Provider Enrollment/Credentialing Specialist – Remote

Support healthcare providers by ensuring accurate credentialing and enrollment across multiple insurance networks.

About Medic Management Group
Medic Management Group is an Ohio-based healthcare services company specializing in medical billing, collection recovery, credentialing, coding & auditing, consulting, and practice management. We serve private practices, hospitals, health systems, post-acute care facilities, and clinical research institutions. Recognized as a Cleveland Plain Dealer Top Workplace from 2020–2024, we pride ourselves on exceptional client service, a welcoming team culture, and opportunities for growth.

Schedule

  • Full-time, fully remote (based in Beachwood, OH)
  • Standard business hours
  • Requires extended computer use and sitting for long periods
  • Some repetitive tasks and frequent communication with providers and payers

Responsibilities

  • Collect, verify, and maintain provider information and documentation
  • Establish and maintain data entry in CAQH
  • Prepare and submit initial credentialing applications and reappointments on time
  • Confirm provider and group information with insurance companies
  • Coordinate provider enrollment and termination processes
  • Maintain professional communication with health plan representatives
  • Handle Medicare, Medicaid, and commercial insurance enrollments in multiple states
  • Manage NPI and other applicable provider numbers
  • Communicate credentialing issues promptly to leadership
  • Collaborate with medical staff and provider offices to obtain necessary materials
  • Share knowledge with colleagues and follow department policies

Requirements

  • High school diploma or equivalent
  • Minimum 3 years credentialing experience
  • FQHC and Behavioral Health experience required
  • Billing knowledge preferred
  • Proficiency with Medicare, Medicaid, and commercial enrollment processes
  • Experience with Availity, PECOS, and other credentialing platforms
  • Skilled in Microsoft Outlook, Word, and Excel
  • Strong interpersonal, organizational, and time-management skills
  • Ability to handle confidential information and comply with HIPAA
  • Detail-oriented with excellent problem-solving skills
  • Ability to multitask and work both independently and as part of a team

Compensation

  • $19.00–$23.00 per hour based on experience

Benefits

  • Competitive pay and benefits package
  • Opportunities for growth in a supportive, team-oriented environment

If you have the expertise and precision to manage provider credentialing in a high-volume, detail-driven environment, we want to hear from you.

Happy Hunting,
~Two Chicks…

APPLY HERE