Remote

Credentialing Specialist

Vaco
$24.00 - $25.00 / hr
United States, New York
Jun 01, 2025
Client: Well-known Dermatology Network Role: Credentialing Specialist Pay Rate: $24-25/hr Location: Fully Remote (Must be able to work on your own laptop/hardware) Duration: 3+ months with the opportunity to extend based on performance! Job Description: Prepare, submit and follow up on all initial payer applications for providers and office locations Prepare, submit and follow up on all re-credentialing applications for providers and office locations Contact and/or respond to requests for verification of credentials, current licenses etc. ensuring credentialing and licensing processes are completed timely and notifications are sent timely Prepare, submit and follow up on revalidation requests for providers and office locations. Review provider credentialing files and work with providers to obtain the necessary missing, incomplete and expiring items Track current status of applications, follow up as necessary and document activity in an accurate and timely manner Maintain and update provider files and rosters including but not limited to: internal provider and/or location roster lists, individual CAQH profiles, payer databases, NPI Database and Medicare database and any other as needed Maintain consistent contact with providers to ensure that expectations are clear and requirements are completed in a timely manner Establish and maintain professional relationship with insurance providers, client contacts and credential personnel Ensure all PHI (Protected Health Information) remains confidential and is kept in a secure location at all times Complies with all health and safety regulations and requirements, departmental policies, procedures, and objectives Perform other duties as new opportunities arise and/or as assigned Vaco by Highspring values a diverse workplace and strongly encourages women, people of color, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, foreign-born residents, and veterans to apply. EEO Notice Vaco by Highspring is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race (including but not limited to traits historically associated with race such as hair texture and hair style), color, sex (includes pregnancy or related conditions), religion or creed, national origin, citizenship, age, disability, status as a veteran, union membership, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, political affiliation, or any other protected characteristics as required by federal, state or local law. Vaco by Highspring and its parents, affiliates, and subsidiaries are committed to the full inclusion of all qualified individuals. As part of this commitment, Vaco by Highspring and its parents, affiliates, and subsidiaries will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact HR@vaco.com . Vaco by Highspring also wants all applicants to know their rights that workplace discrimination is illegal. By submitting to this position, you agree that you will be giving Vaco by Highspring the exclusive right to present your as a candidate for the foregoing employment opportunity. You further agree that you have represented information about yourself accurately and have not affirmatively misrepresented your qualifications. You also agree to maintain as confidential, to the fullest extent permitted by law, any information you learn from Vaco by Highspring about the position and you will limit disclosure of information about the position only to the extent necessary to perform any obligations in furtherance of your application. In exchange, Vaco by Highspring agrees to exercise reasonable efforts to represent you through all solicitation, job screening and resume dispersal. Privacy Notice Vaco by Highspring and its parents, affiliates, and subsidiaries ("we," "our," or "Vaco by Highspring") respects your privacy and are committed to providing transparent notice of our policies. California residents may access Vaco by Highspring HR Notice at Collection for California Applicants and Employees here. Virginia residents may access our state specific policies here. Residents of all other states may access our policies here. Canadian residents may access our policies in English here and in French here. Residents of countries governed by GDPR may access our policies here. Pay Transparency Notice Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual's skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. With that said, as required by local law, Vaco by Highspring believes that the following salary range referenced above reasonably estimates the base compensation for an individual hired into this position in geographies that require salary range disclosure. The individual may also be eligible for discretionary bonuses.