Job Description
We are seeking a detail-oriented Credentialing Specialist to support a growing healthcare organization as they bring credentialing functions in-house following a recent merger. This is a fully remote opportunity with strong potential for long-term growth.
Responsibilities
- Manage full-cycle credentialing and re-credentialing for healthcare providers
- Track and monitor licenses, certifications, and expirables to ensure compliance
- Perform primary source verifications (PSV) and maintain accurate records
- Submit and track payer enrollments with Medicare, Medicaid, and commercial insurers
- Communicate with providers to collect required documentation and ensure timely completion
- Review provider files for accuracy and submit to credentialing committee
- Ensure providers meet all regulatory requirements, including OIG exclusion checks
- Maintain and update data in credentialing systems and internal tools
Required Qualifications - Minimum 2+ years of credentialing experience
- Familiarity with insurance payers and enrollment processes
- Experience supporting FQHC or similar healthcare environments (preferred but flexible)
- Proficiency with Excel and/or Outlook
- Strong attention to detail and ability to manage multiple deadlines
Preferred Qualifications - Experience with provider/payer enrollment (Medicare, Medicaid, commercial)
- Familiarity with Athenahealth or NextGen EMR
- Experience with Workday, Smartsheet, or credentialing software systems
- Prior remote/work-from-home experience
Schedule & Training - Monday-Friday, flexible schedule (Central Time preferred)
- Structured onboarding + dedicated virtual training
- Ongoing support with autonomy after initial training period
Why Join Us - 100% remote - work from anywhere in the U.S.
- Opportunity to be part of a growing, evolving credentialing team
- Gain exposure to FQHC and payer enrollment processes
- Strong potential for long-term placement (temp-to-hire)
- Equipment provided
We are seeking a detail-oriented Credentialing Specialist to support a growing healthcare organization as they bring credentialing functions in-house following a recent merger. This is a fully remote opportunity with strong potential for long-term growth.
Responsibilities - Manage full-cycle credentialing and re-credentialing for healthcare providers
- Track and monitor licenses, certifications, and expirables to ensure compliance
- Perform primary source verifications (PSV) and maintain accurate records
- Submit and track payer enrollments with Medicare, Medicaid, and commercial insurers
- Communicate with providers to collect required documentation and ensure timely completion
- Review provider files for accuracy and submit to credentialing committee
- Ensure providers meet all regulatory requirements, including OIG exclusion checks
- Maintain and update data in credentialing systems and internal tools
- Required Qualifications
- Minimum 2+ years of credentialing experience
- Familiarity with insurance payers and enrollment processes
- Experience supporting FQHC or similar healthcare environments (preferred but flexible)
- Proficiency with Excel and/or Outlook
- Strong attention to detail and ability to manage multiple deadlines
- Preferred Qualifications
- Experience with provider/payer enrollment (Medicare, Medicaid, commercial)
- Familiarity with Athenahealth or NextGen EMR
- Experience with Workday, Smartsheet, or credentialing software systems
- Prior remote/work-from-home experience
- Schedule & Training
- Monday-Friday, flexible schedule (Central Time preferred)
- Structured onboarding + dedicated virtual training
- Ongoing support with autonomy after initial training period
- Why Join Us
- 100% remote - work from anywhere in the U.S.
- Opportunity to be part of a growing, evolving credentialing team
- Gain exposure to FQHC and payer enrollment processes
- Strong potential for long-term placement (temp-to-hire)
- Equipment provided
* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
* As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
Job Tags
Temporary work, Local area, Work from home, Monday to Friday, Flexible hours