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Credentialing Specialist

Verse Medical· Payor Relations
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Remote$75k - $80kFull-timePosted 2w ago

About the role

Detail-oriented credentialing and onboarding lead for Verse Supplier Partners (DMEPOS). Drives high-volume, time-sensitive credentialing, ongoing compliance, and partner activation while maintaining Verse’s high standards.

Responsibilities

  • 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.
  • Create, maintain, and improve a first-class knowledge management system and SOPs in Salesforce and Google Drive to deliver excellence in 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

Skills

Required:CredentialingAttention to detailCommunication
Nice to have:Salesforce

Benefits

  • [Not explicitly listed in the description]
Last updated Oct 7, 2026. Interested? Apply on the company site.
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About Verse Medical

Software platform for in-home healthcare

As healthcare costs have increased, the patient's home has become incredibly important as a site of care. Yet, patients recovering at home are highly underserved. Patients can only get better at home if they receive the high-quality care that they need reliably. The existing in-home care process involves patchwork of different vendors, all connected through faxes by nurses. We're building modern, robust software that solves this challenge and brings this market online.

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