Credentialing Specialist at LifeMD New York, NY

LifeMD; New York (NY); On-site; USD 60,000 - 70,000; Full time

Benefits offered by this job

Health care plan

401k

Life insurance

Unlimited paid time off

Paid holidays

Disability (short/long term)

Training & development

Job summary

LifeMD in New York, NY is seeking a Credentialing Specialist to support medical licensing, credentialing processes, and payer contracts. You will ensure efficient operations, maintain provider credentialing rosters, and liaise with payors and other LifeMD departments.

The role requires at least 3+ years in credentialing, CPCS/CPMSM certifications, and strong analytical and communication skills. You will work in a fast-paced, collaborative environment with a focus on compliance and accuracy.

Qualifications

• Strong analytical skills to interpret complex data and compliance requirements.
• Excellent written and verbal communication skills; ability to present concepts clearly.
• Experience with credentialing software and payer enrollment processes.

Responsibilities

• Credential/re-credential LifeMD providers with insurance payors and hospitals; maintain CAQH provider data.
• Maintain credentialing matrices for all LifeMD providers and markets/states.
• Respond to payor inquiries and assist onboarding/offboarding of providers.
• Obtain licensure/privileges for LifeMD providers and ensure compliance.
• Verify licensure, malpractice, and education data; perform credentialing research.

Education

Bachelor’s Degree in Business Administration/Healthcare Administration or equivalent experience

Job description

Credentialing Specialist job at LifeMD. New York, NY.

About us

LifeMD is a leading digital healthcare company committed to expanding access to virtual care, pharmacy services, and diagnostics by making them more affordable and convenient for all. Focused on both treatment and prevention, our unique care model is designed to optimize the patient experience and improve outcomes across more than 200 health concerns.

To support our expanding patient base, LifeMD leverages a vertically-integrated, proprietary digital care platform, a 50-state affiliated medical group, a 22,500-square-foot affiliated pharmacy, and a U.S.-based patient care center. Our company — with offices in New York City, Greenville, SC, and Huntington Beach, CA — is powered by a dynamic team of passionate professionals. From clinicians and technologists to creatives and analysts, we’re united by a shared mission to revolutionize healthcare. Employees enjoy a collaborative and inclusive work environment, hybrid work culture, and numerous opportunities for growth. Want your work to matter? Join us in building a future of accessible, innovative, and compassionate care.

About the role

The Credentialing Specialist reports to the Director of Payor Enrollment, Licensing & Credentialing and is responsible for supporting all aspects of the medical licensing and credentialing processes. The Credentialing Specialist will ensure the efficient operation of medical licensing, credentialing, and payer contracts to maximize provider efficiency.

Responsibilities

• Credential/Re-credential LifeMD providers with insurance payors and/or hospitals. Maintain and update insurance credentialing and the CAQH Provider System
• Maintain credentialing matrices for all LifeMD providers and markets/states
• Provide follow-up correspondence with insurance payors on a regular basis for all credentialing matters
• Work with other LifeMD departments to facilitate the onboarding/offboarding of LifeMD providers
• Assist LifeMD providers with any ancillary credentialing, licensing or payor enrollment questions
• Obtain necessary licensure and/or privileges for LifeMD providers
• Create, maintain and update provider credentialing rosters for LifeMD
• Performs external research and conducts verification of all LifeMD licensure, malpractice and educational degrees, diplomas and certifications
• Checks insurance payor websites for accurate directory listings and performs regular updates
• Meet LifeMD expectations for payor application submission on a consistent basis

• Performs complex and confidential administrative functions including developing and typing written correspondence. Responds to routine external correspondence. Types memos, and other department forms and documents
• Handles confidential and non-routine information and maintains provider confidence and protects operations by keeping all provider and LifeMD practice information confidential
• Work independently and within a team on special and nonrecurring and ongoing projects at the request of the Director of Payor Enrollment, Licensing & Credentialing, which may include updating Excel spreadsheets or other systems, and disseminating information
• Reliability- it is an essential function of this position to report to work on time for your scheduled hours, ready for work
• Perform other related duties as required

Requirements

• Credentialing Certification, Bachelor’s Degree in Business Administration/Healthcare Administration or equivalent experience
• 3+ years of relatable experience performing credentialing and administrative functions
• Certified Provider Credentialing Specialist (CPCS), Certified Medical Services Management (CPMSM)
• Expertise in credentialing, licensing and payor enrollment functions and processes
• Excellent analytical skills with the ability to interpret and act on complex data
• Key to have knowledge of healthcare regulations and compliance requirements
• Proficiency and ability to adapt to new credentialing software
• High level of proven communication skills, including written, verbal and conceptual presentation
• Ability to work in a fast-paced, dynamic growth environment
• Creative problem solver, strategic thinker and team player who thrives in a collaborative environment
• Fantastic organizational and time management skills with a high attention to detail

Benefits

• Compensation: $60,000-$70,000 annually
• Health Care Plan (Medical, Dental & Vision)

• Retirement Plan (401k, IRA)
• Life Insurance (Basic, Voluntary & AD&D)
• Unlimited Paid Time Off
• Paid Holidays
• Short Term & Long Term Disability
• Training & Development