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Remote Provider Enrollment Credentialing Specialist Jobs

The specialist works closely with providers, practice operations, credentialing staff, payors, and ... Remote in Georgia; Occasional in office meetings in Marietta, GA. Schedule: Full time Monday ...

Credentialing Specialist

Tulsa, OK ยท Remote

$23 - $25/hr

... provider enrollment team. This position is ideal for someone with healthcare credentialing ... Both onsite and remote candidates may be considered, with equipment provided for remote employees.

Location: Fully remote role with expected work hours from 8:30 AM to 5PM CT Mon-Fri. Summary ... They will also review provider credentialing and/or recredentialing data for accuracy based on ...

Remote role based in the U.S.; able to work effectively in a remote environment with limited supervision. * Travel up to 10%. * Strong knowledge of payor enrollment, re-credentialing, provider ...

Process Medicare enrollments and updates through PECOS. * Verify that providers are correctly ... Fully remote role based in the United States. Compensation: Competitive salary with benefits ...

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Remote Provider Enrollment Credentialing Specialist information

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How much do remote provider enrollment credentialing specialist jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for remote provider enrollment credentialing specialist in the United States is $23.04, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $24.76 per hour, depending on experience, location, and employer.

What is a remote provider enrollment credentialing specialist?

A Remote Provider Enrollment Credentialing Specialist is a professional who manages the process of enrolling healthcare providers with insurance companies and ensuring they meet all credentialing requirements. Working remotely, they verify provider qualifications, complete necessary documentation, and maintain compliance with regulatory standards. Their responsibilities help healthcare organizations secure reimbursement for services and maintain legal and professional standards. This role is essential for streamlining provider onboarding and ensuring the organization can bill insurance companies efficiently.

What are the key skills and qualifications needed to thrive as a remote provider enrollment credentialing specialist?

To thrive as a Remote Provider Enrollment Credentialing Specialist, you need a solid understanding of healthcare credentialing processes, regulatory compliance, and provider enrollment requirements, often supported by experience in medical administration or a related certification like CPCS or CPMSM. Familiarity with credentialing software, databases, and payer portals such as CAQH and PECOS is typically required. Strong attention to detail, organizational skills, and effective communication are crucial for managing complex documentation and liaising with providers and payers. These skills ensure timely and accurate provider onboarding, minimizing delays in reimbursement and maintaining regulatory compliance.

What are some common challenges faced by remote provider enrollment credentialing specialists, and how can they be addressed?

Remote Provider Enrollment Credentialing Specialists often encounter challenges such as navigating complex payer requirements, managing large volumes of documentation, and ensuring timely follow-ups with providers and insurance companies. Working remotely also requires strong organizational skills and proactive communication to coordinate effectively with internal teams and external stakeholders. Utilizing credentialing software, maintaining detailed tracking systems, and participating in regular team meetings can help address these challenges and ensure accuracy and compliance throughout the credentialing process.
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What cities are hiring for Remote Provider Enrollment Credentialing Specialist jobs?

Cities with the most Remote Provider Enrollment Credentialing Specialist job openings:

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

The most popular types of Provider Enrollment Credentialing Specialist jobs are:

What states have the most Remote Provider Enrollment Credentialing Specialist jobs?

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

Infographic showing various Remote Provider Enrollment Credentialing Specialist job openings in the United States as of August 2026, with employment types broken down into 75% Full Time, and 25% Part Time. Highlights an 100% Remote job distribution, with an average salary of $47,922 per year, or $23 per hour.

Provider Enrollment & Credentialing Specialist

Physicians' Ally Inc.

Littleton, CO โ€ข Remote

$29 - $50/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

This job post hasย expired 3 days ago.ย Applications are no longer accepted.


Job description

Benefits:
  • Health insurance
  • Paid time off
  • 401(k) matching
  • Dental insurance
  • Flexible schedule
  • Vision insurance

Provider Enrollment & Credentialing SpecialistLocation: Remote/In-Person/Hybrid
Employment Type: Full-Time or Part-Time
Compensation: Competitive, based on experience
About Physicians' Ally
Physicians' Ally is a nationally recognized healthcare consulting firm that provides physician practices, surgery centers, and healthcare organizations with expert credentialing, provider enrollment, payer contracting, and consulting services. For more than 25 years, we have helped independent medical practices navigate the complexities of payer participation, provider enrollment, and practice growth.
We are seeking a highly organized and detail-oriented Credentialing Specialist to join our growing team. This position is ideal for an individual who enjoys problem solving, managing multiple projects, and serving as a trusted resource for healthcare providers and practice administrators.
Position Summary
The position is posted as full-time, but does not necessarily require 30-40 hours/week. Also posted as fully remote, but if candidate is in Colorado, could be in-person or hybrid. Responsible for managing provider credentialing, payer enrollment, demographic maintenance, and related regulatory activities on behalf of physician practices across the United States. This role requires strong attention to detail, excellent communication skills, and the ability to work independently while managing multiple deadlines and priorities.
Successful candidates will have experience with provider credentialing, CAQH maintenance, Medicare and Medicaid enrollments, payer portals, and healthcare regulatory requirements.
Essential Responsibilities
  • Manage provider credentialing, recredentialing, and CAQH maintenance.
  • Prepare and track provider enrollments with commercial and government payers.
  • Maintain provider demographics, NPPES records, payer rosters, and directory listings.
  • Coordinate Medicare, Medicaid, and state licensure applications and renewals.
  • Manage hospital privileging, ASC credentialing, and facility affiliations.
  • Monitor credentialing deadlines, provider documentation, and regulatory compliance.
  • Research and resolve credentialing, enrollment, and payer-related issues.
  • Communicate effectively with providers, payers, hospitals, and regulatory agencies.
Qualifications
Required
  • 2+ years of credentialing, provider enrollment, or healthcare administration experience.
  • Working knowledge of CAQH, NPPES, Medicare, Medicaid, and payer portals.
  • Proficiency with Microsoft Office and web-based applications.
  • Strong organizational, communication, and multitasking skills.
  • Detail-oriented with a high level of professionalism and confidentiality.
Preferred
  • CPCS certification.
  • Experience with Modio or similar credentialing software.
  • Hospital privileging experience.
  • Healthcare consulting or multi-specialty practice experience.

This is a remote position.