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TYPE OF WORK
Any
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SALARY
$50 per project
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HOURS PER WEEK
TBD
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DATE UPDATED
Mar 27, 2026
Clarity Works is seeking an experienced Credentialing Specialist to support provider enrollment and payer credentialing projects on an as-needed basis. This is not a full-time role. The Credentialing Specialist will be engaged when new credentialing projects arise, such as onboarding new providers, enrolling with commercial insurance plans, revalidations, roster updates, or resolving credentialing-related issues.
This person will be responsible for managing the credentialing process from intake through submission, follow-up, and approval, while keeping documentation organized and communicating progress clearly. The ideal candidate is detail-oriented, proactive, and experienced working with payer portals, CAQH, NPPES, PECOS, and provider enrollment workflows.
In your application, please detail your experience with medical billing process, healthcare, credentialing, etc.
Key Responsibilities
Complete payer enrollment and credentialing applications for individual providers and group practices
Gather and review all required provider documentation, including licenses, malpractice insurance, W-9s, NPIs, DEA, board certifications, and supporting forms
Maintain and update CAQH profiles and ensure attestations are completed on time
Submit credentialing and recredentialing applications to commercial payers, Medicare, Medicaid, and other networks as needed
Follow up with payers on submitted applications and resolve missing items, rejections, and delays
Track application status, submission dates, effective dates, and payer responses
Communicate project updates, outstanding requirements, and risks clearly to the Clarity Works team
Assist with ERA/EFT enrollment and related payer setup tasks when needed
Maintain organized records of all submissions, confirmations, and approvals
Support revalidations, demographic updates, roster changes, and payer terminations when assigned
Qualifications
2+ years of provider credentialing or payer enrollment experience
Strong working knowledge of CAQH, NPPES, PECOS, Availity, and major payer portals
Experience credentialing providers with commercial insurance, Medicare, and Medicaid plans
Strong understanding of provider enrollment timelines, payer requirements, and common credentialing issues
Excellent organization and follow-up skills
Ability to manage multiple projects and keep accurate records
Strong written and verbal communication skills
Experience in behavioral health, mental health, primary care, or multi-provider practices is a plus
Work Arrangement
This is a project-based, as-needed role. Work will be assigned based on active client credentialing needs. Hours will vary depending on project volume, number of providers, and payer requirements.
Compensation
Compensation may be structured on a per-provider, per-payer, or per-project basis depending on the scope of work. Payment terms will be tied to clearly defined project milestones.
Payment Structure
- 50% once the application package is complete and submitted correctly
- 50% once the payer approves the provider or enrollment becomes effective
