Healthcare Credentialing (Remote)

Summary:
Responsible for verifying provider credentials, managing payer enrollment, and ensuring compliance with healthcare standards. Supports timely credentialing and re-credentialing for providers.

Responsibilities:

• Collect and verify provider documents (licenses, education, certifications, malpractice, etc.).
• Process credentialing and re-credentialing applications with payers (Medicare, Medicaid, commercial plans).
• Maintain provider files, databases, and systems (e.g., CAQH, NPPES, PECOS).
• Track expirations and ensure timely renewals.
• Communicate application status and requirements to providers and internal teams.
• Ensure compliance with HIPAA, NCQA, Joint Commission, and other regulations.

Qualifications:

• Experience in healthcare credentialing or provider enrollment preferred.
• Knowledge of CAQH, PECOS, and payer requirements is an advantage.
• Strong attention to detail, organization, and communication skills.
• Proficient with Microsoft Office and credentialing systems.

Requirements

Qualifications

• Bachelor's degree in Business, Healthcare Administration, or related field.
• Proven experience in revenue cycle management, preferably in the healthcare industry.
• Strong knowledge of billing and collections processes.
• Excellent analytical skills and attention to detail.
• Effective leadership and communication skills.
• Familiarity with revenue cycle software and tools.
• Willing to work remotely.
• Ability to work US hours (PST or EST) from Monday to Friday.

Benefits

Why join us as?

You’ll see dozens of marketing analysis set-ups, you’ll learn how marketing strategies are built, what matters, and why. You’ll have the opportunity of solving real customer problems on an everyday basis.