Credentialing Specialist
Remote
Part Time to Full Time
Mid Level
Provider Credentialing Specialist
Location: Remote (U.S.)
Type: Full time Mon-Friday 9:00 a.m. to 5 p.m. EST
About the Role:
We are seeking an experienced Provider Credentialing Specialist to join our growing team. The ideal candidate will have a strong background in multi-state credentialing, with specific experience credentialing for Primary; Cardiology, Dental, and Anesthesia providers. This role requires exceptional attention to detail, accuracy, and the ability to work independently while managing multiple provider files across various payors and states.
Responsibilities:
Qualifications:
Schedule & Compensation:
How to Apply:
To apply, please submit your resume and a cover letter highlighting your relevant experience and send to: [email protected]
NOTE: YOUR APPLICATION WILL NOT BE REVIEWED WITH A RESPONSE IF, I DO NOT RECEIVE A COVER LETTER WITH YOUR RESUME UPLOADED.
**** IF YOU ARE NOT IN ONE OF THE 50 STATES IN THE US I WILL NOT REVIEW YOUR RESUME.
Location: Remote (U.S.)
Type: Full time Mon-Friday 9:00 a.m. to 5 p.m. EST
About the Role:
We are seeking an experienced Provider Credentialing Specialist to join our growing team. The ideal candidate will have a strong background in multi-state credentialing, with specific experience credentialing for Primary; Cardiology, Dental, and Anesthesia providers. This role requires exceptional attention to detail, accuracy, and the ability to work independently while managing multiple provider files across various payors and states.
Responsibilities:
- Complete provider credentialing and recredentialing applications for multiple specialties, including Cardiology, Dental, and Anesthesia.
- Navigate and comply with state-specific Medicaid and Medicaid MCO credentialing requirements.
- Maintain accurate records of provider files, applications, and payer correspondence.
- Follow up with payors, providers, and internal teams to ensure timely completion of all credentialing processes.
- Interpret and apply plan-specific rules and state requirements for credentialing in each assigned region.
- Support ongoing growth—currently managing credentialing for 11 states, 26 providers, and 141 locations (and expanding).
- Manage and track all work using an excel spreadsheet.
Qualifications:
- Minimum 5 years of experience in provider credentialing (multi-state preferred).
- In-depth knowledge of CAQH, PECOS, NPPES, and commercial payor platforms.
- Proven experience with Medicaid and Medicaid Managed Care Organizations (MCOs).
- Strong understanding of payer enrollment processes for both commercial and government plans.
- Excellent organizational skills and follow-up practices.
- Self-motivated, detail-oriented, and able to work independently.
- Experience with Cardiology, Dental, or Anesthesia credentialing is highly preferred.
- Experience using Excel and knowing how to create pivot tables and organize; track and follow up on all providers using this type of platform.
- CPCS (Certified Provider Credentialing Specialist) preferred but not required.
Schedule & Compensation:
- Full time
- Competitive hourly rate based on experience
- Rate: $21.00 - 25.00/ hour
How to Apply:
To apply, please submit your resume and a cover letter highlighting your relevant experience and send to: [email protected]
NOTE: YOUR APPLICATION WILL NOT BE REVIEWED WITH A RESPONSE IF, I DO NOT RECEIVE A COVER LETTER WITH YOUR RESUME UPLOADED.
**** IF YOU ARE NOT IN ONE OF THE 50 STATES IN THE US I WILL NOT REVIEW YOUR RESUME.
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