Top 4235 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
Credentialing Specialist
Harris Computer Systems —Remote
- Full-time
- Urgent Care
- HIPAA
- Research
Credentialing Specialist (Payer Enrollment)
Lumexa Imaging —Remote
- Full-time
- Remote
- Microsoft Excel
- Mid-level
- Organizational skills
Quick Apply
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
Part-Time Faculty General Business, Supply Chain Management/International Management
Faculty —Remote
- Part-time
- Remote
- Microsoft Outlook
- Doctoral degree
- Computer literacy
Quick Apply
Part-Time, MBA-Marketing
Faculty —Remote
- Part-time
- Classroom
- Microsoft Outlook
- Doctoral degree
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Credentialing Team Lead
Spectrum Billing Solutions —Remote
- Full-time
- Hybrid work
- Research
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Quick Apply
Senior Credentialing Specialist
Harris Computer Systems —Remote
- Full-time
- Urgent Care
- HIPAA
- Research
Provider Enrollment Representative
TeamHealth —Remote
- Overtime
- Remote
- Research
- High school diploma or GED
- 1 year
- Paid holidays
- Health insurance
Part Time Faculty, Doctorate Business Administration, Dissertation Chair
Faculty —Remote
- Part-time
- Remote
- Microsoft Outlook
- Doctoral degree
- Computer literacy
Quick Apply
Part-time Faculty, Emergency Management
Faculty —Remote
- Part-time
- Remote
- Classroom
- Microsoft Outlook
- Doctoral degree
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Healthcare Credentialing/Provider Enrollment Specialist
Medic Management Group —Remote
- $20 - $23 an hour
- Full-time
- Remote
- Microsoft Word
- Background check
- Microsoft Excel
- Health savings account
- AD&D insurance
Quick Apply
13d
Senior Enrollment Representative
Optum —Eden Prairie, MN
- $20.38 - $36.44 an hour
- Full-time
- Remote
- Microsoft Word
- Pass drug screening
- Research
- Flextime
Credentialing Coordinator- Temporary
Provider Partners Health Plan —Remote
- Temporary
- Salesforce
- Mid-level
- High school diploma or GED
Quick Apply
Part Time Faculty - Finance
Faculty —Remote
- Part-time
- Remote
- Microsoft Outlook
- Doctoral degree
- Computer literacy
Quick Apply
Revenue Cycle & Credentialing Specialist
Signature Behavioral Health —Remote
- $30 - $42 an hour
- Full-time
- Background check
- 5 years
- Data analysis skills
- Paid holidays
- Health insurance
Insurance Billing - Special Utilities - Digitech - Remote
Sarnova —Remote
- Full-time
- Remote
- Computer literacy
- HIPAA
- High school diploma or GED
- 401(k)
Quick Apply
Credentialing Coordinator
University of Rochester —Rochester, NY
- $23.27 - $32.60 an hour
- Full-time
- Remote
- English
- Research
- Mid-level
Associate Credentialing Representative
Highmark Inc. —Pennsylvania
- $19.66 - $27.42 an hour
- Full-time
- Remote
- Microsoft Excel
- Writing skills
- Research
8d
Credentialing Specialist
Pain Specialist of America LLC —Austin, TX
- Remote
- Microsoft Excel
- Research
- Mid-level
- Health savings account
- Paid holidays
Quick Apply

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Credentialing Specialist (Part-Time Temp to Perm)

TapestryHealth -
Remote

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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.

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