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Remote Provider Credentialing Jobs (NOW HIRING)

QualDerm Partners

Credentialing Specialist - Remote

$48K - $64K/yr

We strive to provide the latest proven, proactive and comprehensive dermatologic care to ... The Credentialing Specialist will be responsible for implementing standardized processes and ...

American Oncology Network

Credentialing Coordinator

$20.78 - $36.53/hr

Remote Position Pay Range: $20.78 - $36.53 POSITION SUMMARY Processes credentialing and re-credentialing applications of health care practitioners/providers. Monitors Credentialing group inbox to ...

Delta Dental of Arizona

Credentialing Associate I

$16.90 - $23.02/hr

Respond to dental office inquiries regarding provider contracts, credentialing, and network participation. The pay range for this position is $16.90 - $23 per hour. This position is fully remote.

CVS Health

Sr. Credentialing Specialist

Dallas, TX · On-site +1

$18.50 - $35.29/hr

This role is open to remote candidates, but preference is for candidates in Dallas, TX area that ... This position provides guidance to staff and customers, helps manage workflow improvement projects ...

Addison Group

Medical Credentialing Specialist

Irving, TX · Remote

$25 - $27/hr

Remote (Temporary) | Hybrid in Irving, TX upon Conversion (1 day/week onsite) Pay Range: $25 - $27 ... This position plays a key role in ensuring providers are credentialed, enrolled, and ready to ...

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Remote Provider Credentialing information

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How much do remote provider credentialing jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for remote provider credentialing in the United States is $24.36, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $27.64 per hour, depending on experience, location, and employer.

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.
More about Remote Provider Credentialing jobs

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Cities with the most Remote Provider Credentialing job openings:

What are the most commonly searched types of Provider Credentialing jobs?

The most popular types of Provider Credentialing jobs are:

What states have the most Remote Provider Credentialing jobs?

States with the most job openings for Remote Provider Credentialing jobs include:

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

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

Remote Provider Credentialing jobs near you
Infographic showing various Remote Provider Credentialing job openings in the United States as of August 2026, with employment types broken down into 1% Locum Tenens, 2% As Needed, 76% Full Time, 16% Part Time, and 5% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $50,665 per year, or $24.4 per hour.

Credentialing Specialist - Remote

QualDerm Partners

Remote

$48K - $64K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 2 hours ago

QualDerm Partners rating

6.5

Company rating: 6.5 out of 10

Based on 12 frontline employees who took The Breakroom Quiz

Job description

With 150+ locations in 17 states, QualDerm Partners is the largest multi-state female-founded and owned dermatology network in the U.S. At QualDerm Partners, we are united in our purpose: to educate, protect, and care for your skin. We are committed to bringing you the very best in comprehensive skin care so that you can achieve a confident, healthier, and more beautiful you!
Our mission is to educate communities and healthcare professionals about the importance of skin health; including skin cancer prevention, risk factors and how to achieve healthy skin through annual skin exams and dermatologic care. We strive to provide the latest proven, proactive and comprehensive dermatologic care to populations in the expanding geographies we serve by making high-quality skin care timelier and more accessible all while creating a rewarding work environment for our providers and employees.
Purpose:
Reporting to the Senior Director, Credentialing and Revenue Cycle, the Credentialing Specialist is responsible for overseeing all aspects of the credentialing, re-credentialing, payer enrollment and privileging processes for all providers in an assigned region. The Credentialing Specialist will develop strong relationships with regional operational leaders to ensure proactive communication on credentialing and recredentialing requirements while ensuring that credentialing is complete in advance of services being rendered under contracted and enrolled health plans. The Credentialing Specialist will be responsible for implementing standardized processes and capturing data for each provider in QualDerm's credentialing databases and online systems for utilization across multiple stakeholder groups.
Essential Duties and Responsibilities:
  • Oversee all aspects of Provider Credentialing and Payer Enrollment with third party payers and hospital / health system partners for assigned region.
  • Assure compliance with all health plan requirements as related to provider certification and credentialing.
  • Meets with assigned region operational leadership on a routine basis to ensure timely on-boarding of new providers and that all credentialing needs are met.
  • Manages processes that maintain up-to-date data for each provider in credentialing databases and online systems.
  • Ensures timely renewal of licenses, certifications, and credentialing.
  • Maintains confidentiality of provider information.
  • Assist in managing the flow of information between payers, contracted PHO's, ACO's and other QualDerm networks.
  • Coordinate and prepare management reports for assigned regions.
  • Manage continual process and quality improvement efforts related to payer enrollment, data entry, credentialing committees and all aspects related to credentialing & enrollment.
  • Participates in the training of new Credentialing & Enrollment team members.

Requirements
  • Bachelor's degree in related field preferred.
  • Minimum of three (3) years' experience in managed care credentialing or medical staff service setting required.
  • National or multi-state credentialing experience preferred.
  • Demonstrated skills in analysis, problem solving and resolution.
  • Ability to communicate appropriately and effectively with practitioners and providers, including sensitive and confidential information.
  • Strong knowledge of NCQA, Joint Commission, URAC, CMS and State Laws and regulations as they pertain to the credentialing of QualDerm providers.
  • Prioritize and meet deadlines on an ongoing basis to ensure timely completion according to process requirements.
  • Must be able to function independently in a matrix environment.

Benefits
Benefits of joining Qualderm Partners:
  • Competitive Pay - Attractive compensation to reward your hard work
  • Comprehensive Health Coverage - Includes Medical, Dental, and Vision plans to keep you covered
  • Generous 401(k) Plan - Company matches 100% of the first 3%, plus 50% of the next 2%, with immediate vesting
  • Paid Time Off (PTO) - Accrue PTO from day one, plus enjoy 6 paid holidays and 2 floating holidays each year
  • Company-Paid Life Insurance - Peace of mind with basic life coverage, with the option for additional plans
  • Disability Protection - Short-term and long-term disability coverage to protect you in unexpected circumstances
  • Additional Wellness Plans - Accident, critical illness, and identity theft protection plans for extra security
  • Employee Assistance Program (EAP) - Access confidential support for personal or work-related challenges
  • Exclusive Employee Discounts - Save on products and services with special discounts just for you
  • Referral Bonus Program - Earn bonuses by referring qualified candidates to join the team

QualDerm Partners is proud to be an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Applicants must be currently authorized to work in the United States in a full-time basis.
Compensation Range: $48,152 - $64,916 per year. Final offer will be based on a combination of skills, experience, location, and internal equity.

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