Credentialing Representative

Location: Remote work setting

Company

hirify.global provides surgical-focused revenue cycle management and related services for ambulatory surgical centers, anesthesia billing, professional billing, and other healthcare services across nearly every U.S. state.

What you will do

• Manage end-to-end credentialing and recredentialing for providers across multiple healthcare client accounts.
• Prepare, submit, and track enrollment and participation applications for Medicare, Medicaid, and commercial health plans.
• Verify licenses, NPI, DEA registration, malpractice coverage, CAQH profiles, and board certifications.
• Maintain accurate credentialing records in internal databases and client systems.
• Coordinate with providers, payers, contracting, billing, and internal teams to resolve issues and support claim submission readiness.
• Monitor credential expirations, initiate renewals, and provide credentialing status reports.

Requirements

• At least 2 years of credentialing or provider enrollment experience, preferably in an RCM vendor or multi-client environment.
• Familiarity with Medicare and Medicaid enrollment, PECOS, CAQH, payer portals, and credentialing software.
• Strong organization, documentation, attention to detail, and deadline management across multiple client accounts.
• Excellent written and verbal communication skills.
• Proficiency with Microsoft Office.
• Associate’s or Bachelor’s degree in Healthcare Administration or a related field is preferred.

Nice to have

• CPCS or CPMSM certification.

Culture & Benefits

• Remote work with cross-functional collaboration across clients, operations, and payer teams.
• Fast-paced, deadline-driven revenue cycle management environment.
• Confidential handling of provider and client data is required.
• Opportunities for learning, development, and professional growth.