Abrar Admin

Icon Health

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 Currently hiring a fully remote Credentialing Specialist
 
 
 Icon Health is a leading provider of value-based musculoskeletal (MSK) care, collaborating with payers and providers to enhance outcomes and experience for individuals. The company partners with health plans and risk-bearing providers to assume accountability for reduced total cost of care. By combining technology-enabled MSK providers with proactive care coordination and decision support services, Icon Health delivers multidisciplinary, evidence-based care.
 
 
 We founded Icon Health on the conviction that every patient should be genuinely delighted with their care experience. By prioritizing patient-centered practices, ensuring clear care goals across the entire clinical team, and placing clinicians at the heart of care delivery, we aim to transform a fragmented system into one that truly serves patients. Our model uses a team-based approach to care, integrating musculoskeletal expertise and primary care to achieve better patient outcomes.
 
 
 At Icon Health, we foster a culture that embraces bold thinking, rapid iteration, and practical problem-solving. We seek team members who relish challenging the status quo and thrive in vertically integrated roles&mdash;where ideas can swiftly move from concept to execution without layers of red tape. Above all, we value individuals who are eager to roll up their sleeves, tackle obstacles head-on, and create innovative solutions that improve the lives of our patients and our clinical partners.
 
 
 
 Responsibilities -&nbsp;
 
 Manage the full lifecycle of credentialing and recredentialing for telehealth providers across multiple states including:
 
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 Verifying provider credentials including state licenses, board certifications, DEA registrations, education and training, work history, malpractice coverage, National Practitioner Data Bank (NPDB) queries
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 Ensuring credentialing processes meet NCQA, Joint Commission, and CMS standards where applicable
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 Maintaining accurate credentialing records in the credentialing database or provider management system
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 Tracking and managing&nbsp;state licensure applications and renewals for telehealth providers
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 Maintaining a comprehensive database of provider licenses and expiration dates
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 Monitoring and ensuring compliance with state-specific telehealth regulations and licensing requirements
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 Coordinating payer credentialing and enrollment with commercial and government payers across multiple states
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 Completing and submitting payer enrollment applications and maintain follow-up until approval
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 Maintaining CAQH profiles and ensure provider information is current and attested
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 Assisting with credentialing audits and prepare documentation for internal and external reviews
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 Collaborating with provider recruitment, medical staff services, compliance, and operations teams to ensure timely onboarding
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 Providing credentialing status updates to internal stakeholders
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 Assisting providers with documentation requirements and application completion
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 Maintaining credentialing data in provider management systems
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 Generating reports on credentialing status, expirations, and compliance
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 Monitoring credentialing timelines to ensure providers are approved before service delivery
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 </ul>
 
 
 Required Qualifications:
 
 
 
 We are always looking for new team members who will add to our company&rsquo;s DNA and have a strong passion for impact.
 
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 5+ years of credentialing experience in healthcare
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 Demonstrated experience credentialing telehealth providers across multiple states
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 Experience with payer enrollment and provider credentialing applications
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 Familiarity with CAQH, NPDB, NPI registry, and state licensing boards
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 Knowledge of telehealth regulatory requirements and multi-state licensure processes
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 Strong organizational skills with the ability to manage multiple providers and deadlines simultaneously
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 Proficiency in credentialing databases, Microsoft Office, and provider management systems
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 </ul>
 
 Preferred Qualifications:
 
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 Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) preferred
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 Experience credentialing for virtual care or digital health organizations
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 Experience with multi-state Medicaid and commercial payer enrollment
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 Familiarity with credentialing platforms such as Modio, MedTrainer, Verity, symplr, or similar systems
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 </ul>
 
 
 Compensation:
 
 
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 $50K-$60K Annually
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 Yearly Salary Commensurate with Experience
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 Hours: Full Time (Hours are Monday-Friday no nights or weekends)
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 Benefit Package Available
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 Employee funded 401K
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 </ul>
 
 
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Credentialing Specialist - Fully Remote

Join Icon Health and explore 1   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Icon Health

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Credentialing Specialist - Fully Remote