🌐 Provider Enrollment / Credentialing Specialist πŸ—‚οΈ

(Remote – U.S.)

🧾 About the Role
A fully remote opportunity based out of Beachwood, OH, this role centers on credentialing new and established healthcare providers. You’ll be responsible for everything from application prep to enrollment verification, with potential for billing duties depending on experience.


βœ… Position Highlights
β€’ Pay Range: $19.00–$23.00 per hour
β€’ Employment Type: Full-time
β€’ Location: 100% Remote (U.S.)
β€’ Department: Credentialing / Enrollment
β€’ Billing duties optional depending on skill set


πŸ“‹ What You’ll Own
β€’ Complete and maintain provider credentialing and reappointment applications
β€’ Verify data and documentation across CAQH, PECOS, and other platforms
β€’ Manage Medicare, Medicaid, and commercial enrollment/termination
β€’ Update NPI and insurance provider records
β€’ Communicate with providers, payers, and health plan reps
β€’ Monitor credentialing timelines and proactively resolve issues
β€’ Maintain compliance with HIPAA and internal policies
β€’ Collaborate cross-functionally and support leadership with issue escalation


🎯 Must-Have Traits & Skills
β€’ Minimum 3 years of credentialing experience
β€’ Experience with FQHC and Behavioral Health organizations
β€’ Familiarity with Availity, PECOS, CAQH, and payer portals
β€’ Billing experience preferred
β€’ Detail-oriented with excellent organizational and time management skills
β€’ Strong written/verbal communication and interpersonal skills
β€’ Proficiency in Microsoft Word, Excel, Outlook
β€’ Ability to handle sensitive data and multitask in a fast-paced setting


πŸ’» Remote Requirements
β€’ U.S.-based with stable internet connection
β€’ Comfortable sitting for long periods and working on-screen
β€’ Must be able to manage confidential data professionally


πŸ’‘ Why It’s a Win for Remote Job Seekers
β€’ Solid hourly pay with growth potential
β€’ Supportive team culture with room to expand responsibilities
β€’ Clear, process-driven role with real impact on healthcare operations
β€’ Work-from-home flexibility with structured tasks


✍️ Call to Action
If you’re a credentialing pro with Medicare/Medicaid experience and a sharp eye for detail, apply today and help keep healthcare provider data accurate and compliant across the board.

APPLY HERE