ZipRecruiter

Log In

2

Remote Provider Credentialing Jobs in Ohio (NOW HIRING)

APS Medical

Credentialist - Provider Enrollment Specialist

Toledo, OH · On-site +1

$18 - $20/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Pay: $18 - $20 an hour Fully Remote • Weekends Off • Opportunities for Growth • Work-Life Balance APS Medical Billing, located in Toledo, Ohio is seeking an experienced Credentialing & Provider ...

Presence

Ohio (remote) - School psychologist

Ashley, OH · Remote

... 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 ...

micro1 AI

Senior Counsel - Remote

Dayton, OH · Remote

$140 - $400/hr

Assess and provide structured feedback on legal texts for clarity, accuracy, and alignment with ... Preferred Qualifications * Active license to practice law with strong academic credentials.

micro1 AI

Senior Counsel - Remote

Akron, OH · Remote

$140 - $400/hr

Assess and provide structured feedback on legal texts for clarity, accuracy, and alignment with ... Preferred Qualifications * Active license to practice law with strong academic credentials.

micro1 AI

Senior Counsel - Remote

Cleveland, OH · Remote

$140 - $400/hr

Assess and provide structured feedback on legal texts for clarity, accuracy, and alignment with ... Preferred Qualifications * Active license to practice law with strong academic credentials.

micro1 AI

Senior Counsel - Remote

Cincinnati, OH · Remote

$140 - $400/hr

Assess and provide structured feedback on legal texts for clarity, accuracy, and alignment with ... Preferred Qualifications * Active license to practice law with strong academic credentials.

micro1 AI

Senior Counsel - Remote

Columbus, OH · Remote

$140 - $400/hr

Assess and provide structured feedback on legal texts for clarity, accuracy, and alignment with ... Preferred Qualifications * Active license to practice law with strong academic credentials.

micro1 AI

Senior Counsel - Remote

Akron, OH · Remote

$140 - $400/hr

Assess and provide structured feedback on legal texts for clarity, accuracy, and alignment with ... Preferred Qualifications * Active license to practice law with strong academic credentials.

micro1 AI

Senior Counsel - Remote

Toledo, OH · Remote

$140 - $400/hr

Assess and provide structured feedback on legal texts for clarity, accuracy, and alignment with ... Preferred Qualifications * Active license to practice law with strong academic credentials.

micro1 AI

Senior Counsel - Remote

Cincinnati, OH · Remote

$140 - $400/hr

Assess and provide structured feedback on legal texts for clarity, accuracy, and alignment with ... Preferred Qualifications * Active license to practice law with strong academic credentials.

micro1 AI

Senior Counsel - Remote

Toledo, OH · Remote

$140 - $400/hr

Assess and provide structured feedback on legal texts for clarity, accuracy, and alignment with ... Preferred Qualifications * Active license to practice law with strong academic credentials.

micro1 AI

Senior Counsel - Remote

Dayton, OH · Remote

$140 - $400/hr

Assess and provide structured feedback on legal texts for clarity, accuracy, and alignment with ... Preferred Qualifications * Active license to practice law with strong academic credentials.

micro1 AI

Senior Counsel - Remote

Columbus, OH · Remote

$140 - $400/hr

Assess and provide structured feedback on legal texts for clarity, accuracy, and alignment with ... Preferred Qualifications * Active license to practice law with strong academic credentials.

micro1 AI

Senior Counsel - Remote

Cleveland, OH · Remote

$140 - $400/hr

Assess and provide structured feedback on legal texts for clarity, accuracy, and alignment with ... Preferred Qualifications * Active license to practice law with strong academic credentials.

micro1 AI

Managing Partner - Attorney - Remote

Akron, OH · Remote

$140 - $400/hr

Assess and provide structured feedback on legal texts for clarity, accuracy, and alignment with ... Preferred Qualifications * Active license to practice law with strong academic credentials.

next page

Showing results 1-20

All JobsProvider Credentialing JobsRemote Provider Credentialing JobsRemote Provider Credentialing Jobs in Ohio

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 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.

