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Credentialing Specialist (Hospital, ASC & Payer Enrollment)

Location

• Fully Remote

Duration

• Full Time
• Through the end of 2026
• Potential contract-to-hire opportunity in 2027 (not guaranteed)
• 6 months

About the Team

Our client serves as the credentialing and enrollment resource for a large multi-state physician group. The team supports physicians, CRNAs, surgery centers, hospitals, and healthcare facilities by managing provider enrollment, credentialing, privileging, and compliance requirements.

The team consists of approximately 15 members, including a Credentialing Supervisor and specialists focused on payer enrollment, facility credentialing, provider onboarding, and credential maintenance.

This position has been created to support increased application volume, organizational growth, and several special projects. The team is currently managing a significant increase in provider onboarding activity and credentialing requests across multiple facilities and payers.

Position Overview

We are seeking an experienced Credentialing Specialist to support high-volume provider credentialing, facility enrollment, and privileging initiatives. This individual will primarily focus on hospital credentialing, ambulatory surgery center (ASC) credentialing, and payer enrollment activities.

The ideal candidate will be highly organized, comfortable working in a fully remote environment, and skilled at managing large volumes of applications while maintaining detailed documentation and follow-up.

This position is heavily focused on administrative execution, data entry, documentation management, and ongoing communication with providers, facilities, and insurance payers to ensure applications move efficiently through the credentialing process.

Day-to-Day Responsibilities

• Complete hospital and ambulatory surgery center (ASC) credentialing applications
• Support payer enrollment for Medicare, Medicaid, and commercial insurance plans
• Coordinate provider privileging activities with hospitals and surgery centers
• Communicate with providers regarding missing information and documentation
• Follow up with facilities and payers regarding application status
• Maintain detailed notes and documentation within credentialing systems
• Review and audit provider files for completeness and compliance
• Enter credentialing data accurately into internal systems
• Organize credentialing records and maintain supporting documentation
• Manage multiple credentialing applications simultaneously
• Assist with special projects related to provider enrollment and credentialing operations
• Support overflow work resulting from organizational growth and increased provider onboarding

Volume & Work Environment

This is a high-volume credentialing environment.

The team processes:

• 100+ active applications at a time
• Approximately 1,200 applications annually across a small team
• Credentialing requests across more than 20 hospitals and surgery centers
• Multiple payer enrollment and privileging activities simultaneously

Success in this role requires:

• Strong organizational skills
• Excellent follow-up abilities
• Detailed note-taking
• Accurate documentation management
• Ability to work independently with minimal supervision

Required Qualifications

• 2+ years of credentialing experience within healthcare
• Experience with hospital credentialing, facility credentialing, or ASC credentialing
• Experience with payer enrollment and provider enrollment processes
• Strong data entry and administrative skills
• Excellent attention to detail
• Strong written communication skills
• Experience handling high application volumes
• Ability to manage multiple deadlines simultaneously
• Ability to work independently in a remote environment

Preferred Qualifications

• Experience with both facility credentialing and payer enrollment
• Experience working with Medicare and Medicaid enrollment
• Experience using credentialing software platforms
• Experience supporting physician groups, hospitals, or ambulatory surgery centers
• Experience with provider privileging processes
• Experience conducting credentialing audits and quality reviews