Credentialing Specialist

Metro Vein Centers is a rapidly growing healthcare practice specializing in state-of-the-art vein treatments. Our board-certified physicians and expert staff are on a mission to improve people’s quality of life by relieving the painful, yet highly treatable symptoms of vein disease—such as varicose veins and heavy, aching legs. With over **70 clinics across 8 states**, and still growing, we’re building the future of vein care—delivering compassionate, results-driven care in a modern, patient-first environment. We proudly maintain a **Net Promoter Score (NPS) of 93**, the highest patient satisfaction in the industry. As a **Credentialing Specialist** at Metro Vein Centers, you are an integral team member to our continued growth. This role is responsible for provider credentialing, payer enrollment, and recredentialing to ensure clean participation, timely effective dates, and uninterrupted patient access and reimbursement. Reporting to the Supervisor of Credentialing, you’ll work daily in CAQH, payer portals (e.g., Availity), Medicare PECOS, and our credentialing database, collaborating closely with Recruitment, Clinical leadership, and RCM. The ideal candidate is detail-oriented, process-driven, and has experience in provider enrollment. This is a **remote role**; we’re looking for a self-starter with strong ownership and follow-through. ### **What You’ll Do** - 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. ### **What You’ll Bring** - **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 to Support Your Wellbeing & Lifestyle** Full-time team members at Metro Vein Centers are eligible for: - 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 #LI-remote **The Metro Vein Centers Difference** **Healthy legs. Happier lives.** At Metro Vein Centers, we believe exceptional care begins with an exceptional experience. Our mission is to make vein care approachable, empowering, and connected to overall well-being. From the first conversation to the final follow-up, every patient interaction reflects our commitment to compassion, expertise, and trust. **A team united by purpose.** Our values guide everything…