Trusted Medical, LLC
Credentialing Specialist - Multiple locations
Trusted Medical, LLC, Baton Rouge, Louisiana, us, 70873
Credentialing Specialist
Trusted Medical, PLLC
Trusted Medical, PLLC is the clinical care delivery affiliate of Edera (www.edera.com). We specialize in serving Veterans by reducing wait times for them to gain access to disability screens and separation health assessments required by the Veteran Affairs (VA) to receive benefits. Help serve those who have served us by joining our growing team!
In addition to our core work with the VA, Trusted Medical holds multiple government contracts nationwide, allowing our providers to also participate in occupational health services for their applicants and employees. This includes pre‑employment screenings, fitness‑for‑duty evaluations, and other health assessments that support a wide range of government agencies.
Position Description This position directly supports the United States Military Entrance Processing Command (USMEPCOM) that conducts over 250,000 medical evaluations annually, serving as the critical gateway for applicants entering both the Regular and Reserve components of the Armed Forces. By joining Trusted Medical, you will play an essential role in ensuring the health and readiness of future service members—helping to strengthen military preparedness.
Manage end‑to‑end credentialing processes including enrollment, initial credentialing, and re‑credentialing.
Conduct primary source verification of credentials (licenses, DEA, board certifications, education, work history).
Maintain accurate provider data in credentialing systems (e.g., CAQH, CredentialStream, PECOS, NPPES).
Track expiration of licenses, credentials, malpractice insurance, CME, and renewals; manage recredentialing timelines.
Submit credentialing/enrollment applications to payers and follow up until in‑network status is confirmed.
Ensure compliance with state/federal regulations, NCQA, TJC, CMS, and accredited institutions.
Assist in developing/improving internal credentialing policies and procedures.
Respond to information requests from regulatory agencies or public inquiries as required.
Knowledge and Skills Required
Deep knowledge of healthcare regulatory requirements, credentialing standards (NCQA, TJC, CMS), and payer credentialing rules.
Strong attention to detail and analytical skills to review applications, detect discrepancies, and resolve credentialing issues.
Exceptional organizational and time‑management skills, able to manage high volumes independently.
Excellent written and verbal communication skills.
Research‑savvy, able to verify documentation across diverse systems and sources.
Flexible and adaptable to frequent travel, with no restrictions on mobility.
Education/Certification Required
Health Information Management, Healthcare Administration, Business Administration, or related field.
Preferred – Education/Certification
CPCS (Certified Provider Credentialing Specialist) certification from NAMSS is highly preferred.
Experience Required
3+ years in healthcare credentialing or provider enrollment (specialist or coordinator roles).
VA and/or DoD credentialing experience is strongly preferred.
Experience ensuring compliance with regulatory standards and interacting with payers or government entities.
Proven ability to manage credentialing data and documentation systems effectively.
Demonstrated expertise in streamlining credentialing processes with accelerated turnaround times, enabling candidates to onboard and begin work more quickly.
Technical skills required.
Technical Skills
Proficiency in MS Office suite; advanced Excel preferred.
Familiarity with credentialing platforms: CAQH ProView, CredentialStream, PECOS, NPPES, NPDB queries.
Experience using healthcare compliance databases and understanding of data entry best practices.
Locations
Baton Rouge, LA
Brunswick, GA
Kansas City, KS
New Bern, NC
Destin, FL
Washington DC
Fayetteville, GA
Fort Leonard Wood, MO
Oklahoma City, OK
Middletown, CT
Petaluma, CA
Louisville, KY
San Antonio, TX
Virginia Beach, VA
Tallahassee, FL
Carmel, IN
Tucson, AZ
Klamath Falls
Port Charlotte, FL
Dayton, OH
Nottingham, MD
Southfield, MI
Davenport, IA
Hialeah, FL
Fayetteville, NC
Lehighton, PA
Jacksonville, FL
Temecula, CA
Manhattan, KS
Rapid City, SD
Suwanee, GA
Pueblo, CO
All applicants must be U.S. citizens and able to obtain a Public Trust clearance.
Trusted Medical participates in the E‑Verify program. Trusted Medical is a drug‑free workplace.
