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iSleep, LLC

Healthcare Credentialing & Contracting Specialist

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Job Description

iSLEEP + uNITE Sleep Institute Great care shouldn't get stuck in paperwork. A provider is ready to see patients. A new location is ready to open. A patient is ready to get help. Your work helps make sure the next step is care—not another administrative roadblock. At iSLEEP and uNITE Sleep Institute , we're making sleep care easier to access, easier to navigate, and more human. Through sleep medicine, diagnostic testing, and medical equipment services, we help people move from struggling with their sleep to getting the care and support they need. We're expanding nationally—and we're looking for an experienced Healthcare Credentialing & Payer Contracting Specialist to help build the foundation for that growth. This is a hands-on role for someone who understands the details, takes ownership, and knows how to keep complicated processes moving. You'll work across both organizations to support payer credentialing and enrollment, insurance contracting, licensing, and accreditation maintenance. You won't just submit applications. You'll help turn expansion plans into places where patients can actually receive care. The opportunity We need someone who can manage today's credentialing needs while building a more organized, reliable process for tomorrow. You understand that credentialing approval, payer enrollment, and an effective contract are different milestones. You know how to identify what's missing, ask the right questions, follow up persistently, and verify that the work is complete. You'll partner with leadership, providers, clinical operations, and billing teams to keep everyone aligned on what's approved, what's pending, and what needs attention. We're growing, and not every process has been built yet. For the right person, that's part of the opportunity—helping create a system that works better for the people using it. What you'll own Payer credentialing and enrollment Manage initial applications, recredentialing, revalidations, and demographic updates for individual providers, group practices, facilities, and medical equipment suppliers, as applicable. Coordinate Medicare, Medicaid, and commercial payer enrollment, maintain supporting records, and resolve incomplete applications or outstanding requests. Verify participation status, effective dates, provider affiliations, and approved service locations. Insurance contracting and payer relationships Support payer outreach, network participation requests, and contract negotiations. Review fee schedules and key contract terms, prepare clear summaries for leadership, and coordinate appropriate approvals and legal review. Maintain executed agreements and track amendments, renewal windows, and notice deadlines. Help resolve closed-panel responses, contracting delays, and discrepancies between agreements and payer records. Multistate licensing and expansion readiness Research and coordinate applicable provider, facility, and medical equipment supplier licensing and registration requirements as we enter new markets. Build practical checklists and timelines that identify dependencies, required documents, responsible parties, and potential delays. Keep leadership informed early—not after a missed deadline affects an opening. Accreditation maintenance and survey support Coordinate accreditation applications, renewals, documentation, survey preparation, and corrective-action follow-up with clinical and operational leaders. Maintain an organized calendar of requirements and help ensure supporting records are current, accessible, and ready for review. Clinical and operational teams will own their standards of practice—you'll help keep the process coordinated and on track. Accurate records and dependable follow-through Maintain centralized provider, entity, licensing, accreditation, and payer records. Keep application statuses, expiration dates, contacts, correspondence, and next steps current. Protect confidential information and build a tracking process that another team member can understand without having to reconstruct the history from an email inbox. A clear handoff to operations and billing Communicate approvals, effective dates, participation limitations, and unresolved issues to the teams that depend on them. Work with billing to investigate enrollment-related denials or payer setup problems. Before calling something complete, verify the details needed for the next team to move forward. What you'll bring At least three years of hands-on healthcare credentialing and payer enrollment experience , including direct responsibility for applications, follow-up, issue resolution, and ongoing maintenance. Practical payer-contracting experience. You've worked with network participation requests, payer representatives, agreements, and reimbursement schedules—not solely provider data entry. Strong working knowledge of credentialing and enrollment tools , such as CAQH, PECOS, NPPES, and commercial payer portals, along with the ability to maintain accurate tracking systems. Excellent organization, judgment, and communication. You can manage competing deadlines, protect sensitive information, explain a complicated issue clearly, and escalate a problem with a recommended next step. Experience with multistate expansion, sleep medicine, medical equipment supplier enrollment, facility licensing, or accreditation coordination is especially valuable. A relevant credentialing certification is a plus. You don't need to know every requirement in every state from memory. You do need to know how to find the right answer, verify it, document it, and move the work forward. What success looks like During your first 90 days, you'll build a clear understanding of our providers, entities, locations, payer agreements, licenses, and accreditation obligations. You'll identify gaps and upcoming deadlines, establish a reliable tracking and renewal calendar, and develop a prioritized plan for active applications and expansion needs. Over time, success means fewer preventable delays, well-maintained records, timely renewals, and clear visibility into what is—and is not—ready for launch. We'll value the quality of your follow-through, not just the number of applications submitted. Payer timelines aren't always within your control. Complete submissions, documented follow-up, accurate reporting, and early escalation are. Why join iSLEEP and uNITE? Your work here has a direct connection to patient access. The contract you help move forward, the enrollment issue you resolve, and the renewal you catch early can all help someone receive care with fewer obstacles.
Our benefits include:
100% employer-paid employee health insurance. A 401(k) plan with a 6% employer match. Generous paid time off. You'll also have the opportunity to help shape how two growing healthcare organizations expand nationally—and improve processes rather than simply inherit them. We value people who are kind, capable, and dependable. People who ask questions, share information, treat payer representatives and teammates with respect, and take pride in closing the loop. Taking ownership doesn't mean doing everything alone. It means making sure the right people know what's needed—and helping the work reach the finish line. Ready to help us grow? Apply with your résumé and a few sentences about the provider types, payer relationships, and states you've supported. Tell us about a credentialing or contracting challenge you helped resolve—and what you did to move it forward. We'd love to meet the person who makes complicated things feel manageable. iSLEEP + uNITE Sleep Institute Sleep Care, Made Human. iSLEEP and uNITE Sleep Institute are equal opportunity employers. We welcome qualified applicants from all backgrounds and are committed to an accessible, respectful hiring process.
Pay:
From $25.00 per hour
Benefits:
401(k) Dental insurance Health insurance Life insurance Paid time off Vision insurance
Work Location:
In person

Benefits

  • Paid Time Off (PTO)
  • 401(k) Plans
  • Other Retirement and Savings
  • Health Insurance