Credentialing Specialist
About Belle
Belle is a fast growing engagement company that is revolutionizing home healthcare – and it all begins with the feet. With 25M+ U.S. seniors no longer able to see or reach their feet, a lack of self care and mobility challenges cost the health insurance plans $38B+ in preventable medical spending every year.
Belle trains and manages a network of nail technicians or “Belle Technicians” who provide in-home foot care. Belle uses cutting edge data science to identify those most in need on behalf of health plans and deploys its services accordingly. While in the home, Belle Technicians complete assessments and screenings, often being the first to identify emerging issues below and above the knee. As these issues arise, a team of remote nurses coordinate care with other healthcare providers - preventing serious and costly episodes.
Our mission: Bring Joy to Healthcare. Join us if our cause inspires you!
About this Role
Belle is looking for a full time Credentialing Specialist to ensure rapid, widespread access to Belle’s services by securing in-network Medicare Advantage contracts and credentialing every Belle provider and workforce member quickly, accurately, and compliantly. This role is remote and may be either full-time or part-time.
Responsibilities
- Leading and managing the group and individual provider credentialing and contracting process for Medicare, Medicaid, and Medicare Advantage payers
- Monitoring and managing payer enrollment timelines to support market launches and state expansions
- Maintaining strong relationships with health plans and serve as the point of contact for credentialing and enrollment-related communications
- Maintaining credentialing files and documentation in accordance with payer, CMS, NCQA, and URAC standards
- Ensuring timely (re)credentialing of physicians, nurse practitioners, and clinical staff
- Managing pre-employment credentialing for the entire workforce, including clinical and non-clinical roles.
- Ongoing monitoring and auditing of background checks, drug screenings, licensure verifications, and other onboarding requirements
- Coordinating closely with the HR and Compliance teams to maintain up-to-date workforce records
- Maintaining a credentialing database and producing regular reports on application status, turnaround times, and compliance metrics
Experience, Skills, & Personality
- 3–5+ years of experience in healthcare credentialing and payer enrollment, preferably with Medicare plans
- Strong knowledge of regulatory and accreditation requirements (CMS, NCQA, URAC)
- Familiarity with CAQH, PECOS, NPPES, and other credentialing platforms
- Excellent organizational skills and attention to detail
- Strong interpersonal and communication skills with the ability to manage external and internal stakeholders
- Experience using credentialing software or provider management tools
- Bonus: Experience in a multi-state or fast-growth healthcare company
Benefits
- Competitive compensation based on experience
- Health, Dental, and Vision Insurance Benefits
- 401k
- PTO, Sick, and Paid Holidays
- Opportunity for significant career growth and expansion of responsibilities
- Ability to reshape an industry and protect lives
Belle is an Equal Employment Opportunity employer that proudly pursues and hires a diverse workforce. Belle does not make hiring or employment decisions on the basis of race, color, religion or religious belief, ethnic or national origin, nationality, sex, gender, gender-identity, sexual orientation, disability, age, military or veteran status, or any other basis protected by applicable local, state, or federal laws or prohibited by Company policy. Belle also strives for a healthy and safe workplace and strictly prohibits harassment of any kind. This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. Employers can only use E-Verify once you have accepted a job offer and completed the Form I-9.