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Remote Provider Credentialing Jobs in Pennsylvania

Merakey

Credentialing Specialist

Lafayette Hill, PA · Remote

$21/hr

Remote Position available for candidates residing in PA, DE, FL, LA, MD, NJ, OH, TX, and VA. Earn ... More than 8,000 employees provide support to nearly 40,000 individuals and families throughout 12 ...

The Pennsylvania State University

Approval of remote and hybrid work is not guaranteed regardless of work location.For additional ... Provide consultation and ongoing support to faculty, staff, learners, and program administrators to ...

micro1 AI

Senior Counsel - Remote

Philadelphia, PA · 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

Pittsburgh, PA · 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

Allentown, PA · 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.

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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 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 the most commonly searched types of Provider Credentialing jobs in Pennsylvania?

The most popular types of Provider Credentialing jobs in Pennsylvania are:

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

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

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

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

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

Credentialing Coordinator II (Eastern United States resident)

Geisinger Health

Danville, PA • On-site, Remote

Full-time

Medical, Dental, Vision

Posted 9 days ago

Geisinger Health rating

6.9

Company rating: 6.9 out of 10

Based on 444 frontline employees who took The Breakroom Quiz

459th of 887 rated healthcare providers

Job description

Location:
Work from home (Pennsylvania)
Shift:
Days (United States of America)
Scheduled Weekly Hours:
40
Worker Type:
Regular
Exemption Status:
No
Job Summary:
Plans, coordinates, and oversees procedures and processes of the Provider Credentialing Program in compliance with regulatory requirements. Ensures compliance with all credentialing and privileging requirements of applicable regulatory agencies. Conducts background investigations on physicians and other providers applying for affiliation including licensure, education and post-graduate clinical training, board certification, disciplinary actions and other professional sanctions, malpractice history, and peer assessment of current competence at time of appointment, reappointment, and cross credentialing.
Job Duties:
Preferred experience in Echo or Credential Stream
  • Reviews and analyzes physician applications and credentialing documents including certificates of education, residency and fellowship training, board certification and eligibility, licensure, professional work history, liability insurance and malpractice history.
  • Assesses completeness of information and providers' qualifications relative to established standards.
  • Reviews and analyzes primary source verification for licensure, certification or registration required to practice a profession.
  • Requests, maintains, and ensures competency data is present at appointment and re-appointment.
  • Maintains tracking of all new providers drug screening, background checks, child abuse clearance, finger printing, code of conduct, disruptive practitioner policies, current clinical competency data and Health Service information for new providers.
  • Maintains a working knowledge of applicable regulatory agencies.
  • Immediately reports to manager any collected information which may be averse to an applicant.
  • Identifies and flags adverse information from application materials for the purpose of conducting special follow-up investigations in preparation for credentialing review.
  • Maintains an understanding of the third-party payor requirements.
  • Prepares and screens, mails letter, tracks and responds daily.
  • Employs public relations skills in a wide variety of phone contacts with external sources for purposes of soliciting information essential to credentials investigations, including licensing agencies; university and hospital training program administrators; certification boards; liability insurance carriers; hospital officials and credentials staff; and physicians and their office staffs.
  • Organizes and maintains physician files and information following confidentiality guidelines, performs varied clerical support functions.
  • Internally audits and maintains physician files in accordance with established principles of legal documentation and confidentiality.
  • Prepare all files monthly for Credentials Committee review and follow-up on Credentials Committee Decisions.
  • Establish and maintain excellent relationship and good communication channels with physicians, office staff, and practice administrators.
  • Assist with Special projects (i.e., physician education, JCAHO and Department of Health Preparation, clinical competency data, life supports)
  • Maintain a thorough understanding of the standards of JCAHO, Department of Health, Bylaws, Rules and Regulation of the Medical Staff, and other regulatory agencies as appropriate.
  • Maintains provider database and manipulates database to extract information for ad hoc reports, surveys, and internal and external provider directory extracts.
  • Adapts software as needed to facilitate efficient operation of credentials department and continuous quality improvement.

Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
This posting reflects an opening for Credentialing Coordinator II and we are seeking candidates for that position. Geisinger reserves the right to consider applicants for higher level of this role based on their skills, qualifications, and experience. We encourage all qualified individuals to apply.
#LI-REMOTE
Position Details:
Education:
High School Diploma or Equivalent (GED)- (Required)
Experience:
Minimum of 4 years-Related work experience (Required)
Certification(s) and License(s):
Skills:
Communication, Computer Literacy, Credentialing, Professional Presentation, Working Independently
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities.
  • KINDNESS: We strive to treat everyone as we would hope to be treated ourselves.
  • EXCELLENCE: We treasure colleagues who humbly strive for excellence.
  • LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow.
  • INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.
  • SAFETY: We provide a safe environment for our patients and members and the Geisinger family.

We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality.
We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.

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