Top 4160 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
Associate Credentialing Representative
Highmark Inc. —Pennsylvania
- $19.66 - $27.42 an hour
- Full-time
- Remote
- Microsoft Excel
- Writing skills
- Research
4d
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
Senior Provider Enrollment Representative
Optum —Oklahoma City, OK
- $20.38 - $36.44 an hour
- Urgently hiring
- Remote
- Microsoft Word
- Pass drug screening
- Mid-level
Patient Support Representative
Sunrise Hospital and Medical Center —Las Vegas, NV
- $15.46 - $23.19 an hour
- Full-time
- Remote
- Entry level
- Employee stock purchase plan
- Disability insurance
Quick Apply
16h
Senior Enrollment Representative
Optum —Eden Prairie, MN
- $20.38 - $36.44 an hour
- Full-time
- Remote
- Microsoft Word
- Pass drug screening
- Research
- Flextime
Nurse Practitioner/ Physician Assistant
Family Choice of New York —Depew, NY
- $120,000 - $135,000 a year
- Full-time
- CPR Certification
- Nursing
- Skilled nursing facility
- Health insurance
- Dental 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
PRN Cardiac Sonographer
Steele Memorial Medical Center —Salmon, ID
- PRN
- Hospital
- BLS Certification
- Mid-level
12d
Physician Assistant
WellSpace Health —Sacramento, CA
- $162,800 - $211,640 a year
- Part-time
- Patient monitoring
- Customer service
- BC/BE
- Paid jury duty
- Paid holidays
Quick Apply
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
Registered Vascular Technologist
American Vein & Vascular Institute —Highlands Ranch, CO
- $81,510 - $103,490 a year
- Full-time
- OSHA
- HIPAA
- Laboratory experience
- Relocation assistance
- Health insurance
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
Physician - Obstetrics
Gracelight Community Health —Los Angeles, CA
- $212,049 - $339,241 a year
- Part-time
- Spanish
- CPR Certification
- Medicine
Quick Apply
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
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
Associate Director of OP
FLACRA —Penn Yan, NY
- $63,000 - $64,000 a year
- Full-time
- LMFT
- Licensed Clinical Social Worker
- Outpatient experience
Quick Apply
Chief Medical Officer (Physician)
K'ima:w Medical Center —Hoopa, CA
- $280,000 - $350,000 a year
- Full-time
- Background check
- CPR Certification
- Medicine
- Relocation assistance
- Health insurance
Quick Apply
AgeWell PACE Medical Director
AgeWell PACE —Rohnert Park, CA
- $250,000 - $300,000 a year
- Full-time
- Medicine
- Public speaking
- 3 years
- Health insurance
- Dental insurance
Quick Apply
LPN Dispensary Nurse
Camas Health Recovery Center —Airway Heights, WA
- $38 - $42 an hour
- Weekends as needed
- Nursing
- Addiction Medicine
- Computer literacy
- Paid jury duty
- Paid holidays
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)

Associate Credentialing Representative

Credentialing Specialist (Full-Time Temp to Perm)

Senior Provider Enrollment Representative

Patient Support Representative

Senior Enrollment Representative

Nurse Practitioner/ Physician Assistant

Lead Clinical Supervisor - Night Shift, CDF

PRN Cardiac Sonographer

Physician Assistant

Physical Therapist

Registered Vascular Technologist

LPCC (Licensed Professional Clinical Counselor)

Physician - Obstetrics

OTP Medical Provider - Physician, MD

General / Pediatric Dentist

Associate Director of OP

Chief Medical Officer (Physician)

AgeWell PACE Medical Director

LPN Dispensary Nurse

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