Credentialing Specialist

Heartbeat Health is the leading virtual-first cardiovascular care company in the country, providing patients with convenient, high-quality heart care through a combination of telemedicine, diagnostics, and virtual care programs. By leveraging real-time data and AI-powered insights, Heartbeat Health empowers providers and patients with personalized treatment plans, reducing hospitalizations and improving long-term heart health outcomes. Heartbeat Health is redefining how cardiovascular care is delivered in the digital age, led by our medical group of cardiologists, advanced practitioners, nurses, and care coordinators. We are a nationwide telehealth organization seeking a Credentialing Specialist to support our growing provider network. About the Role: This role is responsible for end-to-end provider credentialing and payer enrollment across government and commercial payers, ensuring providers are set up for success in a multi-state, virtual care environment. The Credentialing Specialist will work closely with providers, payers, and revenue cycle teams to streamline enrollment, maintain compliance, and support timely reimbursement. Responsibilities : Complete and manage all aspects of initial credentialing, re-credentialing, and payer enrollment for a large network of telehealth providers across the U.S. Submit and track applications with government payers (Medicare, Medicaid, VA, Tricare) and commercial/private payers to ensure active participation status. Lead and mentor credentialing staff, providing training, guidance, and quality checks. Serve as the subject matter expert (SME) for credentialing, payer enrollment, and their connection to revenue cycle processes Optimize credentialing turnaround time and reduce payer enrollment delays that impact revenue Stay up to date on payer regulations and credentialing requirements across all states where the organization provides telehealth services Analyze denial trends related to credentialing/enrollment issues and imple