Trusted Medical is an Equal Opportunity and Affiliated Action Employer. Trusted Medical prohibits discrimination against individuals based on their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other category protected by law. Trusted Medical takes affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.
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Trusted Medical, PLLC is the clinical care delivery affiliate of Edera (www.edera.com). We specialize in serving Veterans by reducing wait times for them to gain access to disability screens and separation health assessments required by the Veteran Affairs (VA) to receive benefits. Help serve those who have served us by joining our growing team!
In addition to our core work with the VA, Trusted Medical holds multiple government contracts nationwide, allowing our providers to also participate in occupational health services for their applicants and employees. This includes pre‑employment screenings, fitness‑for‑duty evaluations, and other health assessments that support a wide range of government agencies.
Position Description This position directly supports the United States Military Entrance Processing Command (USMEPCOM) that conducts over 250,000 medical evaluations annually, serving as the critical gateway for applicants entering both the Regular and Reserve components of the Armed Forces. By joining Trusted Medical, you will play an essential role in ensuring the health and readiness of future service members—helping to strengthen military preparedness.
Manage end‑to‑end credentialing processes including enrollment, initial credentialing, and re‑credentialing.
Conduct primary source verification of credentials (licenses, DEA, board certifications, education, work history).
Maintain accurate provider data in credentialing systems (e.g., CAQH, CredentialStream, PECOS, NPPES).
Track expiration of licenses, credentials, malpractice insurance, CME, and renewals; manage recredentialing timelines.
Submit credentialing/enrollment applications to payers and follow up until in‑network status is confirmed.
Ensure compliance with state/federal regulations, NCQA, TJC, CMS, and accredited institutions.
Assist in developing/improving internal credentialing policies and procedures.
Respond to information requests from regulatory agencies or public inquiries as required.
Knowledge and Skills Required
Deep knowledge of healthcare regulatory requirements, credentialing standards (NCQA, TJC, CMS), and payer credentialing rules.
Strong attention to detail and analytical skills to review applications, detect discrepancies, and resolve credentialing issues.
Exceptional organizational and time‑management skills, able to manage high volumes independently.
Excellent written and verbal communication skills.
Research‑savvy, able to verify documentation across diverse systems and sources.
Flexible and adaptable to frequent travel, with no restrictions on mobility.
Education/Certification Required
Health Information Management, Healthcare Administration, Business Administration, or related field.
Preferred – Education/Certification
CPCS (Certified Provider Credentialing Specialist) certification from NAMSS is highly preferred.
Experience Required
3+ years in healthcare credentialing or provider enrollment (specialist or coordinator roles).
VA and/or DoD credentialing experience is strongly preferred.
Experience ensuring compliance with regulatory standards and interacting with payers or government entities.
Proven ability to manage credentialing data and documentation systems effectively.
Demonstrated expertise in streamlining credentialing processes with accelerated turnaround times, enabling candidates to onboard and begin work more quickly.
Technical skills required.
Technical Skills
Proficiency in MS Office suite; advanced Excel preferred.
Familiarity with credentialing platforms: CAQH ProView, CredentialStream, PECOS, NPPES, NPDB queries.
Experience using healthcare compliance databases and understanding of data entry best practices.
Locations
Baton Rouge, LA
Brunswick, GA
Kansas City, KS
New Bern, NC
Destin, FL
Washington DC
Fayetteville, GA
Fort Leonard Wood, MO
Oklahoma City, OK
Middletown, CT
Petaluma, CA
Louisville, KY
San Antonio, TX
Virginia Beach, VA
Tallahassee, FL
Carmel, IN
Tucson, AZ
Klamath Falls
Port Charlotte, FL
Dayton, OH
Nottingham, MD
Southfield, MI
Davenport, IA
Hialeah, FL
Fayetteville, NC
Lehighton, PA
Jacksonville, FL
Temecula, CA
Manhattan, KS
Rapid City, SD
Suwanee, GA
Pueblo, CO
All applicants must be U.S. citizens and able to obtain a Public Trust clearance.
Trusted Medical participates in the E‑Verify program. Trusted Medical is a drug‑free workplace.
Trusted Medical is an Equal Opportunity and Affiliated Action Employer. Trusted Medical prohibits discrimination against individuals based on their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other category protected by law. Trusted Medical takes affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.
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