Licensing and Credentialing Specialist

Summary

Join Care Access as a Licensing and Credentialing Specialist to manage licensing and compliance processes for healthcare providers. You will maintain efficient licensing processes across multiple states, collaborate with the credentialing team, track license renewals, and resolve licensing issues. This remote position requires strong organizational and communication skills, attention to detail, and the ability to manage multiple tasks simultaneously. You will be responsible for provider onboarding, documentation management, and maintaining a database of medical provider requirements. The role involves interacting with providers, medical boards, and regulatory agencies. Occasional travel may be required.

Requirements

• Be a self-starter
• Have impeccable attention to detail
• Possess independence and a scrappy attitude
• Demonstrate organizational and prioritization skills
• Be collaborative
• Be strong at synthesizing information
• Demonstrated experience in licensing, credentialing, and compliance processes
• Familiarity with NPI, DEA registrations, and IMLCC requirements
• Knowledge of FVCS, and interstate licensure compacts
• Experience conducting detailed interviews with healthcare professionals regarding their professional history and documentation
• Proficiency in credentialing software such as Verifiable, CE Broker, and Net CE
• Advanced proficiency in Microsoft Excel and other Office Suite tools
• Strong problem-solving and critical thinking abilities
• Exceptional attention to detail and organizational skills
• Excellent interpersonal skills, including the ability to conduct interviews and build rapport with healthcare providers
• Be comfortable contacting state boards and regulatory agencies to resolve issues
• Bachelor's degree preferred, or equivalent experience in credentialing, licensing, or a related field

Responsibilities

• Maintain efficient licensing process to accommodate licensing across multiple states, coordinating between providers, medical boards and government agencies, and collecting provider credentialing and licensing materials
• Collaborate with our credentialing team to ensure all provider licensing requirements are met in a timely manner
• Track and complete license renewal, DEA, CSR and CME requirements in the system
• Coordinate with providers to complete licensing applications
• Resolve licensing or credentialing issues by communicating effectively with providers
• Tactically manage coordination with medical boards to ensure the licensing process continues to proceed smoothly
• Manage provider documentation and organizing materials to effectively cross license providers in multiple states
• Keep our licenses and statuses organized - everyone across the Operations and Clinical teams will know where licenses stand at any given time
• Maintain database of knowledge of current medical provider requirements for credentialing and licensure in each state
• Conduct interviews with providers to gather detailed information about their medical background, job history, and malpractice history
• Ensure all necessary licensing details are collected, including NPI and DEA registration information, CVs, malpractice insurance documentation, and training certificates
• Assist with credentialing processes involving CAQH profiles, including verifying and attesting information
• Gather and compile all required licensing and credentialing documents, maintaining strict confidentiality
• Assist providers with administrative tasks such as notary services, fingerprinting, and mailing or shipping documents
• Create onboarding documents, including checklists and guides, to support new staff in the licensing process
• Monitor and track CME credits for providers using platforms such as CE Broker and Net CE
• Participate in peer review committees to address licensure-related issues
• Provide 'white glove' support, maintaining regular communication with providers to address inquiries and follow up on progress
• Present updates, reports, and recommendations to stakeholders and leadership
• Regular and predictable attendance is expected
• All other duties as assigned

Preferred Qualifications

• Minimum 2-4 years of experience in licensing
• Notary certification or experience providing notary services
• Certification in credentialing or medical staff services (e.g., CPCS or CPMSM)
• Knowledge of compliance requirements for clinical trials or healthcare organizations

Benefits

• This is a remote position
• Occasional planned travel may be required as part of the role