Credentialing Specialist

The role

The Credentialing Specialist will lead the credentialing and onboarding of DMEPOS supplier partners. This role involves verifying partner credentials, managing knowledge systems, and monitoring ongoing compliance.

What you will do

• Intake and verify partner credentials including Medicare PTAN status, NPI, and CMS-approved accreditation.
• Screen partners and their owners against exclusion lists at onboarding and monthly.
• Confirm partner insurance details and track policy renewals or lapses.
• Create and maintain knowledge management systems and SOPs in Salesforce and Google Drive.
• Monitor credentials, licenses, accreditation, and insurance for upcoming expirations.
• Track and escalate partner-reported events like exclusions, litigation, or ownership changes.
• Collect quarterly directory attestations and update Salesforce.
• Collect annual compliance attestations including code of conduct and staff rosters.
• Work with the partner support team to activate and deactivate partners.

Required 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

Nice to have

• Experience with Salesforce is preferred

About the company

Verse Medical is a well-funded Series C company building modern software infrastructure for the healthcare industry. Their platform connects providers, payors, and patients to deliver high-quality care.