Provider Credentialing Specialist — Remote

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: TYPE OF WORK

Full Time

: SALARY

8-10

: HOURS PER WEEK

39

: DATE UPDATED

Jul 20, 2026

JOB OVERVIEW

Now Hiring: Provider Credentialing Specialist — Remote

Healthcare Partners Consulting & Billing is seeking an experienced Provider Credentialing Specialist to join our team.

This is not a “submit the application and wait” position. We are looking for someone who understands the full credentialing and payer enrollment process and takes responsibility for moving applications from preparation through approval.

If you are used to submitting applications without following up, documenting progress, or resolving payer issues, this is not the role for you.

About This Role

You will be responsible for managing provider credentialing, recredentialing, and payer enrollment from start to finish. This includes gathering and verifying provider information, submitting accurate applications, following up with payers, resolving delays, and keeping providers and internal teams informed throughout the process.

You must be able to manage multiple providers, practices, payers, and deadlines without allowing applications to sit untouched.

Responsibilities Include
Completing commercial insurance, Medicare, Medicaid, and managed care enrollment applications
Maintaining accurate provider information in CAQH and payer portals
Completing initial credentialing, recredentialing, demographic updates, and reassignment applications
Reviewing provider documentation for accuracy and completeness before submission
Verifying licenses, malpractice coverage, education, work history, certifications, and other required information
Following up consistently with insurance companies until applications are approved
Obtaining reference numbers, representative names, call details, and application status updates
Resolving application errors, missing information, returned applications, and payer discrepancies
Tracking effective dates, approval dates, contract status, and provider participation
Maintaining detailed and accurate notes in all systems
Communicating credentialing delays, barriers, and next steps clearly
Identifying patterns or payer issues that may delay enrollment or impact revenue
Keeping providers and internal departments informed of application progress
Requirements
Minimum two years of provider credentialing or payer enrollment experience
Experience credentialing mental health or behavioral health providers preferred
Strong understanding of the complete credentialing and enrollment process
Experience with CAQH, PECOS, NPPES, Medicare, Medicaid, and commercial payer portals
Ability to complete and manage multiple applications accurately
Experience communicating with insurance companies and resolving enrollment issues
Strong written communication and documentation skills
High attention to detail, organization, and accuracy
Ability to manage multiple providers, practices, payers, and deadlines at once
Ability to work independently while communicating effectively with the team
Our Expectation

Submitting the application is the lowest level of this role. The value is in making sure the application is accurate, following it through the entire process, identifying barriers, and obtaining approval as efficiently as possible.

An application should never sit without follow-up, a documented status, and a clear next action.

We expect our tea ---------- mbers to understand payer requirements, remain current on enrollment changes, and embrace AI and technology to improve accuracy and efficiency. If you are not willing to learn, adapt, and take ownership of your work, this will not be a fit.

Schedule

Monday through Thursday: 8:00 AM–5:00 PM Eastern Time
Friday: 8:00 AM–1:00 PM Eastern Time

Compensation and Benefits
Salary based on experience
Career ladder with growth opportunities
Paid U.S. holidays
Remote position
How to Apply — Read Carefully

Complete the online job application below:

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SKILL REQUIREMENT

Medical Insurance Credentialing

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Provider Credentialing Specialist — 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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