- Junior
Please make sure your application is complete, including your education, employment history, and any other applicable sections. Initial screening is based on the minimum requirements as defined in the job posting, such as education, experience, licenses, and certifications. Your experience should also address the knowledge, skills and abilities needed for the role. Incomplete applications will not be considered.
*This position is located Remote Anywhere US*
Position Purpose:
Responsible for managing and assisting the Independent Review Organization (IRO) team with aspects of the credentialing and re-credentialing processes for medical providers and other healthcare professionals, ensuring compliance with state, federal, and organizational regulations.
Essential Responsibilities:
- Processes re-credentialing for physicians, advanced practitioners, and other healthcare professionals.
- Verifies and validates provider qualifications, licensure, education, training, board certification, work history, and malpractice history.
- Maintains accurate and up-to-date credentialing records in credentialing databases and systems (e.g., LawBase).
- Proactively monitors expiring credentials and coordinates timely renewals to prevent lapses in compliance.
- Prepares detailed reports and conducts audits to monitor credentialing status and ensure regulatory compliance
Minimum Qualifications
Education
- High School Diploma or equivalent
License, Certification, or Training
- Active Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), or Registered Nurse (RN) license
- Certified Provider Credentialing Specialist (CPCS) certification, preferred
Experience
- Minimum of one (1) year experience in credentialing
- Familiarity utilizing the National Practitioner Data Bank (NPDB), American Board of Medical Specialties (ABMS), and State Licensing platforms, preferred
- Familiarity utilizing the LawBase software, preferred
Benefits
C2C offers an excellent benefits package, including:
- Medical, dental, vision, life, accidental death and dismemberment, and short and long-term disability insurance
- Section 125 plan
- 401K
- Competitive salary
- License/credentials reimbursement
- Tuition Reimbursement
EOE Vet/Disability
Candidarsi ora
