Provider Contracting & Credentialing Document Specialist
Fully Remote | $21–$23/Hour | 12-Month Contract | Equipment Provided
We are seeking a detail-oriented Provider Contracting & Credentialing Document Specialist to support provider network operations by reviewing, validating, and processing documentation for commercial, Medicare, and Medicaid provider networks.
In this role, you will review provider files for accuracy and completeness, identify missing documentation, and conduct outbound outreach to hospitals, medical offices, healthcare facilities, and health plans to resolve outstanding requirements. This position is ideal for someone with direct provider enrollment experience, strong document review skills, and the ability to manage multiple files while maintaining accurate records.
This is a long-term, 12-month contract opportunity that is fully remote, with equipment provided.
- Pay: $21–$23 per hour
- Employment Type: 12-month contract
- Work Arrangement: Fully remote
- Equipment: Company-provided
- Schedule: Monday–Friday, 8-hour shift
- Work Hours: Flexible start and end times within 6:00 AM–6:00 PM
- Time Zone Flexibility: Candidates may work across any U.S. time zone, subject to the designated schedule
- Training: Must be available to train on Arizona time (MST) for the first 1–2 weeks
Key Responsibilities
- Receive, review, and validate provider contracting and credentialing applications for accuracy and completeness.
- Conduct outbound calls and send follow-up communications to hospitals, provider offices, healthcare facilities, health plans, and delegated entities to obtain missing or outdated documentation.
- Manage a daily workload of approximately 5–10 provider files, depending on complexity.
- Identify documentation gaps, discrepancies, and file deficiencies and coordinate follow-up to resolve them.
- Track outreach attempts and document follow-up activities in departmental systems.
- Enter and maintain accurate provider demographic and credentialing information in internal databases.
- Maintain organized records of provider communications and documentation retrieval efforts.
- Support audits, provider data cleanup initiatives, and special projects as needed.
- Help move provider files through the enrollment and onboarding process while maintaining quality and compliance standards.
Required Qualifications
- Direct provider enrollment experience is required. Administrative provider enrollment experience is acceptable.
- Intermediate to advanced proficiency with Microsoft Outlook, Word, and Excel.
- Experience reviewing, validating, or processing documents in a healthcare environment.
- Strong attention to detail and the ability to identify missing information, inconsistencies, and documentation errors.
- Strong verbal and written communication skills, including comfort with outbound calls and professional follow-up.
- Ability to manage multiple files, track outstanding items, and meet daily productivity expectations.
- Strong organizational, data entry, and recordkeeping skills.
- Ability to work independently and remain productive in a fully remote environment.
- Availability to complete the first 1–2 weeks of training on Arizona time (MST).
Preferred Qualifications
- Experience with provider credentialing systems, provider lifecycle management platforms, or provider data management tools.
- Familiarity with NCQA standards, CMS Medicare guidelines, or Medicaid program requirements.
- Background in provider relations, provider contracting, or health plan network operations.
- Experience supporting commercial, Medicare, or Medicaid provider networks.
- Familiarity with provider file audits, data cleanup, and document quality control.
What Makes This Opportunity Great?
- Fully remote position with company-provided equipment.
- Long-term, 12-month contract offering stability and the opportunity to build specialized experience.
- Opportunity to support provider network operations across commercial, Medicare, and Medicaid programs.
- A structured workflow with clear documentation review and follow-up responsibilities.
- Opportunity to strengthen experience in provider enrollment, credentialing documentation, and healthcare network operations.