Credentialing Specialist

To be considered, you must fill out the application form below:
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What is Ansible Health?
At Ansible Health, a diverse mix of clinicians, engineers, and healthcare executives share a common vision: transforming how healthcare is delivered for patients with chronic diseases, beginning with those dealing with chronic respiratory conditions. Our team is a collection of talent from prestigious medical institutions like Columbia, New York Presbyterian, Emory, Johns Hopkins, and technology powerhouses such as Google, Amazon, and DE Shaw & Co. This unique blend of skills allows us to merge cutting-edge technology and superior clinical knowledge to deliver personalized, efficient care at scale.

Job Description
• Review and process application files for new and existing providers, ensuring the completeness and accuracy of credentials, education, licensure, certifications, and work history.
• Perform primary source verifications using providers' licensing boards, third-party databases, and other resources to confirm professional qualifications.
• Maintain up-to-date records in the credentialing database and ensure documentation is stored securely in compliance with regulatory standards (e.g., HIPAA).
• Collaborate with internal stakeholders—including HR, compliance, medical staff, and RCM teams—as well as external organizations (e.g., state licensing boards, accreditation agencies) to resolve credentialing discrepancies and updates.
• Manage the re-credentialing process by tracking expiration dates and initiating timely renewals of provider credentials.
• Support provider enrollment and network management by interfacing with the RCM team to ensure a smooth transition from credentialing to effective billing and claims processing.

Required Qualifications
• Solid background in healthcare credentialing, provider enrollment, or related roles within medical group settings, hospitals, or health systems.
• Strong understanding of US healthcare credentialing standards, clinician licensing verification processes, regulatory compliance.
• Familiarity with Revenue Cycle Management (RCM) processes including provider enrollment, claims processing, coding standards, and reimbursement workflows.
• Experience working in a medical startup is a plus.
• Familiarity with US healthcare insurance operations.
• Proficient with credentialing software and medical databases; experience with electronic health records (EHR) systems is a plus.
• Exceptional attention to detail, accuracy, and organizational skills.
• Excellent interpersonal and communication skills to interact effectively with providers, internal teams, and external stakeholders.
• Ability to work independently, prioritize tasks, and manage multiple projects in a deadline-driven environment.
• Strong written and verbal communication, problem-solving skills and a commitment to continuous process improvement.

Type of Role:
• Role: Full-time: 40 hours a week.
• Benefits:  Flexible PTO and HMO coverage.
• Level: Mid-Career, 3-5 years relevant work experience
• Locations: Asia Pacific, Remote (offshore, and willing to work Pacific/Eastern hours)