Healthcare Credentialing Specialist

Winning Assistants; United States; A distancia; USD 6900 - 8300; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Dedicated HR & Contractor Support Team

Premium VPN Access (Optional)

HIPAA & Cybersecurity Training + Cert.

Top VA Performance Training

Client-Approved U.S. Holidays

Client-Approved Paid or Unpaid TimeOff

Access to Tools & Resources

Optional Performance-Based Incentives

Descripción de la vacante

Winning Assistants, Inc. is seeking a Healthcare Credentialing Specialist to verify physician licenses and ensure regulatory compliance.

This full-time role operates in a remote, asynchronous environment with standard US business hours and a one-hour turnaround on verification tasks. You will research state medical boards and regulatory databases, maintain audit trails, and enforce HIPAA standards while communicating with internal teams.

Formación

• At least one year of experience in medical credentialing, provider enrollment, physician licensing, healthcare compliance, or related healthcare administrative role.
• Experience researching and verifying information through state medical boards, government websites, or regulatory databases.
• Familiarity with physician license status, expiration dates, restrictions, disciplinary actions, and prescribing eligibility.
• Strong understanding of HIPAA, patient confidentiality, and secure handling of sensitive information.
• Excellent attention to detail and ability to identify inconsistencies across multiple sources.
• Strong written English communication skills.
• Ability to meet a one-hour turnaround time during working hours.
• Reliable computer, stable internet connection, and ability to access U.S. government and state regulatory websites.
• Comfortable using VPN or other approved secure-access tools when required.
• Ability to work independently with minimal supervision while maintaining high productivity and accuracy.

Responsabilidades

• Manually verify physician licenses using official state medical board and government regulatory websites.
• Access national license index databases and relevant authority databases to cross-reference physician information.
• Confirm that each physician’s license is active, valid, unrestricted, and appropriate for the state in which they intend to practice.
• Verify whether physicians are authorized to prescribe in the states they claim to serve.
• Review physician information submitted during onboarding and identify discrepancies, restrictions, disciplinary actions, expirations, or missing details.
• Document verification results accurately within the company’s digital prescribing platform.
• Provide physicians and internal teams with verification feedback within one hour during designated business hours.
• Escalate questionable, incomplete, or potentially invalid credentials to the appropriate compliance team.
• Maintain accurate records and audit trails of all verification activities.
• Protect physician and organizational information in accordance with HIPAA and company confidentiality requirements.
• Work independently and communicate effectively in an asynchronous remote environment.

Conocimientos

Attention to detail

English communication

Independent work

VPN usage

HIPAA knowledge

One-hour turnaround

Technology literacy

Descripción del empleo

Job Title: Healthcare Credentialing Specialist

Position Type: Full-time

Working Hours:

Monday to Friday: 12:00 PM–6:00 PM Pacific Daylight Time

Saturday and Sunday: 8:00 AM–10:00 AM and 2:00 PM–5:00 PM

Salary rate: $5-$6

Job Responsibilities:

• Manually verify physician licenses using official state medical board and government regulatory websites.
• Access national license index databases and relevant authority databases to cross-reference physician information.
• Confirm that each physician’s license is active, valid, unrestricted, and appropriate for the state in which they intend to practice.
• Verify whether physicians are authorized to prescribe in the states they claim to serve.
• Review physician information submitted during onboarding and identify discrepancies, restrictions, disciplinary actions, expirations, or missing details.
• Document verification results accurately within the company’s digital prescribing platform.
• Provide physicians and internal teams with verification feedback within one hour during designated business hours.
• Escalate questionable, incomplete, or potentially invalid credentials to the appropriate compliance team.
• Maintain accurate records and audit trails of all verification activities.
• Protect physician and organizational information in accordance with HIPAA and company confidentiality requirements.
• Work independently and communicate effectively in an asynchronous remote environment.

• At least one year of experience in medical credentialing, provider enrollment, physician licensing, healthcare compliance, or a related healthcare administrative role.
• Experience researching and verifying information through state medical boards, government websites, or regulatory databases.
• Familiarity with physician license status, expiration dates, restrictions, disciplinary actions, and prescribing eligibility.
• Strong understanding of HIPAA, patient confidentiality, and secure handling of sensitive information.
• Excellent attention to detail and ability to identify inconsistencies across multiple sources.
• Strong written English communication skills.
• Ability to meet a one-hour turnaround time during working hours.
• Reliable computer, stable internet connection, and ability to access U.S. government and state regulatory websites.
• Comfortable using VPN or other approved secure-access tools when required.
• Ability to work independently with minimal supervision while maintaining high productivity and accuracy.

Basic Requirements

• Must speak and write English clearly and professionally.
• Must have relevant work experience.
• Must be able to provide an NBI Clearance and/or Local Police Clearance before onboarding (mandatory).
• Must be available to attend video meetings with camera on when required.

Technical Requirements

• Computer: Reliable laptop or desktop computer.
• Internet: Stable high-speed internet connection (minimum 25 Mbps).
• Audio: Noise-canceling headset.
• Video: Working webcam for virtual meetings.
• Workspace: Quiet and professional work environment.

• Dedicated HR & Contractor Support Team: Access to world-class support for questions, guidance, contract matters, and client communication.
• Premium VPN Access (Optional): A secure VPN license can be provided upon request to enhance privacy and security for client-related tasks.
• HIPAA & Cybersecurity Training + Certification (Provided): Access to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. healthcare clients.
• Top 1% VA Performance Training: Access to our proprietary training on communication, client management, productivity systems, and best practices to help you become a top-performing VA and increase long-term client retention.
• Client-Approved U.S. Holidays: Contractors may take U.S. holidays off according to the client’s needs and schedule.
• Client-Approved Paid or Unpaid Time Off: Time off may be granted by your client. Paid time off is optional and only if offered by the client.
• Access to Tools & Resources: Templates, workflow guides, productivity tools, and client-specific SOP support to help you perform at your best.
• Optional Performance-Based Incentives: Some clients may offer bonuses, incentives, or increased hours based on your performance.

These are optional resources and client-approved allowances available to you as an independent contractor. Any resources, training, or allowances listed are optional contractor perks and not employee benefits.