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TYPE OF WORK
Part Time
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SALARY
5.00 USD/ Hour
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HOURS PER WEEK
25
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DATE UPDATED
Aug 8, 2026
# Remote Medical Credentialing & Prior Authorization Specialist
**Specialty Medical Practice | Remote | Part-Time | $5.00/hour**
Ameriton Workforce Solutions is seeking an experienced **Medical Credentialing and Prior Authorization Specialist** to support a busy multi-physician specialty medical practice.
This position is ideal for someone who is highly organized and comfortable managing **provider credentialing, prior authorizations, insurance verification, and payer follow-up**.
Credentialing volume may fluctuate throughout the year, so the candidate should also be comfortable assisting with additional insurance-related administrative responsibilities.
### Responsibilities
**Provider Credentialing**
* Complete initial credentialing and recredentialing applications
* Manage provider enrollment with insurance plans, medical groups, hospitals, and IPAs
* Maintain and update CAQH profiles
* Track credentialing and recredentialing deadlines
* Follow up on pending applications and missing documentation
* Maintain organized credentialing spreadsheets and tracking systems
* Monitor expirations and upcoming renewals
* Communicate with payers and organizations regarding enrollment status
**Prior Authorizations**
* Submit prior authorization requests for office and specialty services
* Verify authorization requirements with insurance plans
* Follow up on pending authorizations
* Obtain supporting clinical documentation when required
* Track authorization status and expiration dates
* Document authorization numbers and payer communications
* Escalate urgent or delayed authorizations appropriately
**Insurance Verification**
* Verify patient eligibility and benefits
* Review copays, coinsurance, deductibles, and plan limitations
* Confirm HMO/IPA assignments and referral requirements
* Verify Medicare and Medicare Advantage coverage
* Communicate insurance issues to the practice before services are provided
**Additional Support**
* Assist with disability forms and related administrative paperwork
* Maintain organized documentation of payer communications
* Assist with other insurance-related projects during high-volume periods
### Requirements
* Previous U.S. medical credentialing experience required
* Experience completing provider enrollment and recredentialing
* Experience with **CAQH**
* Prior authorization experience strongly preferred
* Insurance verification experience required
* Familiarity with Medicare, Medicare Advantage, HMOs, Medi-Cal HMOs, commercial plans, and IPAs
* Excellent organizational and follow-up skills
* Ability to manage multiple deadlines independently
* Strong written and spoken English
* High attention to detail
### Preferred Experience
* Experience supporting specialty physician practices
* California payer and IPA experience
* Cardiothoracic, cardiology, cardiovascular, or surgical practice experience
* Experience completing disability paperwork
* Experience with DrChrono or other U.S. medical EMRs
* Experience maintaining credentialing trackers for multiple physicians
### Schedule
**Remote, part-time position** with availability during **U.S. Pacific Time business hours**.
Hours may increase during periods of heavy credentialing, recredentialing, or authorization volume.
### Compensation
**$5.00 USD per hour**
### How to Apply
Please submit:
* Your current **CV/resume**
* A short **introductory video**
* A brief description of your credentialing experience
* Which payers, IPAs, and credentialing platforms you have worked with
* Your experience with prior authorizations and insurance verification
* Any experience with disability forms
* The medical specialties you have previously supported
**Candidates who can independently manage credentialing deadlines while also assisting with prior authorizations and insurance verification will receive priority consideration.**
