Credentialing & Licensing Specialist I
TeleMed2U
About TeleMed2U
At TeleMed2U, we believe that time is the most valuable resource in healthcare— whether it is time to diagnosis, time to treatment, or time to better health. That is why, since our founding in 2011, we have been dedicated to increasing access to care across 20 medical and behavioral health specialties nationwide. By breaking down traditional barriers to specialty care, TeleMed2U has become a leading technology-enabled healthcare services company, delivering high-quality, convenient, and easy-to-access virtual healthcare solutions. Our integrated approach to chronic disease management empowers both patients and providers, improving health outcomes through seamless care coordination. With a focus on patient-centered innovation, provider collaboration, and data-driven care delivery, TeleMed2U is redefining specialty care—making it faster, simpler, and more accessible for all.
Job Title: Credentialing & Licensing Specialist I
Location: Austin, Texas
Reports To: Credentialing & Licensing Manager
Direct Report(s): None
FLSA Status: Non-Exempt
Employment Type: Full-Time
The primary role of this position is to assist physicians and support the Credentialing team with preparing and submitting licensing, credentialing, enrollment, recredentialing applications and follow up on the status of applications for Physicians and Payers and keep a detailed log of all tasks. The credentialing & licensing specialist will be responsible for supporting all aspects of licensing, credentialing and recredentialing and any other administration duties assigned by management.
Credentialing and License Specialist 1:
- Supports the TeleMed2U Provider Network’s credentialing process for all TeleMed2U clinical providers, in accordance with NCQA, URAC, Joint Commission and CMS accreditation standards, Federal and State laws, and TeleMed2U’s policies.
- Assists with the management of TeleMed2U Provider Network’s credentialing applications, to ensure distribution, receipt, processing, and timely management through our credentialing process.
- Coordinates the management of the expirable process to ensure all clinical provider licenses and board certifications remain current, ensuring appropriate notification prior to expiration.
- Assist providers through the renewal licensing process
- Ensures all credentialing, enrollment and license applications accuracy prior to submission
- Monitors provider license application statuses, follow ups with various state medical boards
- Monitors provider enrollment application status, follow up with the payors
- Maintains, assists in renewing and tracks license and certification expiration for providers
- Manage CAQH profiles for TeleMed2U’s Provider Network.
- Prepare and submit rosters to health insurance plans to ensure provider participation.
- Update various databases to ensure proper tracking of payor enrollments, credentialing and update requests.
- Maintain necessary records of outstanding enrollment applications and requests.
- Coordinate all managed care credentialing activities to ensure provider participation status.
- Credentialing activities require substantial contact with outside agencies
- Maintain Credentialing database.
- Follow-up with managed care companies to ensure expedient credentialing.
- Remains current on policies affecting provider enrollment credentials & delegated clients/payers.
Required
Credentialing and License Specialist 1
· Credentialing or license experience
· High School Diploma or equivalent
Preferred
· Medicare and Medicaid enrollment experience preferred
· Bachelor’s degree preferred
· 1-3 years of experience in licensing, payor enrollment and credentialing preferred
Physical Requirements
- Prolonged periods of desk work and computer use
- Ability to lift 15 lbs
