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Remote Provider Credentialing Jobs in North Carolina

Senture

Medical Director

Raleigh, NC · Remote

While this position allows remote work, the individual must reside within the state of North ... Strong understanding of provider credentialing and peer review processes. * Ability to pass any ...

Protouch Staffing

$590 - $600/day

Optometrist Remote ($600/day - NC license required) Schedule - Full-time remote Pay: $600/day ... We will help you with any needed credentialing and training. * We provide competitive compensation.

Daybreak Health

$45/hr

Fully remote -- work from anywhere in North Carolina * Mon-Fri 3-8 PM schedule -- predictable ... No billing, no credentialing, no admin -- we handle everything * 90% of students say we matched ...

Teladoc

Government Provider Operations Analyst

Concord, NC · On-site +1

$65K - $75K/yr

Required license or credential needed to perform job: N/A. The below qualifications, knowledge ... Work Environment Office Remote Hybrid (Office & Remote) Travel: 10% Travel percentage reflects an ...

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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 popular job titles related to Remote Provider Credentialing jobs in North Carolina?

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

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

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

What cities in North Carolina are hiring for Remote Provider Credentialing jobs?

Cities in North Carolina with the most Remote Provider Credentialing job openings:

Remote Provider Credentialing jobs near you
Infographic showing various Remote Provider Credentialing job openings in North Carolina as of August 2026, with employment types broken down into 2% As Needed, 82% Full Time, 11% Part Time, and 5% Contract. Highlights an 88% Physical, 2% Hybrid, and 10% Remote job distribution.

Credentialing Specialist - Work from Home

Sagility LLC

Concord, NC • Remote

$20/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 24 days ago

Sagility rating

4.6

Company rating: 4.6 out of 10

Based on 29 frontline employees who took The Breakroom Quiz

63rd of 72 rated call and contact centers

Job description

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.

Job title:

Credentialing Specialist - Work from Home

Job Description:

BroadPath, a Sagility Company, is hiring experiencedCredentialing Specialiststo join our remote team! Credentialing Specialists support our health plan operations by ensuring timely, accurate provider credentialing. This role is key to maintaining compliance with internal standards and external regulations while supporting a high-quality provider experience.

Compensation Highlights

  • Base Pay: Starting at $20 per hour
  • Pay frequency: Weekly pay

Schedule Highlights

  • Schedules can fall between the hours of 9:00 AM - 9:00 PM Eastern Time and will be assigned based on business needs

Responsibilities

  • Verify provider credentials through approved sources in a timely and accurate manner
  • Track and process credentialing and re-credentialing applications
  • Enter and update provider information in the credentialing database
  • Maintain and update provider demographics
  • Monitor and manage data from delegated entities
  • Communicate with providers or their office staff regarding credentialing status and required documentation
  • Identify and report non-compliance or credentialing issues to the supervisor
  • Ensure confidentiality of sensitive data and documents
  • Perform other duties as assigned

Qualifications

  • 1+ years of experience of provider credentialing for a health plan
  • Strong organizational and time management skills
  • Ability to meet deadlines and handle high-volume work
  • Able to work independently and in a team setting
  • Strong attention to detail and problem-solving skills
  • Familiarity with NCQA, CMS, and state credentialing standards
  • Excellent written, verbal, and interpersonal communication skills

At BroadPath, a Sagility Company, we believe that transparency, authenticity, and collaboration are the keys to building strong, connected remote teams. Being on camera is an integral part of our culture. It is how we build relationships, share ideas, and stay engaged. If you are someone who values open communication, connection, and teamwork, you will thrive in our environment where showing up authentically matters.


What to Expect:

  • On-camera participation during interviews, training, team meetings, and regular check-ins.
  • Face-to-face discussions sparking collaboration and engagement
  • A supportive atmosphere where you can express yourself openly and be part of a team that values your contributions.

Benefits:

  • Medical, Dental, and Vision coverage.
  • Life Insurance.
  • Short-Term and Long-Term Disability options.
  • Flexible Spending Account (FSA).
  • Employee Assistance Program.
  • 401(k) with employer contribution.
  • Paid Time Off (PTO).
  • Tuition Reimbursement.

BroadPath, a Sagility Company, may conduct background checks, previous employment verifications, and education verifications, based on position requirements


Diversity Statement

At BroadPath, a Sagility Company, diversity is our strength. We embrace individuals from all backgrounds, experiences, and perspectives. We foster an inclusive environment where everyone feels valued and empowered. Join us and be part of a team that celebrates diversity and drives innovation!

Equal Employment Opportunity/Disability/Veterans

If you need accommodation due to a disability, please email us at HR@Broad-path.com. This information will be held in confidence and used only to determine an appropriate accommodation for the application process

BroadPath, a Sagility Company is an Equal Opportunity Employer. We do not discriminate against our applicants because of race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age, disability, veteran status, genetic information, or any other status protected by applicable law.

Compensation:BroadPath a Sagility Company has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.

Location:

Work@Home USAUnited States of America

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