Top 4220 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 (Full-Time Temp to Perm)
TapestryHealth —Remote
- $50,000 - $55,000 a year
- Full-time
- Remote
- Microsoft Outlook
- HIPAA
- Mid-level
Quick Apply
Credentialing Coordinator- Temporary
Provider Partners Health Plan —Remote
- Temporary
- Salesforce
- Mid-level
- High school diploma or GED
Quick Apply
Provider Enrollment Representative
TeamHealth —Remote
- Overtime
- Research
- High school diploma or GED
- 1 year
- Paid holidays
- Health insurance
14d
Credentialing Coordinator
Center for Vein Restoration —Greenbelt, MD
- $22 - $25 an hour
- Full-time
- Remote
- Customer service
- Writing skills
- Mid-level
Quick Apply
Part-Time Psychology
Faculty —Remote
- Part-time
- Remote
- Microsoft Outlook
- Doctoral degree
- Computer literacy
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 Credentialing Specialist
Harris Computer Systems —Remote
- Full-time
- Urgent Care
- HIPAA
- Research
Bilingual Call Center Representative
SEIU Local 775 —Seattle, WA
- $27.29 - $37.92 an hour
- Weekends as needed
- Remote
- Computer literacy
- Office
- Residential
- Health insurance
- Dental insurance
Quick Apply
CC/PS Associate Teacher
MEXICAN AMERICAN OPPORTUNITY FOUNDATION —Salinas, CA
- $20.56 - $21.81 an hour
- Full-time
- School experience
- Classroom
- Spanish
- Paid jury duty
- 403(b) matching
Physical Therapist
Matrix Providers —Bremerton, WA
- $57 - $60 an hour
- Full-time
- Physical & Rehabilitation Medicine
- Mid-level
- In-person
- Paid holidays
- Health insurance
Quick Apply
Lead Clinical Supervisor - Night Shift, CDF
DESC —Seattle, WA
- $97,701.60 - $110,540.40 a year
- Full-time
- LMFT
- Spanish
- Addiction Medicine
- Disability insurance
- Health insurance
Quick Apply
Physician
K'ima:w Medical Center —Hoopa, CA
- $310,000 - $340,000 a year
- Full-time
- Acute care
- CPR Certification
- Medicine
- Relocation assistance
- Health insurance
Quick Apply
Medical Director
Bethel Family Clinic Inc. —Bethel, AK
- $175,000 - $250,000 a year
- Full-time
- Background check
- Nursing
- Medicine
- Loan repayment program
- Relocation assistance
Quick Apply
LPCC (Licensed Professional Clinical Counselor)
New Life Treatment Center —Woodstock, MN
- $75,000 - $95,000 a year
- Full-time
- Background check
- LMFT
- Computer literacy
- Health insurance
- Paid time off
Quick Apply
14d
General / Pediatric Dentist
Hui No Ke Ola Pono, Inc. —Wailuku, HI
- From $150,000 a year
- Part-time
- Background check
- School experience
- CPR Certification
- Health insurance
- Dental insurance
Quick Apply
Nutritionist
Network Solutions IPA —Brooklyn, NY
- From $70,000 a year
- Full-time
- Hybrid work
- Spanish
- Ability to walk for extended periods
- HIPAA
Quick Apply
2d
Supervisor, Transportation Network Management
Inland Empire Health Plan —Rancho Cucamonga, CA
- $80,059.20 - $106,059.20 a year
- Full-time
- Hybrid work
- Microsoft Word
- Mid-level
- Office
- Disability insurance
- Health insurance
OTP Medical Provider - Physician, MD
Therapeutic Health Services —Seattle, WA
- $249,600 - $279,500 a year
- Weekends as needed
- Addiction Medicine
- Outpatient experience
- Team management
- Paid holidays
- Health insurance
Quick Apply
PRN Cardiac Sonographer
Steele Memorial Medical Center —Salmon, ID
- PRN
- Hospital
- BLS Certification
- Mid-level
10d

I want to receive the latest job alert for credentialing representative

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

credentialing representative jobs near

Credentialing Specialist jobs in Remote

Physician jobs in Seattle, WA

Physical Therapist jobs in Bremerton, WA

Sonographer jobs in Salmon, ID

Credentialing Coordinator jobs in Remote

Bilingual Call Center Representative jobs in Seattle, WA

Enrollment Eligibility Representative jobs in Remote

Engineering Team Leader jobs in Remote

Clinical Supervisor jobs in Seattle, WA

Associate Teacher jobs in Salinas, CA

Nutritionist jobs in Brooklyn, NY

Personnel Security Specialist jobs in North Carolina

Credentialing Specialist jobs in Santa Ana, CA

Clinical Nurse Specialist jobs in Remote

Credentialing Specialist jobs in Fairfield, CA

Credentialing Specialist jobs in East Point, GA

Credentialing Specialist jobs in Charleston, SC

Transportation Supervisor jobs in Broomfield, CO

Student Teacher Supervisor jobs in Indiana

Transportation Supervisor jobs in Des Moines, IA

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)

Credentialing Specialist (Full-Time Temp to Perm)

Credentialing Coordinator- Temporary

Provider Enrollment Representative

Credentialing Coordinator

Part-Time Psychology

Credentialing Team Lead

Senior Credentialing Specialist

Bilingual Call Center Representative

CC/PS Associate Teacher

Physical Therapist

Lead Clinical Supervisor - Night Shift, CDF

Physician

Medical Director

LPCC (Licensed Professional Clinical Counselor)

General / Pediatric Dentist

Nutritionist

Supervisor, Transportation Network Management

OTP Medical Provider - Physician, MD

PRN Cardiac Sonographer

I want to receive the latest job alert for credentialing representative

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected