Top 4190 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
14d
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
14d
Credentialing Team Lead
Spectrum Billing Solutions —Remote
- Full-time
- Hybrid work
- Research
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Quick Apply
Part-Time Faculty - Health Information Technology
Faculty —Remote
- Part-time
- Remote
- Microsoft Outlook
- Doctoral degree
- 5 years
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
Credentialing Coordinator- Temporary
Provider Partners Health Plan —Remote
- Temporary
- Salesforce
- Mid-level
- High school diploma or GED
Quick Apply
Career Advisor (Remote)
Zeiders Enterprises, Inc. —Remote
- Full-time
- Remote
- Management
- Military
- Public speaking
Senior Provider Enrollment Representative
Optum —Oklahoma City, OK
- $20.38 - $36.44 an hour
- Urgently hiring
- Remote
- Microsoft Word
- Pass drug screening
- Mid-level
Part Time Faculty, Doctorate Business Administration, Dissertation Chair
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
Quick Apply
Credentialing Specialist (Payer Enrollment)
Lumexa Imaging —Remote
- Full-time
- Remote
- Microsoft Excel
- Mid-level
- Organizational skills
Quick Apply
Part-Time Faculty, Public Administration
Faculty —Remote
- Part-time
- Microsoft Outlook
- Doctoral degree
- Computer literacy
Quick Apply
Provider Enrollment Representative
TeamHealth —Remote
- Overtime
- Research
- High school diploma or GED
- 1 year
- Paid holidays
- Health insurance
13d
Credentialing Specialist (PSV Specialist)
Hardenbergh Group —Nashville, TN
- $40,000 - $45,000 a year
- Full-time
- Remote
- Mid-level
- Residential
- US work authorization
- Health savings account
- Disability insurance
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
Credentialing Specialist
SPS Health LLC —Milwaukee, WI
- $52,000 - $60,000 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- High school diploma or GED
Quick Apply
Part-time Faculty, OSH Grad
Faculty —Remote
- Part-time
- Remote
- Classroom
- Microsoft Outlook
- Doctoral degree
Quick Apply
6d
Part Time Faculty - Finance
Faculty —Remote
- Part-time
- Remote
- Microsoft Outlook
- Doctoral degree
- Computer literacy
Quick Apply

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

Senior Representative jobs in Oklahoma City, OK

Credentialing Specialist jobs in Nashville, TN

Credentialing Specialist jobs in Remote

Career Advisor jobs in Phoenix, AZ

Credentialing Specialist jobs in Milwaukee, WI

Faculty jobs in Remote

Credentialing Coordinator jobs in Remote

Enrollment Eligibility Representative jobs in Remote

Information Technology Specialist jobs in Remote

Engineering Team Leader jobs in Remote

Marketer jobs in Remote

Senior Representative jobs in Louisville, KY

Customer Service Representative Remote jobs in Danbury, CT

Patient Service Representative jobs in San Jose, CA

Part Time Senior jobs in Little Rock, AR

Senior Representative jobs in Washington, DC

Medical Sales Representative jobs in San Diego, CA

Senior Representative jobs in Chicago, IL

Remote Credentialing jobs in Florida

Credentialing Specialist jobs in Montana

Credentialing Specialist (Part-Time Temp to Perm)

TapestryHealth -
Remote

Quick Apply

Job Details

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

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

Part-Time Faculty - Health Information Technology

Senior Enrollment Representative

Credentialing Coordinator- Temporary

Career Advisor (Remote)

Senior Provider Enrollment Representative

Part Time Faculty, Doctorate Business Administration, Dissertation Chair

Part-Time, MBA-Marketing

Credentialing Specialist (Payer Enrollment)

Part-Time Faculty, Public Administration

Provider Enrollment Representative

Credentialing Specialist (PSV Specialist)

Part-time Faculty, Emergency Management

Credentialing Assistant

Credentialing Specialist

Part-time Faculty, OSH Grad

Part Time Faculty - Finance

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