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Remote Credentialing Specialist Jobs in Decatur, GA

TRC Talent Solutions

Pro JTS - Remote Coder

Atlanta, GA · Remote

$18 - $24/hr

JTS is hiring a Level 3 Remote Coder (Outpatient Coders with 3+ years of experience wiiling to ... AHIMA) Credentials CCS (Certified Coding Specialist) RHIA (Registered Health Information ...

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Remote Credentialing Specialist information

See Decatur, GA salary details

$13

$23

$38

How much do remote credentialing specialist jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for remote credentialing specialist in Decatur, GA is $23.78, according to ZipRecruiter salary data. Most workers in this role earn between $18.80 and $26.97 per hour, depending on experience, location, and employer.

What does a remote credentialing specialist do?

Remote credentialing specialists have the same job duties as in-house credentialing specialists; the main difference is they work from home or another location outside of the office. As a remote credentialing specialist, you verify the qualifications of the staff in healthcare organizations; you review medical policies, process contracts, and facilitate audit reports to validate that certified medical professionals comply with credentialing procedures. This verification process ensures that doctors and other medical professionals provide their accurate education and work histories, and confirms that they meet all local and federal licensing and regulation requirements. Remote credentialing specialists also update medical databases with information about a physician’s training or license and document when credentials must be renewed.

What does a remote credentialing specialist do?

A Remote Credentialing Specialist is responsible for verifying and maintaining the credentials of healthcare professionals to ensure they meet regulatory and organizational standards. Working remotely, they review and process applications, check licenses, certifications, and backgrounds, and work with medical staff to resolve any credentialing issues. This role is essential in healthcare organizations to ensure compliance and patient safety while enabling providers to practice legally and efficiently.

What are the key skills and qualifications needed to thrive as a remote credentialing specialist, and why are they important?

To thrive as a Remote Credentialing Specialist, you need a strong understanding of healthcare credentialing processes, attention to detail, and typically a background in healthcare administration or a related field. Familiarity with credentialing software, databases, and knowledge of industry standards such as NCQA or Joint Commission requirements are essential. Excellent organizational skills, clear communication, and the ability to work independently are crucial soft skills for remote success. These skills ensure accurate, timely credentialing of providers, compliance with regulations, and smooth healthcare operations.

What are some common challenges faced by remote credentialing specialists and how can they be addressed?

Remote Credentialing Specialists often encounter challenges such as coordinating with multiple departments, managing large volumes of documentation, and ensuring compliance with ever-changing regulations. Effective communication skills and strong organizational abilities are essential for staying on top of tasks and deadlines, especially when working remotely. Utilizing secure credentialing software and establishing clear processes for document sharing can help maintain accuracy and streamline collaboration with healthcare providers, HR teams, and regulatory agencies.

What is the difference between Remote Credentialing Specialist vs Remote Medical Biller?

AspectRemote Credentialing SpecialistRemote Medical Biller
Required credentialsHealthcare certifications, licensing knowledgeBilling and coding certifications (e.g., CPC, CCS)
Work environmentHealthcare facilities, insurance companies, remoteMedical offices, billing companies, remote
Employer industry usageHospitals, clinics, healthcare networksMedical practices, billing services
Common search intentCredentialing process, provider enrollmentBilling procedures, insurance claims

The Remote Credentialing Specialist focuses on verifying healthcare providers' credentials and ensuring compliance, while the Remote Medical Biller handles billing, coding, and insurance claims. Both roles often work remotely within the healthcare industry and require specialized certifications. Understanding these differences helps job seekers find the right position aligned with their skills and career goals.

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For Remote Credentialing Specialist jobs in Decatur, GA, the most frequently searched job titles are:

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The top searched job categories for Remote Credentialing Specialist jobs in Decatur, GA are:

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Cities near Decatur, GA with the most Remote Credentialing Specialist job openings:

Remote Credentialing Specialist jobs near you
Infographic showing various Remote Credentialing Specialist job openings in Decatur, GA as of August 2026, with employment types broken down into 78% Full Time, and 22% Part Time. Highlights an 100% Remote job distribution, with an average salary of $49,466 per year, or $23.8 per hour.

