Top 4619 Credentialing representative Jobs

Credentialing Specialist (Part-Time Temp to Perm)
TapestryHealth —Remote
- $50,000 - $55,000 a year
- Part-time
- Remote
- Microsoft Outlook
- HIPAA
- Mid-level
Quick Apply
Senior Credentialing Specialist
Harris Computer Systems —Remote
- Full-time
- Urgent Care
- HIPAA
- Research
Credentialing Specialist (Full-Time Temp to Perm)
TapestryHealth —Remote
- $50,000 - $55,000 a year
- Full-time
- Remote
- Microsoft Outlook
- HIPAA
- Mid-level
Quick Apply
Credentialing Team Lead
Spectrum Billing Solutions —Remote
- Full-time
- Hybrid work
- Research
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Quick Apply
Senior Provider Enrollment Representative
Optum —Oklahoma City, OK
- $20.38 - $36.44 an hour
- Urgently hiring
- Remote
- Microsoft Word
- Pass drug screening
- Mid-level
Credentialing Coordinator- Temporary
Provider Partners Health Plan —Remote
- Temporary
- Salesforce
- Mid-level
- High school diploma or GED
Quick Apply
Senior Enrollment Representative
Optum —Eden Prairie, MN
- $20.38 - $36.44 an hour
- Full-time
- Remote
- Microsoft Word
- Pass drug screening
- Research
- Flextime
Associate Credentialing Representative
Highmark Inc. —Pennsylvania
- $19.66 - $27.42 an hour
- Full-time
- Remote
- Microsoft Excel
- Writing skills
- Research
3d
Career Advisor (Remote)
Zeiders Enterprises, Inc. —Remote
- Full-time
- Remote
- Management
- Military
- Public speaking
Part-Time Faculty - Health Information Technology
Faculty —Remote
- Part-time
- Remote
- Microsoft Outlook
- Doctoral degree
- 5 years
Quick Apply
Credentialing Specialist (Payer Enrollment)
Lumexa Imaging —Remote
- Full-time
- Remote
- Microsoft Excel
- Mid-level
- Organizational skills
Quick Apply
Provider Enrollment Representative
TeamHealth —Remote
- Overtime
- Research
- High school diploma or GED
- 1 year
- Paid holidays
- Health insurance
14d
Credentialing Specialist (PSV Specialist)
Hardenbergh Group —Charlotte, NC
- $40,000 - $45,000 a year
- Full-time
- Remote
- Mid-level
- Residential
- US work authorization
- Health savings account
- Disability insurance
Quick Apply
Part-Time, MBA-Marketing
Faculty —Remote
- Part-time
- Classroom
- Microsoft Outlook
- Doctoral degree
Quick Apply
Membership Associate
Aledade —Remote
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Paid parental leave
- Paid holidays
Quick Apply
8d
Part Time Faculty, Doctorate Business Administration, Dissertation Chair
Faculty —Remote
- Part-time
- Remote
- Microsoft Outlook
- Doctoral degree
- Computer literacy
Quick Apply
Part-Time Faculty, Public Administration
Faculty —Remote
- Part-time
- Microsoft Outlook
- Doctoral degree
- Computer literacy
Quick Apply
Part-time Faculty, Emergency Management
Faculty —Remote
- Part-time
- Remote
- Classroom
- Microsoft Outlook
- Doctoral degree
Quick Apply
Credentialing Assistant
Harris Computer Systems —Oklahoma
- Full-time
- SharePoint
- Entry level
Part Time Faculty - Finance
Faculty —Remote
- Part-time
- Remote
- Microsoft Outlook
- Doctoral degree
- Computer literacy
Quick Apply

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Credentialing Specialist (Part-Time Temp to Perm)

TapestryHealth -
Remote

Quick Apply

Job Details

Part-time | Temp-to-hire
$50,000 - $55,000 a year

Qualifications

Microsoft Outlook
Spreadsheets
Provider enrollment for medical credentialing
HIPAA
Health information regulatory compliance
Clinical confidentiality policies

Full Job Description

POSITION SUMMARY:

The Credentialing Specialist is responsible for managing the credentialing, recredentialing, licensing and payer enrollment processes for healthcare providers to ensure uninterrupted patient care and compliance with all regulatory requirements. This role requires meticulous attention to detail and the ability to work collaboratively with internal teams, providers, and payer representatives. As our business continues to grow, the scope of responsibilities may evolve to meet organizational needs.

This is a Part-Time TEMP to PERM position. 20-25 hours per week.

PRIMARY RESPONSIBILITIES:

Accurately maintain and update provider credentialing and payer enrollment records in CAQH, PECOS, credentialing software, and other payer-specific systems across multiple states.
Manage and monitor all aspects of the payer enrollment and re-enrollment process to ensure timely and successful participation with contracted insurance plans.
Analyze provider credentialing and enrollment files for completeness, accuracy, and compliance; identify and resolve any discrepancies or deficiencies.
Collaborate closely with internal teams (billing, contracting, operations, and clinical) to align credentialing and payer enrollment processes with organizational timelines.
Develop and maintain positive working relationships with payer representatives, providers, and third-party organizations to expedite application processing and issue resolution.
Serve as a resource for providers by responding to inquiries via phone, email, or internal communication channels in a timely and professional manner.
Track application status, monitor expirables, and ensure compliance with federal, state, and payer-specific regulations.
Assist with audits, special projects, and process improvement initiatives related to credentialing and payer enrollment.

MINIMUM REQUIREMENTS

Experience: 2+ years in provider credentialing.
Working knowledge of payer enrollment processes, timelines, and requirements for commercial and government insurance plans.
Experience using credentialing/enrollment software (i.e., Modio, VerityStream, Cactus, MD-Staff) preferred.
Strong organizational skills and ability to manage multiple applications and deadlines simultaneously.
Proficiency with Microsoft Office Suite (Excel, Word, Outlook) and comfort navigating web-based portals.
Demonstrated ability to maintain strict confidentiality and comply with HIPAA regulations.
Ability to work independently and as a collaborative team member in a fast-paced, evolving environment.
Experience managing collaborative practice agreements preferred.

The anticipated salary range for this role is $50K-$55K annualized. This remote position follows a location-based compensation structure. The posted salary range represents the potential pay range across the geographic markets. Actual compensation will be determined based on the candidate’s experience, qualifications, and internal equity considerations, in accordance with applicable pay transparency laws.

Quick Apply

Refine Your Search

credentialing representative jobs

Credentialing Specialist (Part-Time Temp to Perm)

Senior Credentialing Specialist

Credentialing Specialist (Full-Time Temp to Perm)

Credentialing Team Lead

Senior Provider Enrollment Representative

Credentialing Coordinator- Temporary

Senior Enrollment Representative

Associate Credentialing Representative

Career Advisor (Remote)

Part-Time Faculty - Health Information Technology

Credentialing Specialist (Payer Enrollment)

Provider Enrollment Representative

Credentialing Specialist (PSV Specialist)

Part-Time, MBA-Marketing

Membership Associate

Part Time Faculty, Doctorate Business Administration, Dissertation Chair

Part-Time Faculty, Public Administration

Part-time Faculty, Emergency Management

Credentialing Assistant

Part Time Faculty - Finance

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