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Remote Provider Credentialing Jobs in Ohio (NOW HIRING)

Credentialing Manager

Columbus, OH · Remote

$95K - $120K/yr

Remote (US) or Hybrid (City, State) Type: Full-time Reports to: Head of Operations / Director of ... Own end-to-end credentialing for clinicians/providers across multiple states and payers (as ...

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... credential preferred but not required About Presence As a trusted partner and advocate for clinicians since 2009, we offer our large community of remote providers access to an award-winning platform ...

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Psychiatrist - Remote

Cleveland, OH · Remote

$119 - $242/hr

Provide psychiatric services to individuals who otherwise may not have access to mental health ... Focus on your patients -- UpLift handles credentialing, enrollment, and platform operations. * W ...

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Remote Psychologist

Cleveland, OH · Remote

$50 - $100/hr

Provide High-Quality Teletherapy: Conduct evidence-based psychological services for individuals ... Credential Verification: Upload your verification documents, including your doctoral degree, state ...

Full operational support including scheduling, billing, intake coordination, credentialing, and ... Technology package provided Our history Talkiatry was founded in 2020 by Dr. Georgia Gaveras, a ...

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$70K - $90K/yr

Full operational support including scheduling, billing, intake coordination, credentialing, and ... Technology package provided Our history Talkiatry was founded in 2020 by Dr. Georgia Gaveras, a ...

Full operational support including scheduling, billing, intake coordination, credentialing, and ... Technology package provided Our history Talkiatry was founded in 2020 by Dr. Georgia Gaveras, a ...

Apply Early

Full operational support including scheduling, billing, intake coordination, credentialing, and ... Technology package provided Our history Talkiatry was founded in 2020 by Dr. Georgia Gaveras, a ...

Apply Early

Full operational support including scheduling, billing, intake coordination, credentialing, and ... Technology package provided Our history Talkiatry was founded in 2020 by Dr. Georgia Gaveras, a ...

Apply Early

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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.

How can I make 2000 a week working from home?

Remote provider credentialing professionals can earn around $2,000 weekly by working full-time, managing multiple clients, and gaining specialized certifications to increase their earning potential. Building a strong reputation, efficient workflow, and familiarity with credentialing software can also help maximize income in this field.

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.

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.

How to make $80,000 a year working from home?

Remote provider credentialing specialists can earn $80,000 or more annually by gaining experience, obtaining relevant certifications, and working for organizations that pay competitive salaries. Building expertise in healthcare regulations, credentialing software, and efficient workflow management can increase earning potential, especially with advanced skills and a full-time schedule.

How to get into provider credentialing?

To enter provider credentialing, candidates typically need a background in healthcare administration, insurance, or related fields, along with strong organizational and communication skills. Gaining certification such as the Certified Provider Credentialing Specialist (CPCS) can enhance job prospects, and familiarity with credentialing software and industry regulations is beneficial.

How to make $1000 a week remote?

Remote provider credentialing professionals can earn $1000 or more weekly by handling multiple client accounts, maintaining accurate credentialing records, and working efficiently. Building experience, obtaining relevant certifications, and using credentialing software can increase earning potential and productivity.
What are the most commonly searched types of Provider Credentialing jobs in Ohio? The most popular types of Provider Credentialing jobs in Ohio are:
What cities in Ohio are hiring for Remote Provider Credentialing jobs? Cities in Ohio with the most Remote Provider Credentialing job openings:

Credentialing Manager

Beacon Talent

Columbus, OH • Remote

$95K - $120K/yr

Full-time

Posted 14 days ago

Be an early applicant


Job description

Manager of Credentialing (Healthcare)

Location: Remote (US) or Hybrid (City, State)
Type: Full-time
Reports to: Head of Operations / Director of Provider Operations (or similar)
Comp: Competitive base + equity + benefits

About the Company

Our client is a venture-backed healthcare startup building a modern platform that makes it easier for patients to access high-quality care and for clinicians to practice at the top of their license. The team is scaling quickly, operating in multiple states, and credentialing is core to the ability to grow safely and compliantly.

The Role

Our client is hiring a Manager of Credentialing to own and scale the credentialing function. You’ll lead day-to-day credentialing operations, build repeatable systems, and partner cross-functionally with Operations, Clinical, Legal/Compliance, and Product to reduce time-to-credential while maintaining rigorous quality standards.

This is a high-ownership role for someone who can execute in the details and improve the system.

What You’ll Do
  • Own end-to-end credentialing for clinicians/providers across multiple states and payers (as applicable), including new credentialing, recredentialing, and ongoing maintenance.

  • Manage a small team and/or vendors (CVOs) and drive clear KPIs (time-to-credential, first-pass yield, aging, rework rate).

  • Create and maintain SOPs, checklists, and QA processes to ensure accuracy, completeness, and audit readiness.

  • Partner with Provider Operations to forecast pipeline needs and proactively manage throughput/capacity.

  • Serve as escalation point for complex cases (sanctions queries, gaps in work history, adverse actions, board issues, expiring coverage, etc.).

  • Build strong relationships with hospitals/health systems, payers, state boards, CAQH, and third-party credentialing partners.

  • Maintain credentialing files and documentation standards (primary source verification, attestations, NPDB queries where applicable, licensure, DEA, malpractice, education, references).

  • Collaborate with Compliance/Legal to ensure adherence to NCQA/URAC standards where required and internal policies.

  • Work with Product/Engineering to improve tooling: workflow automation, document collection, status transparency, integrations (CAQH, NPPES, PECOS, etc.), and reporting.

  • Lead continuous improvement initiatives that reduce cycle time and increase reliability as we scale.

What We’re Looking For
  • 5+ years in provider credentialing and/or provider enrollment operations, including 1–3+ years in a lead/manager capacity.

  • Deep familiarity with credentialing best practices (primary source verification, file auditing, recredentialing cadence, documentation standards).

  • Experience working with CAQH and common verification sources (state boards, OIG/SAM exclusions, NPDB where applicable, malpractice carriers, education verification).

  • Track record building processes in a fast-moving environment (startup, high-growth healthcare org, or building a new function).

  • Strong operational rigor: you can manage multiple queues, deadlines, and stakeholders without dropping details.

  • Comfort with ambiguity and ownership—able to diagnose problems, propose fixes, and implement improvements.

  • Excellent written and verbal communication; able to work cross-functionally and manage escalations calmly.

  • Proficiency with tools like Google Workspace/Excel; experience with credentialing platforms (e.g., Modio, symplr, VeraSuite, Medallion, or similar) is a plus.

Nice to Have
  • Experience credentialing across multiple specialties and state footprints.

  • Familiarity with NCQA/URAC standards and audits.

  • Experience with payer enrollment (commercial, Medicare/Medicaid) or delegated credentialing.

  • Prior experience managing a CVO relationship and negotiating SLAs.

  • Product-minded operator who’s helped implement or improve credentialing software/workflows.

Why Join
  • Meaningful mission with direct impact on patient access and provider experience.

  • Opportunity to build and own a critical function at a high-growth, venture-backed company.

  • Competitive compensation, equity upside, and benefits.

  • High-trust environment with autonomy and room to grow.