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Remote Provider Credentialing Jobs in Ohio (NOW HIRING)

Beacon Talent

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 ...

Presence

Ohio (remote) - School psychologist

Ashley, OH · Remote

$48 - $51/hr

... 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 ...

BetterHelp

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 ...

Mentalzon LLC

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 ...

Talkiatry

Remote Therapist - Ohio

Toledo, OH · Remote

$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 ...

Talkiatry

Remote Therapist - Ohio

Toledo, OH · Remote

$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 ...

Talkiatry

Remote Therapist - Ohio

Cincinnati, OH · Remote

$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 ...

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

Remote Provider Credentialing information

What remote job is highest in demand?

Remote provider credentialing specialists are in high demand due to the healthcare industry's shift toward virtual processes. These roles require attention to detail, knowledge of healthcare regulations, and often involve working with credentialing software and electronic health records systems. The demand is driven by the need for efficient provider onboarding and compliance management in a remote setting.

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 does a remote credentialing specialist do?

A remote credentialing specialist verifies healthcare providers' qualifications, licenses, and certifications to ensure compliance with regulatory standards. They review and process documentation, communicate with providers and insurance companies, and maintain accurate records using credentialing software. This role requires attention to detail, knowledge of healthcare regulations, and often involves working with electronic health records and credentialing databases.

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 much does a credentialing assistant make?

A credentialing assistant typically earns between $35,000 and $50,000 annually, depending on experience, location, and the size of the organization. They often work with healthcare providers to verify credentials and maintain compliance using credentialing software. Entry-level positions may start lower, while experienced assistants or those with specialized certifications can earn higher salaries.

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 experience with credentialing software and understanding industry standards, such as CMS or NCQA requirements, is also beneficial. Certifications like Certified Provider Credentialing Specialist (CPCS) can enhance job prospects in this field.
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:
Remote Provider Credentialing jobs near you
Infographic showing various Remote Provider Credentialing job openings in Ohio as of June 2026, with employment types broken down into 5% Locum Tenens, 67% Full Time, 14% Part Time, and 14% Contract. Highlights an 93% Physical, 3% Hybrid, and 4% Remote job distribution.

Billing & Credentialing Specialist

Caregiver Grove Behavioral Health and Caregiver Grove, LLC.

Toledo, OH • Remote

Part-time

Posted 29 days ago

Job description

Position Overview

We are seeking a detail-oriented and proactive Billing & Credentialing Specialist to join our inclusive and affirming mental health practice. This role is critical to maintaining efficient revenue cycle operations by overseeing claims processing, client billing, and provider credentialing. The ideal candidate will have strong knowledge of Ohio Medicaid billing procedures, experience with third-party insurance, and the ability to manage credentialing processes from start to finish.


Key Responsibilities

Claims Processing & Revenue Cycle Management

  • Submit, correct, and track claims to ensure timely reimbursement.
  • Monitor claim status and manage rejections, denials, resubmissions, and appeals.
  • Address overpayments, underpayments, and recoupments within required timelines.
  • Process insurance write-offs in compliance with company policy.
  • Collaborate with third-party billing vendors (e.g., QualiFacts) to resolve escalated billing issues.
  • Maintain updated billing rules to improve efficiency.

Client Billing & Accounts Management

  • Verify insurance coverage monthly and ensure client demographic/insurance information is current in the EHR.
  • Respond promptly and professionally to client billing inquiries.
  • Manage accounts receivable, support collections, and document billing activity.
  • Maintain billing logs, internal notes, and compliance documentation.

Credentialing & Provider Enrollment

  • Manage credentialing and recredentialing for providers with Ohio Medicaid and private insurance carriers.
  • Track credentialing application statuses, revalidations, renewals, and provider rosters.
  • Ensure timely submission of all required paperwork and documentation.
  • Communicate with carriers to resolve credentialing or enrollment-related issues affecting billing.
  • Collaborate with providers and administrative staff to ensure smooth onboarding and compliance.

Compliance, Data Integrity & Reporting

  • Ensure compliance with Ohio Administrative Code (OAC), Ohio Revised Code (ORC), Medicaid requirements, and HIPAA standards.
  • Maintain EHR data hygiene, accuracy, and compliance (systems include inSync or CareLogic).
  • Support audits, compliance reviews, and credentialing-related billing checks.
  • Generate financial and credentialing reports to monitor performance, trends, and outstanding issues.


Qualifications

  • 2-3 years of experience in medical billing, credentialing, or revenue cycle management (behavioral/mental health preferred).
  • Strong understanding of Ohio Medicaid billing guidelines and third-party payer processes.
  • Experience managing provider credentialing and enrollment.
  • Proficiency in EHR systems such as inSync or CareLogic.
  • Knowledge of CPT/ICD-10 coding, insurance authorization, and HIPAA compliance.
  • Excellent organizational, communication, and problem-solving skills.
  • Ability to analyze data, identify trends, and recommend improvements.
  • High level of accuracy, attention to detail, and ability to meet deadlines in a remote environment.
  • Commitment to using inclusive, affirming, and culturally responsive language.

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