Associate Credentialing Specialist jobs in United States
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RVO Health ยท 5 hours ago

Associate Credentialing Specialist

RVO Health is a new healthcare platform focused on building relationships with individuals throughout their health and wellness journeys. The Associate Credentialing Specialist is responsible for verifying healthcare provider qualifications, managing provider enrollment, ensuring compliance with regulations, and maintaining accurate records in credentialing software.

Health CareInformation ServicesInformation TechnologyMedicalWellness
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Responsibilities

Authenticate degrees, licenses, board certifications, and work history
Ensure adherence to federal, state, and organizational regulations, updating as needed
Maintain accurate records in credentialing software (e.g., Medallion, CAQH, PECOS) and databases, tracking expirations
Prepare, submit, and follow up on initial and re-credentialing applications with insurance payers and clients
Communicate with providers, compliance teams, medical staff, and finance departments
Conduct audits and prepare reports for regulatory reviews
Support timely onboarding of new providers by ensuring they are 'in-network' and credentialed
Submitting state-funded applications, as needed
Oversee the activation of credentialed providers in company EMR to ensure all elements are met for successful billable patient visit scheduling
Other duties as assigned

Qualification

Provider credentialing experiencePECOSCAQHMedallionMultitasking abilityRecord managementCommunication skillsCritical thinkingProblem-solving

Required

Minimum of 3 years of experience in provider credentialing for a practice or hospital setting
Knowledge of PECOS and CAQH processes
Strong verbal and written communication skills
Critical thinking and problem-solving
Ability to multitask, manage competing priorities, and maintain accurate records

Preferred

Experience supporting provider credentialing remotely in a healthcare setting
Experience with Medallion

Benefits

Health Insurance Coverage (medical, dental, and vision)
Life Insurance
Short and Long-Term Disability Insurance
Flexible Spending Accounts
Paid Time Off
Holiday Pay
401(k) with match
Employee Assistance Program
Paid Parental Bonding Benefit Program
Pharmacy Benefits
Income Protection Plans
Pet Services Plans
Mental Health Support
Wellness Coaching
HSA- Health Savings Account
Commuter Benefits
Gym & Fitness Center Discount Program

Company

RVO Health

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RVO Health develops, operates and manages various health care focused brands and companies.

Funding

Current Stage
Late Stage

Leadership Team

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Mike Oakman
Chief Technology Officer & EVP RVO Health
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David Purcell
Senior Vice President + Chief Marketing Officer, Direct-to-Consumer
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Company data provided by crunchbase