CredentialingandAdministrativeSpecialist

Wider Circle is seeking a detail-oriented Credentialing and Administrative Specialist to support an early-stage care program. In this role, you will work primarily behind the scenes to ensure our consulting clinicians are fully credentialed and ready to serve members across Medicare, Medicaid, and private insurance networks. Reporting directly to our Revenue Cycle Management (RCM) Manager, your meticulous management of the credentialing process helps eliminate administrative bottlenecks before they happen — setting the foundation for our operations and revenue cycle from the ground up. **Company Overview** At Wider Circle, we connect neighbors for better health. Our Connect for Life® program brings neighbors together through health, wellness, and social activities that improve mental and physical health. By creating trusted community circles and leveraging a sophisticated analytics platform, we foster stronger communities for older adults and disadvantaged populations. We are committed to the values of LOVE, LEARN, and GROW in all aspects of our work. **Responsibilities:** * Report directly to the RCM Manager, ensuring all credentialing activities align tightly with billing and revenue cycle requirements. * Manage the end-to-end credentialing and re-credentialing process across Medicare, Medicaid, and private insurance networks. * Conduct primary source verification and maintain credentialing databases with high accuracy and attention to detail. * Coordinate with licensing boards, payers, and internal teams to process applications and resolve inquiries. * Support backend documentation and privileging processes for new provider onboarding to ensure a seamless transition. * Ensure strict adherence to all relevant federal, state, and local regulations and accreditation standards. * Proactively identify and help the RCM team resolve credentialing discrepancies, generating reports and refining administrative workflows during the pilot phase. **Qualifications:** * 1–3 yea