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Remote Provider Credentialing Jobs in Oklahoma (NOW HIRING)

Legion Health

$50K - $150K/yr

This means recruiting exceptional providers, championing evidence-based protocols, and displaying ... Credentialing Support: We handle all aspects and costs of credentialing with a large number of ...

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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 Oklahoma?

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

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

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

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

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

Remote Provider Credentialing jobs near you
Infographic showing various Remote Provider Credentialing job openings in Oklahoma as of August 2026, with employment types broken down into 70% Full Time, 15% Part Time, and 15% Contract. Highlights an 100% Remote job distribution.

Senior Provider Enrollment Specialist

Anders

Tulsa, OK • On-site, Remote

Full-time

Re-posted 27 days ago

Job description

A5 Healthcare (Anders Affiliate) one of the fastest-growing Credentialing Verification Organizations in the country is seeking a Senior Provider Enrollment Specialist who is motivated to learn, excited to collaborate and passionate about delivering outstanding results. This individual will have a direct impact on our firm's mission of serving as a catalyst for those striving to achieve their highest potential. 

The Senior Provider Enrollment Specialist at A5 Services serves as a key leader in the credentialing and payer enrollment function for the Independent Physician Association (IPA). This advanced role is responsible for overseeing and executing complex enrollment processes, ensuring compliance with NCQA, URAC, and CMS accreditation standards, and providing mentorship and guidance to junior staff. The Senior Specialist acts as a subject matter expert and strategic partner across departments and with external payers to streamline and enhance the credentialing workflow. This position plays a critical role in maintaining operational excellence, regulatory compliance, and provider satisfaction.

What You'll Do: 

Advanced Provider Enrollment and Credentialing 

  • Lead the submission and oversight of complex and high-priority initial applications, reappointments, and recredentialing efforts.
  • Conduct quality assurance reviews of credentialing documents and workflows to ensure accuracy and compliance.
  • Serve as the primary liaison with health plans on escalated or time-sensitive enrollment matters.
  • Oversee and improve payer tracking systems and credentialing databases; ensure all data is accurately maintained.
  • Identify and address systemic issues in enrollment processes, recommending and implementing best practices.
  • Support audits and accreditation activities by compiling data and documentation as needed.
  • Assist leadership in developing policies and procedures for credentialing and payer enrollment functions.

Team Support and Leadership

  • Provide mentorship and training to Payer Enrollment Specialists and new team members.
  • Support team workload balancing by assisting in complex case management and troubleshooting.
  • Collaborate cross-functionally with internal stakeholders such as compliance, provider relations, and operations.
  • Represent the credentialing team in interdepartmental meetings and projects.

General Responsibilities

  • Maintain in-depth knowledge of evolving payer policies, credentialing regulations, and accreditation standards.
  • Analyze data and produce reports on credentialing metrics and trends.
  • Participate in continuous improvement initiatives and credentialing software optimization.
  • Promote a collaborative, high-performance culture in a fully remote or hybrid team environment.

What We're Looking For: 

  • Proven leadership ability and experience mentoring or training junior staff.
  • Advanced understanding of credentialing workflows, payer enrollment requirements, and regulatory compliance.
  • High-level organizational and problem-solving skills with keen attention to detail.
  • Excellent written and verbal communication; capable of handling sensitive issues with professionalism.
  • Proficient in credentialing and enrollment systems, with strong Excel and Microsoft Office Suite skills.
  • Self-directed, accountable, and capable of managing priorities in a fast-paced remote environment.

Your Qualifications: 

  • Associate's degree required; Bachelor's degree in healthcare administration or a related field preferred.
  • Minimum 3-5 years of experience in payer enrollment or healthcare credentialing, including experience with NCQA, URAC, and CMS standards.
  • Certification as a Certified Provider Credentialing Specialist (CPCS) or Certified Professional in Medical Services Management (CPMSM) is strongly preferred.

Applicants to the Senior Provider Enrollment Specialist position must be located within the Tulsa, OK area.

Apply