We are seeking a detail-oriented and highly organized Credentialing Specialist to join our growing team! This remote position offers flexibility and the opportunity to work with a dynamic group dedicated to supporting independent medical practices across the U.S.
If you are passionate about accuracy, persistence, and helping providers navigate commercial, Medicaid, and Medicare credentialing, we want to hear from you.
Experience is required for this position. We will not be training at this time.
Overview:
The Credentialing Specialist is responsible for ensuring timely, accurate, and complete credentialing and re-credentialing of healthcare providers across multiple payer networks, including commercial insurance plans, Medicare, and Medicaid. This role involves maintaining excellent documentation, following up persistently with payers, and keeping clients well-informed of progress.
Key Responsibilities:
- Prepare and submit complete credentialing and re-credentialing applications for physicians and midlevel providers
- Maintain up-to-date provider data in CAQH, PECOS, NPPES, and other required systems
- Track and follow up on application status with commercial insurers, Medicare, and Medicaid programs
- Communicate clearly and consistently with clients to update on progress and request additional information
- Keep meticulous records of submissions, approvals, and expiration dates in our credentialing tracking systems
- Ensure compliance with payer-specific requirements and documentation standards
- Coordinate with internal team members to support related tasks
- Assist in the development and implementation of credentialing policies and procedures.
- Respond to inquiries regarding credentialing status and provide support to providers throughout the process.
- Stay informed about changes in regulations and standards affecting credentialing practices.
Required Qualifications:
- 2+ years of experience in provider credentialing and payer enrollment
- Knowledge of commercial, Medicare, and Medicaid credentialing processes
- Expertise with CAQH, NPPES, and PECOS
- High attention to detail and organizational skills
- Ability to work independently and remotely with consistent productivity
- Excellent written and verbal communication skills
- Strong follow-up skills and a proactive mindset
Compensation:
- $21–$25 per hour, depending on experience
- Flexible scheduling (full-time preferred)
- Contractor or employee status available
Pay: $21.50 - $25.00 per hour
Benefits:
Experience:
- Medicaid enrollment : 1 year (Preferred)
- Availity : 1 year (Preferred)
- Medicare enrollment/PECOS: 1 year (Preferred)
Work Location: Remote
