Credentialing and Enrollment Specialist (Remote)

Remote, USA Full-time Posted 2025-06-13

The Credentialing & Enrollment Specialist facilitates and manages the credentialing and enrollment process from start to finish. This role requires a variety of tasks such as enrolling new providers, maintaining CAQH profiles, auditing payer directories, and adhering to HIPAA guidelines. It also involves daily communication with different parties including payers, internal teams, and providers.

Responsibilities: ? Enroll and revalidate providers with payers ? Submit enrollment applications ? Ensure timely application processing ? follow up on application processing ? Update provider information in databases ? Manage CAQH profiles and facilitate re-attestations ? Collaborate with teams and customers ? Adhere to HIPAA guidelines ? Audit and update payer directories ? Verify enrollment status and instructions ? Maintain provider information in databases

Qualifications:

Experience:
? 2-4 years in credentialing
? Healthcare sector experience
? Customer Service and Revenue Cycle Management experience
? Proficiency in CAQH, NPPES, and PECOS

Skills:
? Task-oriented with strong attention to detail
? Excellent in documentation and communication
? Ability to prioritize, manage time, and work effectively both individually and in a team

Traits:
? Persistent, unafraid to ask questions

Benefits:
? 401(k)
? 401(k) matching
? Health insurance
? Dental insurance
? Vision insurance
? Disability insurance
? Life insurance
? Flexible spending account
? Employee assistance program
? Flexible schedule
? Paid time-off

Schedule: Dayshift (remote based)

Apply for the Job

Credentialing and Enrollment Specialist (Remote)

Qualifications:

Similar Remote Jobs

Credentialing and Enrollment Specialist (Remote)

Project Manager Mid Level

Part-time New Home Agent

Fully Remote Intake Specialist (Part-time & Fulltime | Flexible Hours Day * Night Shifts)

Freelance Remote Bookkeeping Jobs: Apply Now!

Verizon Wireless Order Entry

Data Centre Ops Lead

Customer Support Agent Chat (Remote / Entry Level / Part Time)

Home-based Entry Level Digital Travel and Marketing Specialist

Medical Front Desk Receptionist for an Opthalmology Clinic in the US (Home Based Part Time)

Sr Analyst, Managed Care Operations

Work from Home Typing Jobs: Join Our Remote Team!

Senior Digital Portfolio Manager (Hybrid - El Segundo, CA)

Specialist Sales Manager, Identity Protection - Healthcare (Remote)

Analyst, Case Management (Field - Must reside in Champaign, Douglas or PiattCounty IL)

Project Manager - Immediate Need (Jersey City, NJ)

Work From Home Entry Level Remote Chat Support (Non-phone)

Data Entry Clerk- Full Time - Remote

CVS Remote Jobs (Data Entry) ? No Experience

Southwest Airlines Entry Level Technology Analyst (Remote Job)