provider credentialing for Medicare and Medicaid.
• Maintain relationships with health plans for enrollment.

Skills

Healthcare Credentialing

Payer Enrollment

Regulatory Knowledge (CMS, NCQA, URAC)

Organizational Skills

Interpersonal Skills

Credentialing Software

Tools

CAQH

PECOS

NPPES

Job description

About Belle

Belle is a fast-growing healthcare company revolutionizing in-home care — starting from the feet up. More than 25 million U.S. seniors can no longer safely care for their feet, contributing to over $38 billion in avoidable medical costs each year.

Belle trains and deploys a network of Community Health Workers — known as Belle Technicians — to deliver in-home foot exams, preventive care, and care management. Backed by advanced data science, our care model detects emerging health risks early, often before they escalate. When issues arise, our telehealth team and nurses coordinate follow-up care and take action.

The result? Belle delivers clinical outcomes on par with blockbuster drugs, without a single pill. Our model helps prevent complications, reduce hospital visits, and improve quality of life — all with care that people genuinely love.

Our mission: Bring Joy to Healthcare. Join us if our cause inspires you!

About this Role

Belle is looking for a Credentialing Specialist to ensure rapid, widespread access to Belle’s services by securing in-network Medicare Advantage contracts and credentialing every Belle provider and workforce member quickly, accurately, and compliantly. This role is remote and may be either full-time or part-time.

Responsibilities

• Leading and managing the group and individual provider credentialing and contracting process for Medicare, Medicaid, and Medicare Advantage payers
• Monitoring and managing payer enrollment timelines to support market launches and state expansions
• Maintaining strong relationships with health plans and serve as the point of contact for credentialing and enrollment-related communications
• Maintaining credentialing files and documentation in accordance with payer, CMS, NCQA, and URAC standards
• Ensuring timely (re)credentialing of physicians, nurse practitioners, and clinical staff
• Managing pre-employment credentialing for the entire workforce, including clinical and non-clinical roles.
• Ongoing monitoring and auditing of background checks, drug screenings, licensure verifications, and other onboarding requirements
• Coordinating closely with the HR and Compliance teams to maintain up-to-date workforce records
• Maintaining a credentialing database and producing regular reports on application status, turnaround times, and compliance metrics

Experience, Skills, & Personality

• 3–5+ years of experience in healthcare credentialing and payer enrollment, preferably with Medicare plans
• Strong knowledge of regulatory and accreditation requirements (CMS, NCQA, URAC)
• Familiarity with CAQH, PECOS, NPPES, and other credentialing platforms
• Excellent organizational skills and attention to detail
• Strong interpersonal and communication skills with the ability to manage external and internal stakeholders
• Experience using credentialing software or provider management tools
• Bonus: Experience in a multi-state or fast-growth healthcare company

Benefits

• Competitive compensation based on experience
• Health, Dental, and Vision Insurance Benefits
• 401k
• PTO, Sick, and Paid Holidays
• Opportunity for significant career growth and expansion of responsibilities
• Ability to reshape an industry and protect lives

Belle is an Equal Employment Opportunity employer that proudly pursues and hires a diverse workforce. Belle does not make hiring or employment decisions on the basis of race, color, religion or religious belief, ethnic or national origin, nationality, sex, gender, gender-identity, sexual orientation, disability, age, military or veteran status, or any other basis protected by applicable local, state, or federal laws or prohibited by Company policy. Belle also strives for a healthy and safe workplace and strictly prohibits harassment of any kind. This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. Employers can only use E-Verify once you have accepted a job offer and completed the Form I-9.