<div>Heartbeat Health is the leading virtual-first cardiovascular care company in the country, providing patients with convenient, high-quality heart care through a combination of telemedicine, diagnostics, and virtual care programs. By leveraging real-time data and AI-powered insights, Heartbeat Health empowers providers and patients with personalized treatment plans, reducing hospitalizations and improving long-term heart health outcomes. Heartbeat Health is redefining how cardiovascular care is delivered in the digital age, led by our medical group of cardiologists, advanced practitioners, nurses, and care coordinators.</div><div><br /></div><div>We are a nationwide telehealth organization seeking a <b>Credentialing Specialist</b> to support our growing provider network. </div><h3>About the Role:</h3><ul><li>This role is responsible for end-to-end provider credentialing and payer enrollment across government and commercial payers, ensuring providers are set up for success in a multi-state, virtual care environment. The Credentialing Specialist will work closely with providers, payers, and revenue cycle teams to streamline enrollment, maintain compliance, and support timely reimbursement.</li><div><br /></div><div><b>Responsibilities</b>:</div><li>Complete and manage all aspects of initial credentialing, re-credentialing, and payer enrollment for a large network of telehealth providers across the U.S.</li><li>Submit and track applications with government payers (Medicare, Medicaid, VA, Tricare) and commercial/private payers to ensure active participation status.</li><li>Lead and mentor credentialing staff, providing training, guidance, and quality checks.</li><li>Serve as the subject matter expert (SME) for credentialing, payer enrollment, and their connection to revenue cycle processes</li><li>Optimize credentialing turnaround time and reduce payer enrollment delays that impact revenue</li><li>Stay up to date on payer regulations and credentialing requirements across all states where the organization provides telehealth services</li><li>Analyze denial trends related to credentialing/enrollment issues and implement corrective actions</li><li>Track payer roster accuracy and manage data integrity between credentialing systems and billing systems.</li><li>Maintain accurate provider records in credentialing systems (e.g., CAQH, payer portals, internal databases), ensuring information is current and compliant.</li><li>Verify provider credentials including education, training, board certification, work history, malpractice history, and references.</li><li>Ensure provider enrollment aligns with billing requirements, reducing claim denials and reimbursement delays for a streamlined Revenue Cycle Management (RCM) process</li><li>Monitor payer rosters and enrollment timelines to proactively resolve issues that may impact revenue.</li><li>Support the onboarding of new providers by ensuring credentialing and enrollment are completed prior to patient scheduling.</li><li>Prepare reports on credentialing status, payer enrollment progress, and upcoming expirations for leadership and compliance purposes.</li><li>Assist with audits, quality checks, and process improvements to ensure compliance</li></ul><h3>About You:</h3><ul><li>You’re open to new ideas, thoughtful in your approach, pragmatic in your delivery, constantly learning, and up for a challenge. You elevate the work of those around you. You want the superpower to save millions of lives. You possess the following <b>qualifications</b>: </li><div><br /></div><div><b>Education</b>: </div><li>High school diploma or equivalent required; Associate’s or Bachelor’s degree in Healthcare Administration or related field preferred.</li><div><b>Experience</b>: </div><li>5-7 years of experience in healthcare credentialing and payer enrollment (telehealth or multi-state experience strongly preferred).</li><div><b>Skills</b>: </div><li>Strong knowledge of government and commercial payer enrollment requirements</li><li>Familiarity with RCM processes and how credentialing impacts reimbursement</li><li>Proficiency with credentialing platforms and payer portals (e.g., CAQH)</li><li>Excellent organizational skills with the ability to manage multiple providers and payers across states</li><li>Strong communication skills to build positive relationships with providers, payers, and internal teams</li><div><b>Traits</b>:</div><li>High attention to detail, accuracy, and ability to meet strict deadlines</li></ul><div><b>About our Culture:</b></div><div><br /></div><div><b>We are mission-driven</b>: were revolutionizing the way cardiovascular care is delivered </div><div><b>We are fast-paced &amp; agile</b>: we move quickly, iterate often, and value experimentation</div><div><b>We are remote-first</b>: flexibility, autonomy, and trust are at the core of how we operate</div><div><b>We care about diversity</b>: diversity allows us to build an excellent patient experience</div><div><b>We are an equal opportunity employer</b>: we do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status</div><div><br /></div>

Heartbeat Health

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