Licensing and Credentialing Specialist
About Eden Health
Eden Health is a nationally recognized medical practice on a mission to create a world where every person has a relationship with a trusted healthcare provider. Working with employers across the country, Eden Health offers employees 24/7 digital care, same-day in-person primary care, mental health services, physical therapy, and benefits navigation. The Eden Health team is driven by a patient-centric approach, delivering relationship-based collaborative care. With this model, our clients have healthier workforces, increased productivity, and reduced healthcare costs. We are committed to diversity, equity, and integrity, and our teams reflect this. Our hope at Eden Health is to create an environment where each person can do the best and most important work in their careers.
What you will be doing
As Eden Health’s Licensing and Credentialing Specialist, you will be responsible for acquiring and maintaining licensure for Eden Health providers across all 50 states You will also be responsible for credentialing our providers with insurance carriers for claims submission. This role is a critical part of Eden Health’s Operations and is essential to our ability to onboard clinicians as well as our ability to expand our services to new geographical service areas.
As a Licensing and Credentialing Specialist, you will report directly to the Licensing and Credentialing Manager. This is a full-time, remote-first role and has the flexibility to be located anywhere in the U.S.
What success looks like
- Contributing to Provider onboarding in the form of licensing training with newly hired providers and ensuring the proper applications are initiated during the hiring process
- Researching and tracking state licensing requirements in all 50 states.
- Completing new license applications and maintaining a visible tracker for the organization.
- Ensuring provider demographic data is kept up to date with licensing entities.
- Tracking and completing license renewals and CME requirements
- Completing payor enrollment applications and CIN applications for individual providers or the group
- Updating provider/group demographic
- Maintaining up-to-date network status for providers at Eden.
- Creating/updating providers’ CAQH ProView profile
What you will bring
- Associate’s Degree
- 2+ years of direct physician/clinical licensing experience required including preparing and submitting licensing applications to state medical boards for physicians, advanced practice providers, and/or mental health providers.
- 2+ years of Credentialing/enrollment experience preferred
- Multi-state licensing experience preferred
- You are highly detail oriented
- You are a self-starter with the ability to work independently and proactively in a fast-paced, dynamic environment.
- You enjoy researching and digging into state compliance and regulatory requirements
- You have experience working with clinical providers
- You like to organize and improve processes and workflows
- Excellent verbal and written communication skills
Why Eden Health?
- Remote first company and culture
- Series C Healthtech startup with a mission-driven team that's passionate about helping every person have a relationship with a trusted healthcare provider
- Competitive salary and equity compensation package
- Medical, dental, and vision insurance and commuter benefits
- Dedicated Culture Committee led by CEO
- Learning and development budgets to help you grow and bond with your team
- Positive, inclusive, supportive culture cheering you on your journey
- Strong and quickly growing client base of America’s leading employers
Eden Health is an equal opportunity employer and encourages all applicants from every background and life experience without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.
Please note: Eden Health interview requests and job offers only originate from edenhealth.com email addresses (e.g. jsmith@edenhealth.com). Eden Health will never ask for bank information (e.g. account and routing number), social security numbers, passwords, or other sensitive information to be delivered via email. If you receive a scam email or wish to report a security issue involving Eden Health, please notify us at: security@edenhealth.com.