Top 4716 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
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 Coordinator- Temporary
Provider Partners Health Plan —Remote
- Temporary
- Salesforce
- Mid-level
- High school diploma or GED
Quick Apply
Credentialing Coordinator
Center for Vein Restoration —Greenbelt, MD
- $22 - $25 an hour
- Full-time
- Remote
- Customer service
- Writing skills
- Mid-level
Quick Apply
Provider Enrollment Representative
TeamHealth —Remote
- Overtime
- Research
- High school diploma or GED
- 1 year
- Paid holidays
- Health insurance
13d
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
Part-Time Psychology
Faculty —Remote
- Part-time
- Remote
- Microsoft Outlook
- Doctoral degree
- Computer literacy
Quick Apply
14d
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
Associate Credentialing Representative
Highmark Inc. —Pennsylvania
- $19.66 - $27.42 an hour
- Full-time
- Remote
- Microsoft Excel
- Writing skills
- Research
2d
Senior Enrollment Representative
Optum —Eden Prairie, MN
- $20.38 - $36.44 an hour
- Full-time
- Remote
- Microsoft Word
- Pass drug screening
- Research
- Flextime
Credentialing Specialist (PSV Specialist)
Hardenbergh Group —Tampa, FL
- $40,000 - $45,000 a year
- Full-time
- Remote
- Mid-level
- Residential
- US work authorization
- Health savings account
- Disability insurance
Quick Apply
Membership Associate
Aledade —Remote
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Paid parental leave
- Paid holidays
Quick Apply
7d
Part-time Faculty, Emergency Management
Faculty —Remote
- Part-time
- Remote
- Classroom
- Microsoft Outlook
- Doctoral degree
Quick Apply
Bilingual Call Center Representative
SEIU 775 —Washington State
- Up to $29.06 an hour
- Weekends as needed
- Remote
- Background check
- Computer literacy
- Writing skills
- 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
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
1d

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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
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

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credentialing representative jobs

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