License and Credentialing Specialist

About Us: 

Main Street Health is the nation's largest provider of value-based care exclusively serving rural America.  We believe in the old ways of medicine when healthcare was simpler. By partnering with rural health systems, we reinforce the importance of trust and relationship-driven care in rural communities.  We provide our partners with the staff, technology, and processes necessary to bring high-quality care to patients.

About the Role: 

The Licensing and Credentialing Specialist plays a vital role in Main Street Health to bridge the gap between providers, regulatory agencies and payers. We are looking for someone with a true customer service mindset who takes pride in creating exceptional experiences. This work supports the growth of our teams, ensuring providers are properly qualified, authorized and set up for success to work with our partners without unnecessary delays.

Responsibilities:

• Verify healthcare providers’ education, licenses, certifications, training, work history, professional references to ensure patients receive care from qualified professionals
• Maintain accurate and up-to-date provider records to meet the standards of accrediting bodies, government agencies and insurance companies
• Ensure providers hold valid, active licenses in states they practice
• Maintain organized records to protect against legal, financial and reputational risks
• Track expiration dates for licenses, certifications, DEA registrations, malpractice insurance and other required documents to ensure providers remain eligible to practice
• Maintain a streamlined credentialing process to enable new providers, nurses and health professionals to minimize the staffing gap and improve access to care for patients
• Working closely with partners to take ownership of challenges and goes above and beyond to deliver thoughtful, timely and personalized service
• Coach, mentor or guide team members with a commitment to developing others and leading by example

Qualifications:

• Active CPCS Certification, preferred
• HS Diploma required
• 3+ years in healthcare licensing and credentialing
• Track record of exceeding expectations
• Comfortable making decisions, managing priorities and leading by example
• Ability to manage multiple priorities in a fast-paced environment
• Strong organizational and communication skills
• Ability to work independently while maintain accuracy and attention to detail

Those who thrive at Main Street Health possess these qualities:

• An entrepreneurial spirit. Must be a tenacious self-starter.
• Flexible and adaptable to a constantly changing workload.
• Must enjoy working in a fast-paced environment.
• A sense of humor and a down-to-earth nature.

Employment Type: Exempt, Full-Time