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

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

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

The top searched job categories for Remote 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:

Remote Provider Credentialing jobs near you
Infographic showing various Remote Provider Credentialing job openings in Ohio as of August 2026, with employment types broken down into 2% As Needed, 79% Full Time, 11% Part Time, and 8% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution.

Hospital Credentialing and Payer Enrollment Specialist

Wilson Health

Sidney, OH • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 29 days ago

Job description

Managed Care & Medical Staff Credentialing Specialist
Position Summary
At Wilson Health, we believe exceptional patient care depends on a strong foundation of quality, safety, and compliance. As our Managed Care & Medical Staff Credentialing Specialist, you will play a critical role in ensuring every provider who cares for our patients is properly credentialed, enrolled, and ready to deliver high-quality care.
In this role, you'll work closely with clinical leadership, medical staff services, revenue cycle, and external payers to manage all aspects of provider credentialing and payer enrollment. You'll support the accuracy, integrity, and timeliness of provider onboarding, ensuring our physicians and advanced practice providers can practice without interruption and that Wilson Health remains compliant with accreditation and regulatory requirements. Through your work, you will strengthen operational efficiency, support timely revenue capture, and help uphold the high standards our community expects from Wilson Health.
Key Perks and Benefits
• Generous paid time off program beginning day one.
• Medical, Dental, and Vision Insurance-multiple plan options with coverage beginning day one.
• Health Savings Account (HSA) with employer contribution and Flexible Spending Accounts (FSA) for medical and dependent care.
• Company-paid Life Insurance and Long-Term Disability; Salary Continuation beginning day one.
• Voluntary Accident, Critical Illness, and supplemental Life/AD&D coverage.
• Industry-leading retirement plan with employer contributions beginning day one.
• Tuition Assistance Program.
Employment Status: Full-Time, Hybrid Remote
Working Hours: 40 hours/week (Salaried)
Shift: 1st Shift
Reports To: Chief Medical Officer
Key Responsibilities
Provider Enrollment & Payer Management
• Complete provider enrollment applications, revalidations, and roster updates for all payer types.
• Maintain CAQH, NPPES, PECOS, and payer portal profiles.
• Track application status and communicate updates to revenue cycle and operational leaders.
• Resolve payer enrollment issues proactively to avoid reimbursement delays.
Medical Staff Credentialing
• Manage initial credentialing and recredentialing processes for all providers.
• Conduct primary source verification for licensure, education, certification, and malpractice coverage.
• Prepare credentialing packets for committee review and maintain accurate documentation.
• Monitor expirables and maintain compliant credentialing files.
Compliance & Record Management
• Maintain databases, logs, and reporting tools related to credentialing and enrollment.
• Ensure compliance with ACHC, CMS, state regulations, and Medical Staff Bylaws.
• Protect confidentiality and maintain secure credentialing records.
Cross-Functional Collaboration
• Partner with providers, recruitment, revenue cycle, and practice operations.
• Serve as a resource for internal departments regarding credentialing requirements and timelines.
• Support smooth onboarding and timely provider readiness.
Qualifications
Required
• High school diploma or equivalent.
• Minimum 2 years of medical staff credentialing or payer enrollment experience.
• Proficiency with CAQH, NPPES, PECOS, and payer portals.
• Strong organizational skills and ability to manage multiple priorities.
• High attention to detail and accuracy.
• Ability to maintain confidentiality with sensitive information.
Preferred
• Associate's or Bachelor's degree in Healthcare Administration, Business, or related field.
• Experience with ACHC or similar accreditation standards.
• Familiarity with medical terminology and hospital or medical group operations.
Core Competencies
• Strong communication and interpersonal skills.
• High attention to detail and accuracy.
• Customer service mindset when supporting providers and internal partners.
• Ability to interpret regulations and payer requirements.
• Effective problem-solving and follow-through.
• Commitment to quality and patient-centered values.

Apply