Credentialing Specialist

Summary

Join Pair Team, a mission-driven company reimagining healthcare for underserved populations, as a Credentialing Specialist. You will own the end-to-end credentialing and re-credentialing processes for providers and facilities, ensuring timely completion of tasks and compliance with regulations. Maintain accurate provider records, submit applications to health plans, and support audits. This role requires strong attention to detail and organizational skills. Pair Team offers a comprehensive benefits package including health, vision, and dental insurance; 401k; a monthly work-from-home stipend; and a flexible vacation policy. The position is remote with a requirement for a HIPAA-compliant home workspace.

Requirements

• 2+ years of credentialing experience in a healthcare or managed care setting
• Familiarity with credentialing standards (e.g., NCQA, URAC, CMS)
• High attention to detail and excellent organizational skills
• Technical proficiency with CRM databases, basic Excel, Word, email, and video conferencing tools
• Must have a quiet, HIPAA-compliant at-home work environment with reliable internet and cell phone access

Responsibilities

• Own the end-to-end credentialing and re-credentialing processes for providers and facilities
• Track and ensure timely completion of credentialing tasks based on regulatory and contractual deadlines
• Submit credentialing and enrollment applications to health plans for Care Team staff
• Monitor and document expirables, including licenses, malpractice insurance, DEA registration, and board certifications
• Maintain accurate provider records and rosters across internal systems, payer directories, and audit documentation
• Support delegated credentialing audits and internal compliance reviews
• Assist with health plan contracting and network participation processes as needed
• Submit and maintain individual and group enrollment applications for Medicaid and Medicare
• Maintain up-to-date information on group enrollment records

Benefits

• Salary: $25/hour
• Comprehensive health, vision & dental insurance
• 401k
• Monthly $100 work from home expense stipend for your WFH days
• Flexible vacation policy -- take the time you need to recharge!
• We provide all of the equipment needed for the role