Top 5 credentialing remote Jobs in maryland

Credentialing Specialist
Little Leaves —Silver Spring, MD
- From $26.45 an hour
- Full-time
- Remote
- HIPAA
- Mid-level
- Children
Provider Data Coordinator
Maryland Care Management Inc —Linthicum, MD
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Writing skills
- Disability insurance
- Health insurance
6d

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Credentialing Specialist

Little Leaves -
Silver Spring, MD

Apply Now

Job Details

Full-time
From $26.45 an hour

Qualifications

Employee onboarding
HIPAA compliance
Process audits
Provider database maintenance for medical credentialing
Spreadsheets
Provider enrollment for medical credentialing
Practice management software
HIPAA
Blue Cross Blue Shield health insurance
Mid-level
Medical billing discrepancy resolution
Records management
Healthcare privacy protection
Healthcare provider information
Insurance claim issue resolution
Process management
Communication skills

Full Job Description

Company Overview:

Tiny steps bring big results at Little Leaves Behavioral Services for children, families, and team members alike. Our passionate clinicians and technicians work one-on-one with children with autism spectrum disorder (ASD) ages 1 to 6 to prepare them to thrive in school and life. This is a journey of impact and meaning. Achieve positive outcomes, pursue meaningful development, and realize purposeful balance as part of our team.

Small steps, big effects ... start with you: What you can expect to do.

See how small steps bring big results for children, families, and team members alike. Work one-on-one with young children with autism to deliver individualized treatment designed by a Board-Certified Behavior Analyst. As a critical member of the child’s therapy team, you will facilitate learning and playing in groups, collect data, and implement feedback from supervisors.

Overview:

Little Leaves provides full insurance support to families who seek our services. The Credentialing Specialist is responsible for managing the end-to-end provider credentialing and enrollment process to ensure all providers are properly enrolled, affiliated, and eligible to bill for services.

This role is critical to maintaining billing readiness, compliance, and revenue flow by ensuring providers are credentialed accurately and timely across MD, VA, and FL markets.

Responsibilities:

Responsibilities

Manage initial credentialing, recredentialing, and revalidation for all providers across multiple payers and states (MD, VA, FL)
Maintain and update CAQH profiles, ensuring accuracy of provider demographics, licensure, and documentation
Ensure providers are properly affiliated with correct TINs, service locations, and state licensure requirements
Track and manage all applications using a centralized credentialing tracker
Proactively follow up with payers on pending applications (30/60/90+ days)
Escalate credentialing delays and unresolved issues through payer channels and leadership
Collaborate with billing, authorization, and clinical teams to ensure providers are cleared for billing
Identify and resolve credentialing discrepancies that may impact claims submission or reimbursement
Maintain accurate documentation of credentialing activities in internal systems
Support onboarding of new providers to ensure timely credentialing and minimal service disruption
Assist with payer demographic updates, roster submissions, and contract-related updates
Review and respond to payer correspondence related to credentialing status
Perform audits to ensure alignment between credentialing records and billing systems
Performs other duties as assigned

Qualifications:

Desired Qualifications

2+ years of provider credentialing experience (behavioral health or ABA preferred)
Experience working with commercial payers (UHC/Optum, Aetna, Cigna, BCBS, Kaiser, etc.)
Strong knowledge of CAQH management and provider enrollment processes
Experience with multi-state credentialing (MD, VA, FL preferred)
Understanding of state-specific licensure and payer enrollment requirements
Highly organized with strong attention to detail and follow-through
Strong communication and problem-solving skills
Experience with practice management systems (e.g., Central Reach, Motivity) preferred
Proficiency in Excel and tracking tools
Ability to manage high-volume workflows and meet deadlines
Ability to maintain confidentiality and comply with HIPAA regulations

Posted Min Pay Rate: USD $26.45/Hr.

Apply Now

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Credentialing Specialist

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