[Remote] Operations Coordinator

Note: The job is a remote job and is open to candidates in USA. LanceSoft, Inc. is a company focused on providing quality and compliance support for a clinical Telehealth practice. The Operations Specialist role involves supporting credentialing, privileging, and payer enrollment activities for clinical providers, as well as ensuring compliance with regulatory standards.ResponsibilitiesDelivery of credentialing, privileging, and payer enrollment activities for clinical providersAdministrative support of licensing and CME activities for providersQuality program support related to clinical audits, compliance and quality outcomesOrganize, facilitate and document clinical reporting and documentation review meetings between provider staff and quality resource teamTimely processing of initial credentialing and re-credentialing applications in accordance with regulatory requirements (NCQA, URAC, Client, or other regulatory standards)Validating and verifying provider credentials (licensure, DEA, specialty board, certificates, professional liability, and other required documents) through the appropriate verification sourcesCompleting payer provider enrollment process, performing revalidations, maintaining CAQH profiles, NPPES registrations, provider data with payers and managing plan enrollment status in credentialing systemMaintenance of credentialing cycles, expiration of licenses, and sanctions monitoringProvide and maintain a current working knowledge of credentialing standards and regulations to ensure compliance at a national levelReview quality program requirements related to audits and ensure compliance with policies and procedures related to audit structuresCollaborate with clinical staff to facilitate provider file reviews and clinical encounter audits, including meetings with third party reviewersDeliver monthly and quarterly quality and compliance reportsSkillsFive (5) years of progressive experience in credentialing and provider enrollmentKnowledge of credentialing, privileging, and provider enrollment regulatory standardsStrong understanding of credentialing databases and reporting tools and/or the ability to quickly learn themStrong sense of ethics and demonstrated integrity in handling confidential informationDetail-oriented, Excellent written, verbal, and interpersonal communication skillsAnalytical, problem solving, decision-making and organizational skillsAbility to work independently to accomplish objectives accurately and expeditiouslyBachelor's degree preferredCertified Provider Credentialing Specialist (CPCS) preferredCertification in provider credentialing from either AAPC or NAMSS is highly desirableCompany OverviewEstablished in 2000, LanceSoft is a pioneer in delivering top-notch Global Workforce Solutions and IT Services to a diverse clientele. It was founded in 2000, and is headquartered in Herndon, Virginia, USA, with a workforce of 5001-10000 employees. Its website is http://www.lancesoft.com/.Company H1B SponsorshipLanceSoft, Inc. has a track record of offering H1B sponsorships, with 5 in 2026, 55 in 2025, 32 in 2024, 23 in 2023, 25 in 2022, 60 in 2021, 80 in 2020. Please note that this does not guarantee sponsorship for this specific role.