Top 407 Credentialing representative Jobs in Remote

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
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
Provider Enrollment Representative
TeamHealth —Remote
- Overtime
- Research
- High school diploma or GED
- 1 year
- Paid holidays
- Health insurance
Credentialing Specialist (Payer Enrollment)
Lumexa Imaging —Remote
- Full-time
- Remote
- Microsoft Excel
- Mid-level
- Organizational skills
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
Credentialing Coordinator- Temporary
Provider Partners Health Plan —Remote
- Temporary
- Salesforce
- Mid-level
- High school diploma or GED
Quick Apply
Senior Credentialing Specialist
Harris Computer Systems —Remote
- Full-time
- Urgent Care
- HIPAA
- Research
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
1d
Credentialing Operations Manager
Avel eCare —Remote
- Monday to Friday
- 7 years
- Bachelor's degree
- Team management
Credentialing Specialist
ECU Health —Greenville, NC
- $21.53 - $31.38 an hour
- Full-time
- Remote
- Writing skills
- Mid-level
- High school diploma or GED
4d
Senior Enrollment Representative
Optum —Eden Prairie, MN
- $20.38 - $36.44 an hour
- Full-time
- Remote
- Microsoft Word
- Pass drug screening
- Research
- Flextime
Pre-Registration Representative
Pre-Registration —Columbia, MO
- Full-time
- Remote
- Entry level
- Employee stock purchase plan
- Disability insurance
Quick Apply
3d
Patient Support Representative
St. Mark's Hospital —Salt Lake City, UT
- Full-time
- Remote
- Entry level
- Employee stock purchase plan
- Disability insurance
Quick Apply
1d
Provider Enrollment Specialist ( OH, MI, KS) LOOKING FOR KANSAS INSURANCE KNOWLEDGE/EXPERIENCE
Eye Care Partners Career Opportunities —Ballwin, MO
- Overtime
- Remote
- Microsoft Outlook
- Customer service
- Computer literacy
Quick Apply
Intake Specialist - Revenue Cycle Management
Vital Care Infusion Services —Remote
- $18.92 - $23.46 an hour
- Full-time
- Remote
- Writing skills
- English
- Mid-level
- Health savings account
- Paid holidays
Quick Apply
Payor Credentialing Specialist (remote)
Behavioral Health Group —Dallas, TX
- Remote
- Microsoft Outlook
- Computer literacy
- Research
2d
Credentialing Specialist (PSV Specialist)
Hardenbergh Group —Plano, TX
- $40,000 - $45,000 a year
- Full-time
- Remote
- Mid-level
- Residential
- US work authorization
- Health savings account
- Disability insurance
Quick Apply
Authorization Specialist - Revenue Cycle Management
Vital Care Infusion Services —Remote
- $18.92 - $23.46 an hour
- Full-time
- Remote
- Writing skills
- English
- Mid-level
- Health savings account
- Paid holidays
Quick Apply
Provider Data and Payer Directory Operations Lead (backed by Y Combinator, $5M+ ARR, $20M+ raised)
Legion Health —Austin, TX
- Full-time
- Remote
- Psychiatry
- Mid-level
- APIs
4d
Credentialing Coordinator
Center for Vein Restoration —Greenbelt, MD
- $22 - $25 an hour
- Full-time
- Remote
- Customer service
- Writing skills
- Mid-level
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 in remote

Credentialing Specialist (Part-Time Temp to Perm)

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Credentialing Specialist

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Patient Support Representative

Provider Enrollment Specialist ( OH, MI, KS) LOOKING FOR KANSAS INSURANCE KNOWLEDGE/EXPERIENCE

Intake Specialist - Revenue Cycle Management

Payor Credentialing Specialist (remote)

Credentialing Specialist (PSV Specialist)

Authorization Specialist - Revenue Cycle Management

Provider Data and Payer Directory Operations Lead (backed by Y Combinator, $5M+ ARR, $20M+ raised)

Credentialing Coordinator

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