Credentialing Specialist

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TYPE OF WORK

Full Time

SALARY

$500-800/mo

HOURS PER WEEK

40

DATE UPDATED

Oct 17, 2026

JOB OVERVIEW

Credentialing Specialist
Hummingbird Medical Billing Services (HMBS)

Remote | Full-Time Contractor
Monday–Friday, 8:00 a.m.–4:30 p.m. Eastern Time

HMBS is seeking an experienced, detail-oriented Credentialing Specialist to manage provider credentialing and payer enrollment. This position also includes cross-training in accounts receivable (A/R) follow-up to support our billing team.

We’re looking for someone who takes ownership of their work, follows through consistently, and communicates clearly.

Responsibilities

- Complete and submit initial credentialing, payer enrollment, and recredentialing applications for individual providers and group practices.
- Maintain CAQH profiles and keep provider information and supporting documents current.
- Manage Medicare, Medicaid, and commercial payer enrollments.
- Follow up regularly with payers, resolve application issues, and track submissions through completion.
- Verify participation status, effective dates, provider affiliations, and approved practice locations.
- Obtain and organize approval letters, contracts, and related records.
- Maintain accurate tracking records and communicate outstanding needs, deadlines, and delays.
- Coordinate with CEO and the billing team to support accurate enrollment and timely billing.
- Cross-train in A/R follow-up, including claim status research, payment follow-up, and denial resolution.

Qualifications

- Previous hands-on experience with provider credentialing and payer enrollment.
- Working knowledge of CAQH, PECOS, NPPES, and payer enrollment portals.
- Experience with CredyApp is a plus.
- Strong organizational skills and the ability to manage multiple providers, payers, and deadlines.
- Excellent written communication and professional phone skills.
- Ability to research requirements, troubleshoot problems, and work independently.
- Willingness to learn A/R processes and support the team as needed.
- Reliable internet access and a private workspace suitable for handling confidential information.
- Behavioral health and multistate enrollment experience preferred.

What We Value

Accuracy, accountability, initiative, and teamwork. We need someone who actively follows applications through to resolution, keeps records current, and asks questions when clarification is needed.

To Apply

Send your résumé and a brief summary of your credentialing experience to ---------- the payer types, states, and specialties you have worked with, any CredyApp, billing, or A/R experience, and your availability.

Application Instructions

What bird is our company named after? Use **“[Your answer] — Ready to Join the Team”** as your email subject line.

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