[Hiring] Credentialing Specialist @Verse Medical

Role Description

We are seeking a detail-oriented Credentialing Specialist to lead credentialing and onboarding of Verse Supplier Partners - DMEPOS suppliers that partner with Verse to deliver equipment and supplies to patients on time, wherever they are. This role sits at the center of a high-volume, time-sensitive process where accuracy and follow-through directly impact our ability to activate and maintain compliance. You will ensure every partner meets and maintains Verse’s high bar for qualification.

What You'll Achieve:

• Partner Intake and Verification:
  • Intake and verify partner credentials, including Medicare PTAN status, NPI, CMS-approved accreditation by product category, certificates of insurance, surety bonds, state licenses, Medicare opt-out status, and presence on the CMS Preclusion List.
  • Screen each partner and its owners, officers, and directors against exclusion lists at onboarding and monthly afterwards.
  • Confirm partner insurance details and track when policies renew or lapse.
• Knowledge Management:
  • Create, maintain, and improve a first-class knowledge management system and SOPs in Salesforce and Google Drive to deliver excellence in Ongoing Compliance Operations.
• Ongoing Compliance Operations:
  • Monitor credentials, licenses, accreditation, and insurance for upcoming expirations, and follow up with partners for updated documentation prior to expiration.
  • Track and escalate partner-reported events such as exclusions, license or accreditation actions, litigation, bankruptcy, or ownership changes, and recommend suspension or termination when warranted.
  • Collect the quarterly directory attestation and update Salesforce with any change to service area, location, or ownership.
  • Collect compliance attestations every year: code of conduct, general compliance training, and the staff roster.
  • Work with the partner support team to activate and deactivate partners as needed.

Qualifications

• 2+ years in DME credentialing at a DME supplier, health plan, or TPA.
• Zero defect mindset: exceptional attention to detail and organizational skills.
• Excellent written and verbal communication.
• Adaptable and willing to take feedback.
• Ability to manage multiple priorities simultaneously.
• Experience with Salesforce is preferred.

Our Pledge for an Equitable Future

At Verse Medical, our mission is to deliver equitable, hospital-quality care to everyone, regardless of their background or where they live. We can only achieve this if our own team reflects the diversity of the patients we serve. We are committed to building a workplace where everyone feels a sense of belonging, where their contributions are valued, and where they can do their best work. We embrace diversity of all kinds: race, gender, age, religion, identity, experience. We are actively working to build a more inclusive and equitable world, starting from within our own walls. We are an equal opportunity employer.

We are also committed to providing a positive and accessible interview experience. If you require any accommodations to participate in our process, please contact us at [email protected].