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Remote Provider Credentialing Jobs in California

LIBERTY DENTAL

This role works closely with providers, external credentialing partners, and internal departments ... This is a fully remote position, but candidates must reside in Oklahoma or Florida Healthcare or ...

Sonrava Health

Provider Network Manager

Sacramento, CA · Remote

$80K - $85K/yr

Required to live in Northern California | Remote We are seeking an experienced Provider Network ... Coordinate provider credentialing and recredentialing activities. * Serve as the primary point of ...

Sonrava Health

Provider Network Manager

Sacramento, CA · Remote

Required to live in Northern California | Remote We are seeking an experienced Provider Network ... Coordinate provider credentialing and recredentialing activities. * Serve as the primary point of ...

Sonrava Health

Provider Network Manager

Sacramento, CA · On-site +1

$80K - $85K/yr

Required to live in Northern California | Remote We are seeking an experienced Provider Network ... Coordinate provider credentialing and recredentialing activities. * Serve as the primary point of ...

Sonrava Health

Provider Network Manager

Sacramento, CA · Remote

$80K - $85K/yr

Required to live in Northern California | Remote We are seeking an experienced Provider Network ... Coordinate provider credentialing and recredentialing activities. * Serve as the primary point of ...

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All JobsProvider Credentialing JobsRemote Provider Credentialing JobsRemote Provider Credentialing Jobs in California

Remote Provider Credentialing information

What is remote provider credentialing?

Remote provider credentialing refers to the process of verifying the qualifications, experience, licensure, and background of healthcare providers who work remotely. This is essential for ensuring that remote physicians, nurses, and other practitioners meet all regulatory and organizational standards before they deliver care. The process often involves collecting and reviewing documents, contacting licensing boards, and verifying work history, all conducted through secure online systems. Remote credentialing helps healthcare organizations maintain compliance and ensure patient safety while supporting flexible work arrangements.

What are some common challenges faced when managing provider credentialing in a remote work environment?

One of the main challenges in remote provider credentialing is staying organized while tracking multiple providers’ documents and deadlines across different systems. Communication can also be more complex, as coordination with healthcare providers, licensing boards, and insurance companies often requires timely follow-ups and clear digital documentation. Utilizing secure, cloud-based credentialing software and maintaining regular virtual check-ins with your team can help ensure deadlines are met and compliance is maintained. Proactively managing these aspects can reduce delays and support a smooth credentialing process.

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

To thrive as a Remote Provider Credentialing Specialist, you need a solid understanding of healthcare regulations, credentialing processes, and attention to detail, often supported by a bachelor's degree or relevant experience. Familiarity with credentialing software (such as CAQH, VerityStream, or MD-Staff) and knowledge of healthcare compliance standards are typically required. Excellent organizational skills, strong communication, and problem-solving abilities help you manage complex documentation and interact with providers and regulatory bodies. These skills are essential for ensuring providers meet all regulatory requirements, maintaining compliance, and supporting efficient healthcare operations.

What is the difference between Remote Provider Credentialing vs Remote Medical Billing Specialist?

AspectRemote Provider CredentialingRemote Medical Billing Specialist
Required CredentialsLicenses, certifications, provider documentationBilling codes, insurance knowledge, coding certifications
Work EnvironmentHealthcare organizations, credentialing firmsMedical offices, billing companies
Industry UsageHealthcare, provider networksHealthcare, insurance reimbursement
Search & Comparison IntentCredentialing process, provider verificationBilling procedures, reimbursement processes

Remote Provider Credentialing focuses on verifying healthcare providers' qualifications and licensing to ensure they meet industry standards. In contrast, Remote Medical Billing Specialists handle insurance claims, coding, and reimbursement processes. Both roles are essential in healthcare operations but serve different functions within the industry.

How to get into remote provider credentialing?

To enter remote provider credentialing, candidates typically need a background in healthcare administration, insurance, or related fields, along with knowledge of credentialing processes and compliance standards. Gaining experience with credentialing software and obtaining certifications such as the Certified Provider Credentialing Specialist (CPCS) can improve job prospects. Strong organizational skills and attention to detail are essential for managing provider documentation and ensuring regulatory adherence.

What skills are needed for remote provider credentialing jobs?

Remote provider credentialing jobs require strong organizational skills, attention to detail, and knowledge of healthcare regulations and credentialing processes. Proficiency in computer software such as Microsoft Office and credentialing databases is essential, along with good communication skills for coordinating with providers and insurance companies.

What are the most commonly searched types of Provider Credentialing jobs in California?

The most popular types of Provider Credentialing jobs in California are:

What are popular job titles related to Remote Provider Credentialing jobs in California?

For Remote Provider Credentialing jobs in California, the most frequently searched job titles are:

What job categories do people searching Remote Provider Credentialing jobs in California look for?

The top searched job categories for Remote Provider Credentialing jobs in California are:

What cities in California are hiring for Remote Provider Credentialing jobs?

Cities in California with the most Remote Provider Credentialing job openings:

Remote Provider Credentialing jobs near you
Infographic showing various Remote Provider Credentialing job openings in California as of August 2026, with employment types broken down into 2% As Needed, 73% Full Time, 18% Part Time, and 7% Contract. Highlights an 88% Physical, 2% Hybrid, and 10% Remote job distribution.

