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Responsibilities
About XRHealthXRHealth delivers virtual care through virtual reality. We provide physical therapy, occupational therapy, speech-language pathology, mental health therapy, and nurse practitioner services — 100% remotely, across multiple states. We're a lean, fast-moving, fully remote team that operates under an MSO–professional corporation structure, and we're building a clinical operation that is both clinically excellent and financially disciplined.About the RoleWe're looking for a hands-on credentialing and government contracting specialist to own the enrollment, credentialing, and government registration lifecycle for our clinicians and entities. This is detailed, deadline-driven work: Medicare and Medicaid enrollments, revalidations, payer applications, state licensure support, and federal/state contracting registrations.This role is ideal for someone who knows PECOS and CMS I&A, can work independently without hand-holding, and takes satisfaction in a clean tracker and zero lapsed enrollments. You'll work directly with our leadership team and have real ownership over your workstream.What You'll OwnMedicare (CMS / PECOS / I&A)Maintain CMS Identity & Access (I&A) accounts, surrogate relationships, and PECOS access for providers and organizationsPrepare, submit, and track CMS-855B, 855I, 855R, 855O, CMS-588 (EFT), and EDI enrollment applicationsManage reassignments of benefits, group enrollments, practice location changes, and ownership/managing-control disclosuresOwn the revalidation calendar — no missed deadlines, everCorrespond with MACs on development requests, name-matching issues, and application deficiencies; escalate and follow through to approvalMedicaid Complete and track state Medicaid enrollments and re-enrollments across multiple statesMaintain CAQH ProView profiles, NPPES/NPI records, and payer portal accessTrack application status, effective dates, and par/non-par status in our credentialing tracker; report status weeklyGovernment ContractingMaintain SAM.gov registration, UEI, CAGE code, and annual renewalsSupport VA community care network enrollment (TriWest/Optum), state contracts, and other public-sector opportunitiesPrepare and update capability statements, representations and certifications, and required entity documentationMonitor solicitations and flag relevant opportunities; assemble supporting documents for bids and RFPsDocumentation & ProcessKeep entity documentation organized and current (EINs, IRS Letter 147C, W-9s, state registrations, registered agent records, MSO/PC structure documents used in payer applications)Maintain and improve credentialing SOPs and trackersDeliver a concise weekly status report: what moved, what's blocked, what's at riskRequired Qualifications3+ years of hands-on provider enrollment and credentialing experienceDirect, independent experience with CMS I&A and PECOSMulti-state Medicaid and commercial payer enrollment experienceWorking knowledge of CAQH, NPPES, and payer credentialing portalsStrong written communication — you'll be drafting payer and agency correspondence on our behalfMeticulous documentation habits and comfort managing dozens of parallel deadlinesU.S.-based, with a Social Security Number (required to establish individual CMS I&A credentials)Reliable high-speed internet and a private, HIPAA-appropriate work environmentPreferred QualificationsCPCS or CPMSM certificationTelehealth or multi-state virtual care experienceExperience with group practice enrollments under an MSO or management services structurePrior SAM.gov / federal contracting registration experienceExperience with VA community care networks (TriWest, Optum)Familiarity with therapy disciplines (PT/OT/SLP) and behavioral health credentialing requirementsSchedule & Work ArrangementPart-time, hourly, W2 — hours will not exceed 29 hours per weekSchedule is flexible within standard U.S. business hours, with availability required for payer and MAC phone calls during business hoursFully remote; company laptop provided for all workAccurate time tracking is required; all hours must be recorded and approvedHiring ProcessApplication review & 10-minute screening interview. Complete screening interview here: https://myint.video/aML7Y-ML-e30-minute live interviewReference check and background check
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