Remote Payor Credentialing Specialist (Contractor)

BruntWork; Philippines; Remote; PHP 1,555,000 - 2,159,000; Full time

Benefits offered by this job

Permanent work from home

Immediate hiring

Steady freelance job

Profit sharing incentive

Paid time off

Holiday pay

Annual Performance and Raise Elevation

Quarterly Perfect Attendance Incentive

HMO

BruntWork Loan Assistance

Job summary

BruntWork is hiring for a State Payor Credentialing Representative to own provider enrollment end-to-end for high-complexity states. This remote, full-time role requires expertise in credentialing for both commercial and government payors, ensuring accuracy and timely submissions.

You will act as a subject matter expert, guiding submissions and resolving regulatory issues across complex environments. The position emphasizes proactive communication, data verification, and collaboration with

Qualifications

• Exceptional attention to detail and strong organizational skills.
• Critical thinking and problem-solving abilities in complex or ambiguous situations.
• Ability to work effectively in a fast-paced, deadline-driven environment.
• Clear and professional verbal and written communication skills.
• Strong reading comprehension and ability to interpret regulatory and procedural guidance.

Responsibilities

• Lead the submission of provider enrollment applications for assigned states with complex regulations or high provider volume.
• Serve as the primary subject matter expert for credentialing and enrollment requirements in assigned state(s).
• Maintain current knowledge of both In-network and out-of-network enrollment processes.
• Partner with Account Coordinators to validate provider data and documentation prior to initiating enrollment applications.
• Establish and maintain productive working relationships with payor representatives in assigned states to support clear communication and timely issue resolution.
• Prepare and submit provider enrollment documentation through appropriate channels, including payor portals and mailed submissions.
• Track application status and perform proactive followups to drive timely approvals.
• Manage re-credentialing submissions and communicate upcoming client requirements to Account Management.
• Complete quarterly and other required payor attestations to ensure ongoing compliance.
• Provide daily status reports to Credentialing Coordinator, including updates for personal workload and any Credentialing Representative I staff supporting assigned states.
• Maintain thorough documentation of all submissions, followups, and payor correspondence within internal tracking systems.

Skills

Attention to detail

Critical thinking

Deadline-driven

Verbal and written communication

Regulatory interpretation

Education

Two years in college

US-based medical billing experience (2+ years)

Medical billing in Behavioral Health exposure (2+ years)

Job description

BruntWork is hiring for a State Payor Credentialing Representative to own provider enrollment end-to-end for high-complexity states. This remote, full-time role requires expertise in credentialing for both commercial and government payors, ensuring accuracy and timely submissions.

You will act as a subject matter expert, guiding submissions and resolving regulatory issues across complex environments. The position emphasizes proactive communication, data verification, and collaboration with