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Remote Credentialing Verification Organization Jobs in Ohio

Datavant

Outpatient Coding Consultant - Remote

Toledo, OH · Remote

$18.50 - $23.25/hr

Possess strong organizational and teamwork skills. * Comply with all HIM Division Policies. What ... AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC ...

Mentalzon LLC

Remote Psychologist

Cleveland, OH · On-site +1

$50 - $100/hr

Excellent organizational and time-management abilities. * A strong commitment to continuous ... Credential Verification: Upload your verification documents, including your doctoral degree, state ...

Alto

Verification Pharmacist - FuzeRx

Sharonville, OH · On-site +1

$53.50 - $64.25/hr

Operating in a remote capacity, the Verification Pharmacist supports remote verification functions ... Ensure all verified orders comply with federal, state, and organizational pharmacy regulations ...

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Remote Credentialing Verification Organization information

What is the difference between Remote Credentialing Verification Organization vs Credentialing Specialist?

AspectRemote Credentialing Verification OrganizationCredentialing Specialist
Primary RoleProvides credentialing verification services for healthcare providers remotelyPerforms credentialing tasks directly for healthcare facilities or providers
Work EnvironmentTypically operates remotely, often for multiple clientsUsually works in healthcare facilities or administrative offices
Required CredentialsKnowledge of credentialing standards, healthcare regulationsCertifications like Certified Provider Credentialing Specialist (CPCS) often preferred

The main difference is that a Remote Credentialing Verification Organization offers credentialing services remotely for multiple clients, while a Credentialing Specialist performs credentialing tasks directly within healthcare organizations. Both roles require knowledge of healthcare standards, but their work settings and scope differ.

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The most popular types of Credentialing Verification Organization jobs in Ohio are:

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Cities in Ohio with the most Remote Credentialing Verification Organization job openings:

Remote Credentialing Verification Organization jobs near you

Credentialing Specialist-FULLY REMOTE (Days) FT

Chillicothe, OH • On-site, Remote

Adena Health System
Health Care and Social Assistance • 1 - 5K employees

7.3

Company rating: 7.3 out of 10

Based on 54 frontline employees who took The Breakroom Quiz

270th of 896 rated healthcare providers

Great coworkers

People enjoy working here

Good employer

Learn more about Adena Health Systemexternal

Full-time

Medical, Retirement, PTO

Posted 11 days ago

Job description


Credentialing Specialist- ARMC- Days (full time)
At Adena Health, professional roles shape the systems, strategy, and operational excellence that support patient care across Southern Ohio. These positions are a great fit for leaders and specialists who value purpose-driven work and community impact.
Mission Statement: "Called to serve our communities".
Guiding Principle: "Let all that you do be done in love".
Vision: To be the region's most trusted partner in healthcare.
Values: Compassion, Excellence, Integrity, and Trust.
Position Highlights:
  • Position: Credentialing Specialist
  • Salary: Based on years of experience
  • Work Life Balance: Fully Remote Full-Time | Day Shift
  • Location/Department: Chillicothe -
  • Reports to: Department Manager

At Adena Health, professional roles shape the systems, strategy, and operational excellence that support patient care across Southern Ohio. These positions are a great fit for leaders and specialists who value purpose-driven work and community impact.
Why Adena?
  • Community-centered decision making
  • Leadership visibility and cross-functional collaboration
  • Competitive compensation and benefits
  • Growth-focused culture
  • Opportunity to influence real healthcare outcomes

Does Adena offer growth opportunities?
Growth at Adena isn't one-size-fits-all. It's built through relationships, mentorship, and opportunity.
Caregivers are encouraged to explore career paths that fit their strengths and interests through:
  • Emerging leader and leadership development programs
  • Tuition assistance and education support
  • Skill-building and lateral career opportunities
  • Visibility with leaders who recognize potential early

What You'll Do
A Credentialing Specialist makes sure healthcare providers meet the necessary qualifications to provide care. The primary responsibility is to verify and assess the credentials of providers to ensure compliance with industry standards and regulatory requirements. This includes reviewing applications, verifying their qualifications such as education, licensure status, certifications, or other credentials by directly contacting institutions, licensing boards and previous employers to validate the information provided is accurate and up-to-date. They conduct thorough background checks to identify any potential risks or red flags that may impact patient safety. The Credentialing Specialist reviews privileges requested by the healthcare provider, compares to their education and training, contrasted with relevant experience to recommend if the individual is qualified to provide safe and competent patient care. The Credentialing Specialist ensures healthcare providers maintain their credentials by monitoring expiration dates of licenses and certifications. They may facilitate the process of updating credentials as required to ensure the caregiver and facilities remain compliant with all certification and accreditation requirements. They also serve as a point of contact for credentialing related inquiries and assists in the preparation of necessary reports. In addition to being responsible for updating and maintaining credentialing databases, scheduling and attending meetings, data entry/integrity, record management and performing other administrative tasks as assigned. This individual plays a key role in maintaining the integrity of healthcare delivery and protecting patient well-being. Following an orientation period, with appropriate knowledge in hospital medical staff credentialing; employees, at the discretion of their supervisor, may have an opportunity for a schedule to include a remote/work from home. If approved to work from home, individual must hold a dedicated workspace free from distractions with reliable internet access and a strong understanding of company policies.
Minimum Qualifications Required Educational Degree: Bachelor's degree in a health-related field or equivalent experience Major/Area of Concentration:
Required Certifications, Credentials and Licenses: Must possess a valid National Association Medical Staff Services (NAMSS) Certification as a Certified Professional Medical Services Manager (CPMSM) or Certified Provider Credentials Specialist (CPCS); within two years from the date of hire and when meeting the eligibility criteria
Required Experience: Experience in medical credentialing, health care administration, or related field
Why Caregivers Stay?
  • Reliable compensation
  • Strong healthcare coverage options
  • 3.5% retirement match with automatic annual increase
  • PTO that grows with tenure
  • Visible leadership impact within a regional health system

Ready to Explore?
If you're seeking meaningful professional work where strategy meets community impact - we'd love to connect. Apply today to be connected directly with a Talent Acquisition representative!
Adena Health System is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, or status as a qualified individual with disability or any other protected class
Preferred Education:

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