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.

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. 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.