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Remote Provider Credentialing Jobs in West Virginia

Industry experience leading credentialing activities in large provider practice (or multiple practices) is required * Certifications preferred but not required * Working remote with Travel ...

$296K - $370K/yr

Full Time Remote Tele-Radiology opportunity in GA Full Time | Moultire , GA | Permanent Job Id ... Home workstation provided * Credentialing and licensing assistance * Support from on-site team and ...

$296K - $370K/yr

Full Time Remote Tele-Radiology opportunity in GA Full Time | Moultire , GA | Permanent Job Id ... Home workstation provided * Credentialing and licensing assistance * Support from on-site team and ...

$20 - $21/hr

Credentialed Veterinary Technicians Credentialed veterinary technicians (CVT/LVT/RVT) with at least ... Triage cases; provide accurate medical, health and safety information and document records in ...

$20 - $21/hr

Credentialed Veterinary Technicians Credentialed veterinary technicians (CVT/LVT/RVT) with at least ... Triage cases; provide accurate medical, health and safety information and document records in ...

$17.25 - $23.25/hr

... provider credentials) * Assign accurate CPT, ICD-10-CM, and applicable HCPCS codes based on ... Fully remote (Argentina-based) via assigned Amazon Workstation * Production-driven, deadline ...

$17.25 - $23.25/hr

... provider credentials) * Assign accurate CPT, ICD-10-CM, and applicable HCPCS codes based on ... Fully remote (Argentina-based) via assigned Amazon Workstation * Production-driven, deadline ...

The ideal candidate will provide high-quality patient care, education, and coordination, ensuring ... Credentials: * Active Nevada LPN or LVN license in good standing * Minimum of 2 years of clinical ...

The ideal candidate will provide high-quality patient care, education, and coordination, ensuring ... Credentials: * Active Nevada LPN or LVN license in good standing * Minimum of 2 years of clinical ...

$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 ...

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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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 West Virginia?

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

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

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

Infographic showing various Remote Provider Credentialing job openings in West Virginia as of August 2026, with employment types broken down into 2% As Needed, 78% Full Time, 15% Part Time, and 5% Contract. Highlights an 88% Physical, 2% Hybrid, and 10% Remote job distribution.

Credentialing Specialist

Charleston, WV • Remote


OneOncology
Health Care and Social Assistance • 1 - 5K employees

7.9

Company rating: 7.9 out of 10

Based on 18 frontline employees who took The Breakroom Quiz

People enjoy working here

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Full-time

Re-posted 17 days ago


Job description

OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. Our team is bringing together leaders to the market place to help drive OneOncology's mission and vision.

Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, urology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve.

Job Description:

The Credentialing Specialistwill report toOneOncology'sCredentialing Manager.The credentialing specialist is responsible for all aspects of the privileging and credentialing process for physicians and allied health professionals. The Specialist will process applications, verify information, research application details, and assure processes are in accordance with medial staff procedures. The specialists will provide consistent, accurate, and timely credentialing support, enhancing the organizations ability to provide professional services. Work includes the accurate, timely and documented verification of the information provided by the application and maintenance of the highly confidential credentialing related files.

Responsibilities

  • Credentialing and re-credentialing of physicians and allied health professionals

  • Completion, submission and tracking of credentialing applications with all managed care organizations andhospitals.

  • Apply and validate hospital privileges

  • Obtain malpractice insurance policy

  • Notification to staff of completion of credentialing for scheduling and billing

  • Maintain and update CAQH online credentialing application for all providersquarterly.

  • Database management/provider files

  • Maintain vital provider credentialing information via technology tool and hard copies of documents in provider files stored on OneOncologyplatform.

  • Tracking and maintaining all clinical licenses for nursing, pharmacy, and lab personnel

  • Provider continuing education

  • Track continuing education credits for all providers

  • Notify providers of any deficiencies

  • Submit documentation if providers are audited

  • Termination of physician and/or allied health professional

  • Contact all MCO/hospitals/EMR to remove provider who has left practice, within 30 days oftermination.

Key Competencies

  • Proficient with MS Office Suite (word, excel) and web-based applications

  • Ability to maintain verbal and written communications in a confidential manner

  • Detail oriented with strong organizational skills

  • Excellent interpersonal skills - team player who can prioritize multiple responsibilities, manage a large workload within tight deadlines - works well under pressure and consistently meets deadlines, readily adapts to change, and excels in a productivity-based environment

  • Excellent verbal and written communication skills

  • Demonstrates research and problem-solving skills

Qualifications

  • High school diploma and 2+ years of relatedexperience.

  • Bachelor's degreepreferred.

  • Training experience preferred but not required

  • Industry experience leading credentialing activities in large provider practice (or multiple practices) is required

  • Certifications preferred but not required

  • Working remote with Travel flexibility as needed.

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