About us
LifeMD is headquartered in NYC and is a leading provider of virtual primary care. LifeMD offers telemedicine, laboratory and pharmacy services, and specialized treatment across more than 200 conditions, including primary care, men’s health, women’s health, allergy & asthma, and dermatology. Leveraging a vertically-integrated, proprietary digital care platform, a 50-state affiliated medical group, and a US-based patient care center, LifeMD is elevating healthcare by increasing access to top-notch and affordable care. LifeMD is currently in the midst of immense growth and was recently ranked #166 in the 2023 Deloitte Fast 500.
About the role
The Credentialing Specialist reports to the Director of Payor Enrollment, Licensing & Credentialing and is responsible for supporting all aspects of the medical licensing and credentialing processes. The Credentialing Specialist will ensure the efficient operation of medical licensing, credentialing, and payer contracts to maximize provider efficiency.
Responsibilities
Credential/Re-credential LifeMD providers with insurance payors and/or hospitals. Maintain and update insurance credentialing and the CAQH Provider System
Maintain credentialing matrices for all LifeMD providers and markets/states
Provide follow-up correspondence with insurance payors on a regular basis for all credentialing matters
Work with other LifeMD departments to facilitate the onboarding/offboarding of LifeMD providers
Assist LifeMD providers with any ancillary credentialing, licensing or payor enrollment questions
Obtain necessary licensure and/or privileges for LifeMD providers
Create, maintain and update provider credentialing rosters for LifeMD
Performs external research and conducts verification of all LifeMD licensure, malpractice and educational degrees, diplomas and certifications
Checks insurance payor websites for accurate directory listings and performs regular updates
Meet LifeMD expectations for payor application submission on a consistent basis
Performs complex and confidential administrative functions including developing and typing written correspondence. Responds to routine external correspondence. Types memos, and other department forms and documents
Handles confidential and non-routine information and maintains provider confidence and protects operations by keeping all provider and LifeMD practice information confidential
Work independently and within a team on special and nonrecurring and ongoing projects at the request of the Director of Payor Enrollment, Licensing & Credentialing, which may include updating Excel spreadsheets or other systems, and disseminating information
Reliability- it is an essential function of this position to report to work on time for your scheduled hours, ready for work
Perform other related duties as required
Credentialing Certification, Bachelor’s Degree in Business Administration/Healthcare Administration or equivalent experience
3+ years of relatable experience performing credentialing and administrative functions
Certified Provider Credentialing Specialist (CPCS), Certified Medical Services Management (CPMSM)
Expertise in credentialing, licensing and payor enrollment functions and processes
Excellent analytical skills with the ability to interpret and act on complex data
Key to have knowledge of healthcare regulations and compliance requirements
Proficiency and ability to adapt to new credentialing software
High level of proven communication skills, including written, verbal and conceptual presentation
Ability to work in a fast-paced, dynamic growth environment
Creative problem solver, strategic thinker and team player who thrives in a collaborative environment
Fantastic organizational and time management skills with a high attention to detail
Health Care Plan (Medical, Dental & Vision)
Retirement Plan (401k, IRA)
Life Insurance (Basic, Voluntary & AD&D)
Unlimited Paid Time Off
Paid Holidays
Short Term & Long Term Disability
Training & Development
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