Provider Credentialing Specialist - Virtual Assistant

 Posted 22 days ago
     
2-5 years experience
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AI Summary

Manage full-cycle provider credentialing and payer enrollment for PT, OT, and SLP practices. Assist in building scalable operational workflows, SOPs, and implementing AI-enhanced credentialing software.

This is a remote position.

Virtual Rockstar is hiring a full-time Provider Credentialing Specialist to join our internal team as we launch and scale a new credentialing and provider enrollment division focused on supporting PT, OT, and SLP practices nationwide.

This is more than a traditional credentialing role. We are looking for someone with strong experience in provider credentialing, payer enrollment, and re-credentialing who is excited about helping build scalable systems and operational workflows from the ground up.

This role has strong long-term growth potential and may evolve into a leadership position overseeing credentialing operations, workflows, training, and credentialing support teams as the division expands. This initiative will also involve AI-enhanced credentialing software and operational systems designed specifically for healthcare practices.

This role is designed for someone who wants long-term upward mobility and the opportunity to become a foundational leader within Virtual Rockstar’s growing credentialing division.

Over time, this individual may transition into overseeing:

  • Credentialing operations and workflows

  • Credentialing VAs and support teams

  • Training and quality assurance processes

  • Credentialing systems implementation and optimization

We are looking for someone who wants to help build and shape this division for the long term.

Responsibilities

Provider Credentialing & Enrollment

  • Manage full provider credentialing and re-credentialing processes

  • Complete payer enrollments for commercial and government insurance plans

  • Submit and track credentialing applications, revalidations, and updates

  • Maintain credentialing timelines, expirations, and provider records

  • Follow up with insurance payers to resolve delays and outstanding items

Credentialing Operations Support

  • Assist in developing credentialing workflows, SOPs, and operational processes

  • Support implementation and optimization of credentialing software systems

  • Help create training materials and scalable systems for future credentialing teams

  • Participate in pilot testing and process improvement initiatives

Communication & Compliance

  • Communicate professionally with providers, payers, and internal teams

  • Support provider onboarding and documentation collection

  • Maintain organized, compliant, and audit-ready records

  • Stay current on payer credentialing requirements and industry changes



Requirements

  • Strong experience with provider credentialing and payer enrollment

  • Experience credentialing:

    • Physical Therapists (PTs)

    • Occupational Therapists (OTs)

    • Speech-Language Pathologists (SLPs)

  • Experience with:

    • CAQH

    • NPI enrollment

    • Medicaid and commercial payer enrollment

    • Revalidations and re-credentialing workflows

    • Multi-state credentialing processes

  • Experience supporting therapy or rehabilitation practices strongly preferred



Benefits

  • Competitive salary commensurate with experience.

  • Opportunities for professional development and growth.

  • Work in a dynamic and supportive team environment.

  • Make a meaningful impact by helping to build and strengthen families across the globe.



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