Licensing & Credentialing Specialist — Multi-State Impact

Peregrine Health

Nashville (TN)

On-site

USD 60,000 - 90,000

Full time

42 hours ago
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Benefits offered by this job

Competitive salary
Medical, dental, vision coverage
PTO & holidays
401(k) with employer match
Mental healthcare benefit
Fertility-care benefit
Bonus eligibility

Job summary

Peregrine Health is hiring a Licensing and Credentialing Specialist to license behavioral health providers across states and credential them at partner centers. You’ll manage license applications, renewals, and credentialing file completeness to ensure timely start dates.

You will relentlessly pursue missing documents, coordinate verifications, and maintain CAQH/credentialing profiles to support coverage across sites.

Qualifications

  • Two or more years of provider credentialing, licensing, or medical staff services experience.
  • Experience assembling complete credentialing files and submitting them to health systems, payers, credentialing verification organizations, or delegated credentialing partners.
  • Working knowledge of standard credentialing documentation, including state licenses, board certification, DEA and controlled substance registration, NPI, CAQH, malpractice coverage, and immunization requirements.
  • Demonstrated follow-through on outstanding items, including persistent direct follow-up with busy clinicians.
  • Strong attention to detail and the discipline to catch an incomplete or expired document before it is submitted.
  • Ability to track many open files at once with accurate status on each.
  • Clear, professional written and verbal communication with providers, partner organizations, and internal teams.
  • Experience handling sensitive personal information appropriately and in compliance with privacy requirements.

Responsibilities

  • Collect and maintain provider information including NPI, CAQH credentials, Medicare/Medicaid numbers, and education history.
  • Prepare and submit initial licensure and endorsement applications and track through issuance.
  • Respond to state board requests and deficiency notices and resolve items promptly.
  • Coordinate primary source verifications, supervision records, fingerprinting, background checks, jurisprudence exams, and CE documentation.
  • Track renewal deadlines and continuing education requirements for all licenses.
  • Maintain knowledge of multi-state licensure requirements and compact eligibility.
  • Obtain complete credentialing documents and verify file completeness before submission.
  • Submit packets and track status; follow up on stalled submissions.
  • Drive provider follow-up to complete documentation before start dates.
  • Keep CAQH and credentialing profiles current.
  • Track expirations for licenses, certifications, DEA/CSR, BLS, malpractice, immunizations.
  • Maintain organized, audit-ready provider files and Peregrine systems.
  • Report licensing/credentialing status by provider and site; flag risks early.

Job description

Peregrine Health is hiring a Licensing and Credentialing Specialist to license behavioral health providers across states and credential them at partner centers. You’ll manage license applications, renewals, and credentialing file completeness to ensure timely start dates.

You will relentlessly pursue missing documents, coordinate verifications, and maintain CAQH/credentialing profiles to support coverage across sites.

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