DMMS LLC Credendentialing Remote · Part time Company website

We are seeking an experienced Provider Credentialing Specialist to manage and maintain the credentialing and recredentialing processes for healthcare providers across multiple states. This role is responsible for ensuring all providers are properly credentialed with insurance payers, compliant with state and federal regulations, and enrolled in a timely manner to prevent revenue disruption.

About DMMS LLC

DMMS LLC is a growing healthcare services company providing end-to-end billing, credentialing, and practice management support for providers nationwide. We work closely with medical professionals to ensure they are properly credentialed, in-network, and revenue-ready. As we expand across multiple states, we are committed to building a skilled team that values accuracy, efficiency, and exceptional service.

Description

Key Responsibilities

  • Coordinate and manage the end-to-end provider credentialing process for multiple states
  • Prepare, submit, and track applications for:
  • Commercial payers
  • Medicare / Medicaid (multi-state enrollment)
  • CAQH updates and attestations
  • Verify provider credentials including:
  • Licenses (multi-state)
  • DEA registrations
  • Board certifications
  • Education and training
  • Work history and references
  • Monitor and maintain provider records to ensure ongoing compliance and recredentialing timelines
  • Communicate with insurance companies, providers, and internal teams regarding application status and requirements
  • Resolve credentialing issues, denials, and discrepancies
  • Maintain accurate documentation in credentialing systems and databases
  • Stay current with state-specific licensing and credentialing requirements
  • Support audits and compliance reviews


Salary

$18 - $20 per hour