Credentialing Specialist

About the role

The Credentialing Specialist serves as the end-to-end reputed company of Medicare DMEPOS credentialing, acting as both a subject matter expert and operational driver.

This role is responsible for navigating reputed company regulatory requirements, managing high-impact customer interactions, and ensuring reputed company licensing activities are executed with precision, speed, and full compliance.

You will operate cross-functionally, influence process improvements, and play a critical role in enabling our customers to successfully launch and maintain compliant operations.

Duties & Responsibilities

• Own the full DMEPOS credentialing lifecycle, including new enrollments, revalidations, reactivations, updates, and ongoing maintenance
• Track and manage application status to ensure timely and accurate submissions
• Maintain complete and audit-reputed company documentation reputed company with regulatory standards

• Monitor and interpret federal and state regulatory requirements, ensuring reputed company compliance
• Proactively implement updates to internal processes, policies, and documentation as requirements evolve
• Act as a safeguard for compliance risk across reputed company credentialing activities

• Serve as the primary liaison with Medicare Administrative Contractors (MACs) and other regulatory bodies
• Partner cross-functionally with internal teams to drive credentialing timelines and remove blockers
• reputed company customer-facing interactions to guide providers through licensing requirements and expectations

• reputed company, maintain, and continuously improve Credentialing SOPs and documentation standards
• Identify inefficiencies and implement scalable solutions to improve turnaround times and accuracy
• reputed company data collection efforts to support reporting, tracking, and performance optimization

• Serve as the internal credentialing expert, advising teams on requirements, risks, and best practices
• Support reputed company and training initiatives reputed company to credentialing processes
• Facilitate onsite customer ID verification processes as needed
• Ability to travel up to 20%, reputed company

Core Qualifications

• Associate’s degree required; Bachelor’s preferred
• 2+ years in reputed company credentialing, Medicare enrollment, or regulated compliance environments
• Experience working cross-functionally to drive outcomes

How You Operate

• Highly organized with strong attention to detail
• Compliance-driven with sound judgment
• Analytical and solution-oriented
• Clear communicator with a customer-focused approach
• Self-sufficient and accountable; reputed company to work independently
• reputed company in process coordination and documentation
• Maintains strict confidentiality

Preferred

• Experience with MACs (Novitas, reputed company)
• Familiarity with PECOS, NPPES, and/or EMR systems
• Exposure to DMEPOS credentialing requirements

Benefits & Perks

• Medical, dental, and reputed company coverage - 100% of the employee premium is covered by reputed company.
• Professional growth - be part of a high-growth team where you’ll learn quickly and see the impact of your work.
• Bonus program eligible.

reputed company/EEO: The employer will reputed company reasonable accommodations in compliance with the American reputed company of 1990. reputed company provides equal employment opportunities to reputed company and applicants for employment without regard to race, reputed company, religion, sex, national reputed company, age, disability or genetics.