Credentialing Coordinator

LIBERTY DENTAL

On-site, Remote

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 11 days ago

Job description

Join Liberty Dental Plan as a Credentialing Coordinator and play a vital role in building and maintaining a high-quality provider network.
If you have experience in credentialing and enjoy working in a fast-paced, detail-oriented environment, this is an opportunity to make a meaningful impact while collaborating with providers, dental offices, and internal teams to ensure compliance and excellence in provider credentialing.
About the Role
The Credentialing Coordinator supports the Credentialing Department by processing provider credentialing and recredentialing applications in accordance with National Committee for Quality Assurance (NCQA) guidelines and Liberty Dental Plan policies and procedures. This role works closely with providers, external credentialing partners, and internal departments to ensure timely, accurate, and compliant credentialing activities.
Success in this role requires strong attention to detail, excellent organizational skills, and the ability to manage multiple priorities while maintaining production and quality standards.
What You'll Do
  • Review, collect, and process initial credentialing and recredentialing applications.
  • Ensure applications are complete, accurate, and compliant with NCQA, URAC, state, federal, and company requirements.
  • Serve as a primary point of contact for providers, vendors, and internal departments regarding credentialing inquiries.
  • Communicate effectively with providers via phone, email, and fax regarding credentialing questions and documentation needs.
  • Coordinate with Credentialing Verification Organizations (CVOs) and CAQH as directed.
  • Maintain accurate provider information and credentialing records within credentialing databases.
  • Monitor credentialing reports, provider status updates, and expiration dates.
  • Meet established production, quality, and turnaround time expectations.
  • Research and resolve credentialing-related issues while ensuring a high level of customer service.
  • Perform additional duties as assigned.
What You'll Bring
  • High School Diploma or GED.
  • Minimum of 2 years of professional experience in a dental, healthcare, managed care, customer service, or related environment.
  • Strong data entry, organizational, and time-management skills.
  • Excellent verbal and written communication skills.
  • Intermediate proficiency with Microsoft Office, including Word, Excel, and Outlook.
  • Ability to manage multiple priorities and meet deadlines in a production-focused environment.
  • Ability to research issues, identify solutions, and follow through to resolution.
  • Ability to work collaboratively as part of a team.

Credentialing experience is strongly preferred, including:
  • Health plan credentialing
  • Dental office credentialing
  • Processing credentialing and recredentialing applications

Additional preferences include:
  • Experience with NCQA, URAC, state, and federal credentialing regulations and guidelines.
  • Previous network management experience in a dental environment.
Why Join Liberty Dental Plan?
At Liberty Dental Plan, you'll be part of a team committed to supporting quality healthcare through accurate and compliant provider credentialing processes. You'll work with dedicated professionals, build valuable industry expertise, and contribute to an organization focused on service, collaboration, and operational excellence.
Work Environment
  • Office-based, sedentary work environment.
  • Frequent computer use, data entry, and close attention to detail.
  • Regular interaction with providers, vendors, and internal stakeholders.
Ready to Apply?
If you are detail-oriented, thrive in a fast-paced environment, and have credentialing experience within a health plan or dental setting, we encourage you to apply and join the Liberty Dental Plan team.
Liberty Dental Plan is an Equal Opportunity Employer and is committed to fostering an inclusive workplace where all employees can succeed.
Location
Our employees are distributed in office locations in multiple markets across the United States. We are unable to hire or allow employees to work outside of the United States.
Please note:
This is a fully remote position, but candidates must reside in Oklahoma or Florida
Healthcare or dental industry experience is required
What Liberty Offers
Happy, healthy employees enhance our ability to assist our members and contribute more actively to their communities. That's why Liberty offers competitive and attractive benefit packages for our employees. We strive to care for employees in ways that promote wellness and productivity.
We offer a first-class benefits package that includes:
  • Comprehensive medical coverage through Anthem, with affordable premiums and multiple plan options - including an HDHP with HSA eligibility.
  • 100% employer-paid dental insurance and low-cost vision coverage for employees and dependents.
  • 401(k) retirement plan with immediate vesting, employer match, Roth option, and access to professional financial advice.
  • Short-term disability and a variety of voluntary benefits, including accident, critical illness, and hospital indemnity insurance.
  • Generous paid time off, including vacation and sick leave with rollover options, plus 10 paid company holidays and a wellness day.
  • Additional benefits including company-paid life insurance, tuition reimbursement, an employee perks program, and flexible work options for eligible positions.

Compensation
In the spirit of pay transparency, the base salary range for this position is $21.00 - $25.00 per hour, not including fringe benefits or potential bonuses. At Liberty, your final base salary will be determined by factors such as geographic location, skills, education, and experience. We are committed to pay equity and also consider the internal equity of our current team members when making final compensation decisions.
Please note that the range listed represents the full base salary range for this role. Typically, offers are not made at the top of the range to allow for future salary growth.
Liberty Dental Plan commits to maintaining a work environment that acknowledges all individuals within the workplace and will continue to engage in practices that are inclusive of all backgrounds, experiences, and perspectives. We strive to have every person within the organization have a sense of belonging while encouraging individuals to unleash their full potential. Liberty will leverage diverse perspectives in building high performance teams and organizational culture.
Liberty Dental Plan will continue to strengthen and develop external partnerships by providing equitable health care access and improving population health in the communities we serve.
We comply with all applicable laws and regulations on non-discrimination in employment, recruitment, promotions, and transfers, as well as work authorization and employment eligibility verification requirements.
Sponsorship and Relocation Specifications
Liberty Dental Plan is an Equal Opportunity Employer / VETS / Disabled.
No relocation assistance or sponsorship available at this time.
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