Remote Credentialing Manager | Flexible Hours & Multi-State

Icon Health; Miami Beach (FL); Remoto; USD 52.000 - 72.000; Tempo pieno

Vantaggi offerti da questo lavoro

Flexible scheduling

Medical benefits

Dental benefits

Vision benefits

Fully remote

Descrizione del lavoro

Icon Health is seeking a Credentialing Specialist to manage end-to-end credentialing and enrollment for providers. You will network with key decision-makers to appeal closed panels, review applications for completeness and compliance, and maintain data accuracy across systems.

The role requires 3–5 years in credentialing, familiarity with multi-state, multi-payer workflows, and strong attention to confidentiality. CPCS is a plus; full-time remote work option is available.

Competenze

• 3-5 years of credentialing or provider enrollment experience.
• Experience with multi-state, multi-payer hybrid telehealth and in-person workflows.
• Certified Provider Credentialing Specialist (CPCS) is a strong plus.
• Attention to detail and data confidentiality.
• Knowledge of relevant policies, laws and procedures.

Mansioni

• Manage end-to-end credentialing and enrollment applications for timely approvals.
• Network and engage decision-makers to appeal and navigate closed panels.
• Review credentialing applications for completeness and compliance.
• Monitor licenses and certifications; manage renewals to avoid issues.
• Enter and maintain provider data in credentialing systems.
• Track statuses and communicate updates per guidelines.
• Research updated state and federal regulations and policies.
• Ensure facility and staff compliance with accrediting bodies.
• Contribute to process improvements for the credentialing system.

Conoscenze

Credentialing

Data entry

Regulatory knowledge

Google Suite

AI tools

Multistate enrollment

Formazione

High school diploma

Healthcare administration degree

Strumenti

Google Suite

AI-assisted credentialing tools

Descrizione del lavoro

Icon Health is seeking a Credentialing Specialist to manage end-to-end credentialing and enrollment for providers. You will network with key decision-makers to appeal closed panels, review applications for completeness and compliance, and maintain data accuracy across systems.

The role requires 3–5 years in credentialing, familiarity with multi-state, multi-payer workflows, and strong attention to confidentiality. CPCS is a plus; full-time remote work option is available.