Credentialing Specialist

We are seeking a detail-oriented Credentialing Specialist to lead credentialing and onboarding of Verse Supplier Partners - DMEPOS suppliers that partner with Verse to deliver equipment and supplies to patients on time, wherever they are. This role sits at the center of a high-volume, time-sensitive process where accuracy and follow-through directly impact our ability to activate and maintain compliance. You will ensure every partner meets and maintains Verse's high bar for qualification.

Responsibilities

Intake and verify partner credentials, including Medicare PTAN status, NPI, CMS-approved accreditation by product category, certificates of insurance, surety bonds, state licenses, Medicare opt-out status, and presence on the CMS Preclusion List; Screen each partner and its owners, officers, and directors against exclusion lists at onboarding and monthly afterwards; Confirm partner insurance details and track when policies renew or lapse; Create, maintain, and improve a first-class knowledge management system and SOPs in Salesforce and Google Drive; Monitor credentials, licenses, accreditation, and insurance for upcoming expirations, and follow up with partners for updated documentation prior to expiration; Track and escalate partner-reported events such as exclusions, license or accreditation actions, litigation, bankruptcy, or ownership changes, and recommend suspension or termination when warranted; Collect the quarterly directory attestation and update Salesforce with any change to service area, location, or ownership; Collect compliance attestations every year: code of conduct, general compliance training, and the staff roster; Work with the partner support team to activate and deactivate partners as needed

Requirements

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