Credentialing Specialist - min 3 years experience (Remote)

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: TYPE OF WORK

Full Time

: SALARY

$1200 USD monthly

: HOURS PER WEEK

40

: DATE UPDATED

Apr 1, 2026

JOB OVERVIEW

Please do NOT spend lots of points to apply. We will not factor in how many points you spend in our selection process and you can spend/bid just 1 point.

We will only consider applicants who meet the requirements below. If you do not meet these requirements, please do not apply.

We are a US–TX–based company that builds software and provides related services to healthcare organizations supporting their staff credentialing and learning needs.

We are seeking a Credentialing Specialist with a minimum of 2 years of experience in US-based medical staff insurance credentialing/enrollment. This position is full-time (35-40 hours per week). Because we are based in the US, you must be available to work Monday–Friday, between 8:00am–6:00pm US Central Time.

Qualifications:
* Minimum 3 years of hands-on experience with US medical staff insurance credentialing or payor enrollment; working knowledge of CAQH, PECOS, Availity, and TMHP systems are strongly preferred.
* Proficiency using web-based business software (MS Word, Outlook/Gmail, Excel, Google Docs, Google Sheets, etc.)
* Excellent communication and follow-up abilities with English-speaking clients
* Reliable computer and internet connection
* Strong attention to detail and organizational skills
* Ability to work independently, manage priorities, and meet deadlines in a remote environment.

Responsibilities:
* Maintain provider enrollment information in the credentialing database; generate reports for hospital administration, billing staff, and clinic managers as needed
* Evaluate credentialing/privileging requests and practitioner documentation (education, training, experience) for eligibility
* Compile and present practitioner data for review by appropriate committees or administrators
* Investigate and resolve discrepancies or adverse findings in credentialing information
* Support audits and surveys by regulatory and accreditation agencies
* Obtain and review practitioner sanctions, complaints, and adverse data to ensure compliance
* Verify and document expirables using primary source verification and other accepted methods
* Collaborate with payors and internal teams to stay informed about updates, requirements, and policy changes
* Manage and update provider profiles in CAQH, ensuring accuracy and timely attestations
* Prepare and submit payor credentialing and re-credentialing applications for commercial, Medicare, and Medicaid plans
* Complete and maintain provider enrollments in PECOS (Medicare) and TMHP Medicaid portals in compliance with federal and state regulations

The salary for this position is $300 USD per week. We pay weekly via Wise. In addition to the salary, we also offer a benefits package to cover health insurance cards and paid time off for tea ---------- mbers.

Interested candidates should respond to this posting with the following:
* An updated resume
* Confirmation of your availability to meet during U.S. business hours for a few hours each week
* Any relevant certifications or formal training related to credentialing (e.g., CPCS®, CPMSM®) and/or medical services/staffing
* Your best contact email for interview scheduling

Qualified candidates will be contacted for an interview within the next week. Please be prepared to begin work within a few days to one week after being hired.

Please note - due to the high volume of responses we receive, we may not be able to respond individually to each applicant. If you do not hear back from us within 10 days of applying, you were not selected to interview.

SKILL REQUIREMENT

HR Management Communication Credentialing

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Credentialing Specialist - min 3 years experience (Remote)

Please login or register as jobseeker to apply for this job.

TYPE OF WORK

SALARY

HOURS PER WEEK

DATE UPDATED

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