Credentialing Specialist at Verifiable

United States

Verifiable Logo
Not SpecifiedCompensation
Entry Level & New Grad, Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries

Requirements

  • 1+ years of relevant Credentialing Management experience (e.g., Physicians, Advanced Practice Providers), ideally familiar with NCQA standards
  • Excellent attention to detail, organization, and prioritization skills
  • Clear communicator with professional verbal and written communication skills
  • Experience utilizing Google Suite (Gmail, Google Docs) and Adobe (Salesforce or comparable CRM tool preferred)
  • Ability to work fast in a fast-paced environment, balancing multiple responsibilities
  • Self-motivated, reliable, and motivated by delivering high-quality results timely
  • Thrives in a blend of solo heads-down work and team collaboration
  • Located in one of the following states: AZ, CO, FL, GA, ID, IL, KY, MD, MI, NJ, NC, OH, OR, PA, SC, TN, TX, UT, VA

Responsibilities

  • Credentialing providers end-to-end, at times managing high volumes of credentialing caseloads
  • Pioneering best practices and new workflows to manage provider credentialing
  • Collaborating cross-team with internal and external stakeholders to continuously improve processes
  • Streamlining processes and best practices to organize healthcare provider credentialing
  • Sharing product and feature requests with Product and Engineering team to improve Credentialing software

Skills

Key technologies and capabilities for this role

CredentialingPrimary Source VerificationProvider EnrollmentHealthcare ComplianceProcess StreamliningWorkflow OptimizationStakeholder Collaboration

Questions & Answers

Common questions about this position

Is this position remote, and where can candidates be located?

Yes, Verifiable is a fully remote company, and they are hiring for this role in specific states: AZ, CO, FL, GA, ID, IL, KY, MD, MI, NJ, NC, OH, OR, PA, SC, TN, TX, UT, VA.

What experience and skills are required for the Credentialing Specialist role?

Candidates need 1+ years of relevant Credentialing Management experience with Physicians and Advanced Practice Providers, ideally familiar with NCQA standards, plus excellent attention to detail, organization, prioritization, clear communication, and experience with Google Suite and Adobe.

What is the salary or compensation for this position?

This information is not specified in the job description.

What is the company culture like at Verifiable?

Verifiable has a close-knit, collaborative team environment where employees thrive in a fast-paced setting, blending solo heads-down work with team collaboration, and are motivated by high-quality, efficient work for healthcare clients.

What makes a strong candidate for this Credentialing Specialist position?

A strong candidate loves the details of credentialing, primary source verification, and working with multiple provider types in a fast-paced environment, is highly motivated by efficient, high-quality work, and is excited to shape the future of credentialing.

Verifiable

Automates healthcare credentialing and data intake

About Verifiable

Verifiable provides software solutions that streamline the data intake and credentialing processes for healthcare providers and payers. Their products automate various tasks, allowing clients to complete enrollment and credentialing 78% faster than traditional methods. The software enables clients to monitor their provider networks, track compliance issues, and automate roster ingestion. A standout feature allows users to look up providers by name or NPI number, offering detailed insights into credentials and sanctions. Additionally, Verifiable simplifies the onboarding process for providers with automated pre-screening, pre-populated forms, and primary source verifications, reducing hassle and speeding up credentialing. Unlike competitors, Verifiable focuses on integrating its automation capabilities into existing systems, enhancing provider management workflows. The company's goal is to improve efficiency and transparency in healthcare credentialing.

Austin, TexasHeadquarters
2019Year Founded
$45.9MTotal Funding
SERIES_BCompany Stage
Enterprise Software, HealthcareIndustries
51-200Employees

Benefits

Health Insurance
Dental Insurance
Vision Insurance
Unlimited Paid Time Off
Remote Work Options
Company Equity

Risks

Increased competition in healthcare credentialing could erode Verifiable's market share.
Rapid technological advancements may strain Verifiable's resources to keep software competitive.
Potential data privacy concerns could arise with expanded data integration capabilities.

Differentiation

Verifiable offers real-time credentialing solutions, reducing verification time from weeks to days.
The company provides seamless API integration, enhancing operational efficiencies for healthcare providers.
Partnerships with major platforms like Salesforce expand Verifiable's market reach and capabilities.

Upsides

Growing demand for real-time credentialing due to telehealth services boosts Verifiable's market potential.
The shift towards digital transformation in healthcare aligns with Verifiable's automated solutions.
Verifiable's recent $27M Series B funding supports further growth and product innovation.

Land your dream remote job 3x faster with AI