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Remote Provider Enrollment Credentialing Specialist Jobs in Decatur, GA

Psychotherapy Collective of Atlanta

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Healthcare Operations Manager

Atlanta, GA · Remote

$55K - $62K/yr

This position is 100% remote. Candidates do not have to live in the state of Georgia. Key ... Experience with payer credentialing and provider enrollment. * Knowledge of healthcare compliance ...

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Allara

Payer Operations Lead

Atlanta, GA · Remote

$60K - $68K/yr

Remote (US) Your Impact * Build, document, and maintain end-to-end SOPs for payer contracting ... Required Qualifications * 2-3 years of experience in provider enrollment, credentialing, payer ...

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All JobsProvider Enrollment Credentialing Specialist JobsRemote Provider Enrollment Credentialing Specialist JobsRemote Provider Enrollment Credentialing Specialist Jobs in Decatur, GA

Remote Provider Enrollment Credentialing Specialist information

See Decatur, GA salary details

$11

$22

$38

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

As of Aug 16, 2026, the average hourly pay for remote provider enrollment credentialing specialist in Decatur, GA is $22.49, according to ZipRecruiter salary data. Most workers in this role earn between $17.60 and $24.18 per hour, depending on experience, location, and employer.

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 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 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.

What job categories do people searching Remote Provider Enrollment Credentialing Specialist jobs in Decatur, GA look for?

The top searched job categories for Remote Provider Enrollment Credentialing Specialist jobs in Decatur, GA are:

What cities near Decatur, GA are hiring for Remote Provider Enrollment Credentialing Specialist jobs?

Cities near Decatur, GA with the most Remote Provider Enrollment Credentialing Specialist job openings:

Remote Provider Enrollment Credentialing Specialist jobs near you

Sr. Credentialing Specialist

Fresenius Medical Care

Kennesaw, GA • On-site, Remote

Full-time

Posted 23 days ago

Fresenius Medical Care rating

6.7

Company rating: 6.7 out of 10

Based on 1,330 frontline employees who took The Breakroom Quiz

531st of 887 rated healthcare providers

Job description

PURPOSE AND SCOPE:
FMCNA locations. Collaborates with a third party/external credentialing agent to ensure credentialing process is completed as required.
Ensures all provider credentialing verification is performed in accordance with regulatory and accreditation standards as well as internal
FMCNA policy and procedure. Performs audits of both the internal FMCNA Provider Database and FMCNA provider information
compiled by the external credential verification agent to ensure that credential verification is completed in a timely manner according to
all regulatory and company requirements.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
  • Under close supervision, utilizes established procedures to perform routine assigned tasks¦
  • Learns to use professional concepts. Applies company policies and procedures to resolve routine issues.
  • Works on problems of limited scope. Follows standard practices and procedures in analyzing situations or data from which answers can be readily obtained.
  • May escalate issues to supervisor for resolution, as deemed necessary.
  • Performs provider/practitioner credentialing verification tasks to facilitate compliance with Medical Staff by-laws regarding the verification of a minimum set of a practitioner's credentials required prior to the patient receiving their second treatment.
  • Responsible for tasks related to the three-year cyclical verification process of all active practitioners.
  • Utilizes knowledge regarding national accreditation standards, internal medical staff bylaws and other related policies and regulations to perform functions pertaining to the provider/practitioner credentialing process for the FMS Division. This includes but is not limited to:
  • Obtaining practitioner license information from publicly available state/government agency websites, the National Provider Databank, and other 3rd party certification groups such as the American Board of Internal Medicine
  • Completing and processing all initial credential applications for new providers/practitioners and credential verification applications for existing providers/practitioners in a timely and accurate manner
  • Conducting follow up as needed, acting as the primary liaison for FMCNA locations, practitioners, and the FMCNA third- party credentialing agent to ensure that all credentialing is completed within the required timelines and that each provider/practitioner meets federal and state regulations as well as FMCNA internal requirements
  • Maintaining and updating the database on individual provider/practitioner credentials' status, tracking pending/completed applications, and maintaining a complete and accurate database of historical applications. Provides regular reports and updates to pertinent FMS field operations management and Director Operation Monitoring.
  • Communicating with practitioners regarding credentialing status, providing updates and obtaining additional information as required.
  • Educates and informs FMS field staff responsible for reporting new practitioners regarding their responsibilities in the credential verification process. Explains the credentialing requirements, practitioner specific information, information regarding the FMCNA third-party credential agent, regulations and industry standards for credentialing of health care providers and other information as applicable
  • Continually audits and analyzes the credentialing process to identify deficiencies in controls and to identify process/workflow issues recommending improvements to manager and implementing if approved.
  • Review internal Provider Database information and database of FMCNA provider information compiled by external credential verification agent to identify and take appropriate action where required to correct areas of noncompliance with company policy, such as reporting requirements of identified deficiencies in provider applications, reporting of providers non-compliant with verification policies, expired board certifications and other requirements as applicable.
  • Responsible for generating various standard and ad hoc reports from database:
  • Prepares project status reports as required, detailing progress of credential verification status of individual practitioner credential applications for each FMS Division, and reporting variances and trends in the credentialin process as identified to the Director Operations Monitoring.
  • Prepares reports detailing credential verification issues to pertinent field staff and credential verification agent
  • The monthly provider/practitioner credentialing status report for review by Director Operations Monitoring.
  • Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations.
  • Assist with various projects as assigned by direct supervisor
  • Other duties as assigned.

Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.
PHYSICAL DEMANDS AND WORKING CONDITIONS:
  • The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION:
  • Bachelor's Degree required

EXPERIENCE AND REQUIRED SKILLS:
  • 0 - 2 years' related experience.
  • Strong detail orientation required, with the ability to administer multiple tasks and prioritize.
  • Excellent verbal and written communication skills.
  • Ability to positively interact with Providers, hospital personnel, and other internal and external contacts.
  • Perform work at a high level of accuracy and timelines.
  • Attention to confidentiality and regard for protecting confidential and sensitive information
  • Advanced level skills with Microsoft Access, Excel, and Word.
  • Strong problem solving and time management skills with the ability to consistently work in a fast-paced environment.
  • Strong Excel, data-base management, and document storage and management skills

Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.
Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

What Fresenius Medical Care employees say

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About Fresenius Medical Care

Sourced by ZipRecruiter

We are a Team of more than 70,000 with one guiding Principle Patients First. This promise starts with providing the most comprehensive care for people living with Chronic Kidney Disease and extends to Innovative Solutions that are redefining Healthcare and setting the industry standard. From evolving home Dialysis and Patient education programs to improving patient care to providing World Class Research and Data driven insights. Our vertically integrated network tirelessly seeks new ways to improve the quality of our Patients' lives. We believe each of us can make an impact and together we can change an industry. Our Mission is to Provide Superior care that improves the quality of life of every patient, every day, setting the standard by which others in the Healthcare Industry are judged. And none of us does it alone. We bring together the brightest minds in kidney care to Dream, Research, and Innovate.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Waltham, MA, US

Year founded

1996

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