Sr. Credentialing Specialist

Fresenius Medical Care

Kennesaw, GA • On-site, Remote

Full-time

Posted 23 days ago

Fresenius Medical Care rating

6.7

Company rating: 6.7 out of 10

Based on 1,330 frontline employees who took The Breakroom Quiz

531st of 887 rated healthcare providers

Job description

PURPOSE AND SCOPE:
FMCNA locations. Collaborates with a third party/external credentialing agent to ensure credentialing process is completed as required.
Ensures all provider credentialing verification is performed in accordance with regulatory and accreditation standards as well as internal
FMCNA policy and procedure. Performs audits of both the internal FMCNA Provider Database and FMCNA provider information
compiled by the external credential verification agent to ensure that credential verification is completed in a timely manner according to
all regulatory and company requirements.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
  • Under close supervision, utilizes established procedures to perform routine assigned tasks¦
  • Learns to use professional concepts. Applies company policies and procedures to resolve routine issues.
  • Works on problems of limited scope. Follows standard practices and procedures in analyzing situations or data from which answers can be readily obtained.
  • May escalate issues to supervisor for resolution, as deemed necessary.
  • Performs provider/practitioner credentialing verification tasks to facilitate compliance with Medical Staff by-laws regarding the verification of a minimum set of a practitioner's credentials required prior to the patient receiving their second treatment.
  • Responsible for tasks related to the three-year cyclical verification process of all active practitioners.
  • Utilizes knowledge regarding national accreditation standards, internal medical staff bylaws and other related policies and regulations to perform functions pertaining to the provider/practitioner credentialing process for the FMS Division. This includes but is not limited to:
  • Obtaining practitioner license information from publicly available state/government agency websites, the National Provider Databank, and other 3rd party certification groups such as the American Board of Internal Medicine
  • Completing and processing all initial credential applications for new providers/practitioners and credential verification applications for existing providers/practitioners in a timely and accurate manner
  • Conducting follow up as needed, acting as the primary liaison for FMCNA locations, practitioners, and the FMCNA third- party credentialing agent to ensure that all credentialing is completed within the required timelines and that each provider/practitioner meets federal and state regulations as well as FMCNA internal requirements
  • Maintaining and updating the database on individual provider/practitioner credentials' status, tracking pending/completed applications, and maintaining a complete and accurate database of historical applications. Provides regular reports and updates to pertinent FMS field operations management and Director Operation Monitoring.
  • Communicating with practitioners regarding credentialing status, providing updates and obtaining additional information as required.
  • Educates and informs FMS field staff responsible for reporting new practitioners regarding their responsibilities in the credential verification process. Explains the credentialing requirements, practitioner specific information, information regarding the FMCNA third-party credential agent, regulations and industry standards for credentialing of health care providers and other information as applicable
  • Continually audits and analyzes the credentialing process to identify deficiencies in controls and to identify process/workflow issues recommending improvements to manager and implementing if approved.
  • Review internal Provider Database information and database of FMCNA provider information compiled by external credential verification agent to identify and take appropriate action where required to correct areas of noncompliance with company policy, such as reporting requirements of identified deficiencies in provider applications, reporting of providers non-compliant with verification policies, expired board certifications and other requirements as applicable.
  • Responsible for generating various standard and ad hoc reports from database:
  • Prepares project status reports as required, detailing progress of credential verification status of individual practitioner credential applications for each FMS Division, and reporting variances and trends in the credentialin process as identified to the Director Operations Monitoring.
  • Prepares reports detailing credential verification issues to pertinent field staff and credential verification agent
  • The monthly provider/practitioner credentialing status report for review by Director Operations Monitoring.
  • Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations.
  • Assist with various projects as assigned by direct supervisor
  • Other duties as assigned.

Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.
PHYSICAL DEMANDS AND WORKING CONDITIONS:
  • The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION:
  • Bachelor's Degree required

EXPERIENCE AND REQUIRED SKILLS:
  • 0 - 2 years' related experience.
  • Strong detail orientation required, with the ability to administer multiple tasks and prioritize.
  • Excellent verbal and written communication skills.
  • Ability to positively interact with Providers, hospital personnel, and other internal and external contacts.
  • Perform work at a high level of accuracy and timelines.
  • Attention to confidentiality and regard for protecting confidential and sensitive information
  • Advanced level skills with Microsoft Access, Excel, and Word.
  • Strong problem solving and time management skills with the ability to consistently work in a fast-paced environment.
  • Strong Excel, data-base management, and document storage and management skills

Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.
Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

What Fresenius Medical Care employees say

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About Fresenius Medical Care

Sourced by ZipRecruiter

We are a Team of more than 70,000 with one guiding Principle Patients First. This promise starts with providing the most comprehensive care for people living with Chronic Kidney Disease and extends to Innovative Solutions that are redefining Healthcare and setting the industry standard. From evolving home Dialysis and Patient education programs to improving patient care to providing World Class Research and Data driven insights. Our vertically integrated network tirelessly seeks new ways to improve the quality of our Patients' lives. We believe each of us can make an impact and together we can change an industry. Our Mission is to Provide Superior care that improves the quality of life of every patient, every day, setting the standard by which others in the Healthcare Industry are judged. And none of us does it alone. We bring together the brightest minds in kidney care to Dream, Research, and Innovate.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Waltham, MA, US

Year founded

1996

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