Credentialing Specialist - 100% Remote

We’re a fast-growing, fully remote healthcare organization on a mission to improve access to care—and we know our people make that possible. As we expand, we are adding a new role to our leadership team. We are seeking a Credentialing Specialist who will be responsible for maintaining individual provider files, completing credentialing applications, and other associated duties that support the credentialing requirements at Expressable.

About Expressable

Expressable is a virtual speech therapy practice on a mission to transform care delivery and expand access to high-quality services, serving thousands of clients since our inception in late 2019. We are passionate advocates of parent-focused intervention. Our e-learning platform contains thousands of home-based learning modules authored by our clinical team, helping SLPs empower caregivers to integrate speech therapy techniques into their child’s daily life and improve outcomes. Our mission is to set a new standard in speech therapy by making every caregiver a champion of their loved one’s success. We envision a world where everyone can fulfill their communication potential.

The ideal Credentialing Specialist brings a strong foundation in healthcare credentialing and enrollment, paired with exceptional attention to detail and follow-through. They are comfortable managing multiple payer processes simultaneously, working directly with providers to gather accurate information, and ensuring provider data remains current, compliant, and audit-ready across systems.

This individual understands the downstream impact of credentialing on care delivery and reimbursement and takes ownership of resolving issues proactively. They are organized, process-oriented, and steady under deadlines, with the ability to communicate clearly and professionally with providers, payers, and internal partners.

WORK AUTHORIZATION: We are interested in every qualified candidate who is eligible to work in the United States. However, we are not able to sponsor visas at this time.

What You Would Be Doing at Expressable

• Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications.

• Maintain accurate provider profiles on CAQH, NPPES and any other applicable profiles

• Complete credentialing applications to add current and new providers to commercial, Medicaid, and Medicare payers

• Work closely with current and onboarding providers to obtain all necessary information to complete the credentialing and enrollment process

• Audit provider information in various systems

• Follow up with payers as it relates to credentialing, enrollment, and demographic updates

• Research payer processes as it relates to credentialing, enrollment, and demographic updates

• Assist in identifying and resolving any denials or authorization issues related to provider credentialing
  

• High school diploma or equivalent required

• Hands-on experience completing and submitting credentialing and enrollment applications for commercial payers, medicaid, and medicare

• Experience maintaining provider files and ensuring compliance with payer and regulatory requirements

• Prior experience working directly with providers to collect, validate, and update credentialing information

• Familiarity with auditing provider data across multiple systems and resolving discrepancies

• Experience following up with payers regarding application status, re-credentialing, and demographic updates

• Exposure to denial resolution or authorization issues related to credentialing strongly preferred

• Proficiency with credentialing platforms and databases

• Strong working knowledge of payer credentialing and enrollment workflows

• Comfortable navigating payer portals and researching payer-specific requirements

• Experience with electronic document management and maintaining compliant provider files

• Proficient with standard office productivity and collaboration tools (Docs/Word, Sheets/Excel, email, shared drives, etc.)
  

• Exceptional paid time off policies that encourage and support life balance, including a winter break.

• 401k matching to ensure our staff have what they need to enjoy their retirement

• Health insurance options that ensure well being for the whole person and their family

• Company paid life, short-term disability, and long-term disability coverage

• Remote work environment that strives for connectivity through professional collaboration and personal connections

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.