Credentialing Specialist (Healthcare)

Location: Remote within the United States; schedules fall between 9:00 AM and 9:00 PM Eastern Time based on business needs.

Salary: Starting at $20 per hour; paid weekly.

Company

Healthcare services company providing technology-enabled business process management and member, provider, claims, payment integrity, and analytics solutions.

What you will do

• Verify provider credentials through approved sources.
• Track and process credentialing and re-credentialing applications.
• Enter, update, and maintain provider information, demographics, and delegated-entity data.
• Communicate with providers and office staff about credentialing status and documentation.
• Identify and report non-compliance or credentialing issues.
• Protect confidential data and documents while meeting high-volume deadlines.

Requirements

• At least 1 year of provider credentialing experience for a health plan.
• Familiarity with NCQA, CMS, and state credentialing standards.
• Strong organization, time management, attention to detail, and problem-solving skills.
• Ability to work independently and collaboratively in a high-volume environment.
• Excellent written, verbal, and interpersonal communication skills.
• Ability to work remotely from the United States during assigned Eastern Time schedule hours.

Culture & Benefits

• Remote work with on-camera participation during interviews, training, meetings, and regular check-ins.
• Collaborative environment focused on transparency, authenticity, and communication.
• Medical, dental, and vision coverage.
• Life insurance, short- and long-term disability options, FSA, and an employee assistance program.
• 401(k) with employer contribution, paid time off, and tuition reimbursement.

Hiring process

• Interviews, training, team meetings, and regular check-ins include on-camera participation.
• Background, previous employment, and education verification may be conducted based on position requirements.