Licensing (RN / APRN ) & Credentialing Specialist (USA Healthcare)

eHealthBilling

Remote (Anywhere)

Accepting Applications Full-time Remote
Posted 13 hours, 32 minutes ago 0 views 0 applications
Job Description
We are seeking a knowledgeable and detail\-oriented  **RN / APRN Licensing \& Credentialing Specialist**  to manage nursing licenses and advanced practice certifications across multiple U.S. states. This role focuses on ensuring compliance with state nursing boards, maintaining active licensure, and supporting provider enrollment with government and commercial payers. The ideal candidate has hands\-on experience with RN and APRN licensing, including multi\-state licensure and compact states. **Key Responsibilities** * **Manage RN and APRN license applications** , renewals, and verifications across U.S. state boards * Handle multi\-state licensing and compact license processing under the  **Nurse Licensure Compact (NLC)** * **Process APRN certifications**  (e.g., NP, CRNP, CNM, CNS) including state\-specific requirements * Maintain provider records in systems such as CAQH, PECOS, and NPPES * Track expiration dates and ensure timely renewals to avoid lapses * Coordinate with state Boards of Nursing and national certifying bodies (e.g., ANCC, AANP) * Support enrollment with payers including Medicare, Medicaid, and commercial insurers * Ensure compliance with HIPAA and regulatory guidelines * Assist with audits, document collection, and credentialing verifications * Communicate directly with providers regarding licensing status and requirements **Required Qualifications** * **Bachelor’s degree in Healthcare Administration, Nursing, or related field (preferred)** * **2–4\+ years of experience in RN/APRN licensing, credentialing, or provider enrollment** * **Strong understanding of U.S. state Boards of Nursing requirements** * **Experience working with Centers for Medicare \& Medicaid Services (CMS)**  enrollment processes * Familiarity with CAQH, PECOS, and NPPES systems * Knowledge of APRN roles: Nurse Practitioner (NP), Certified Nurse Midwife (CNM), Clinical Nurse Specialist (CNS), Certified Registered Nurse Anesthetist (CRNA) * Excellent organizational and time\-management skills **Preferred Skills** * Experience with multi\-state APRN licensing and collaborative/supervisory agreements * Knowledge of controlled substance registrations (e.g., DEA) * Experience with payer credentialing (UHC, Aetna, BCBS, etc.) * Ability to manage high\-volume licensing workflows with strict deadlines **Compensation \& Benefits** * Competitive salary based on experience * Remote work flexibility * Paid time off and health benefits (if applicable) * Career growth opportunities in healthcare compliance and credentialing
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