Metro Vein Centers · 21 hours ago
Credentialing Specialist
United States
Full-time
Remote
Entry, Mid Level
2+ years expMetro Vein Centers is a rapidly growing healthcare practice specializing in state-of-the-art vein treatments. As a Credentialing Specialist, you will be responsible for provider credentialing, payer enrollment, and recredentialing to ensure timely access and reimbursement for patients.
Health CareHospitalMedicalWellness
Responsibilities
Submit and track provider enrollments across Medicare/Medicaid (PECOS) and commercial payers (e.g., Availity) to secure effective dates
Identify network expansion opportunities by enrolling providers into additional payer products, plans, and service locations
Maintain CAQH attestations and accurate provider data across payer portals and internal credentialing systems
Monitor re-validations/re-credentialing and manage expirables to prevent participation lapses
Assist with onboarding new providers: gather documents, set up NPI/taxonomy/locations, and coordinate start-date readiness
Respond to payer requests, supply additional documentation, and resolve application issues promptly
Escalate concerns and complex cases to the Supervisor of Credentialing for timely resolution and participate in special projects as needed
Qualification
Required
2+ years in provider credentialing and/or payer enrollment (physician group, MSO, health plan, or hospital)
Hands-on with CAQH (attestations/rosters), Medicare PECOS, and payer portals (e.g., Availity)
Working knowledge of Medicare/Medicaid and commercial enrollment rules
Proficient in credentialing systems (e.g., MD-Staff/Cactus) and Excel/Google Sheets
Strong data accuracy and documentation habits; able to maintain clean provider records across multiple systems
Effective written/verbal communication with payers, providers, and internal stakeholders; escalates issues appropriately
Proven ability to prioritize in a high-volume environment, meet deadlines, and follow SOPs with minimal supervision
Self-starter mindset with ownership and follow-through in a remote setting
High school diploma or equivalent required
Benefits
Medical, Dental, and Vision Insurance
401(k) with Company Match
Paid Time Off (PTO) + Paid Company Holidays
Company-Paid Life Insurance
Short-Term Disability Insurance
Employee Assistance Program (EAP)
Career Growth & Development Opportunities
Company
Metro Vein Centers
Metro Vein Centers offers varicose vein treatment that includes vascular surgery, radiofrequency ablation and laser treatment services.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
D
Dmitri Ivanov
Executive Chairman
Recent News
Company data provided by crunchbase