Credentialing Specialist (Fully Remote)

BerryDunn; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

BerryDunn seeks an experienced credentialing professional to manage physician and provider credentialing. You will complete applications, verify sources, and maintain CAQH records with high accuracy. Collaboration with client liaisons and payers ensures timely enrollment updates for providers and clients.

The role emphasizes attention to detail, regulatory compliance, and effective communication within a client-focused environment.

Qualifications

• Experience in credentialing processes for physicians and providers.
• Familiarity with CAQH profiles and primary source verification.

Responsibilities

• Complete credentialing and re-credentialing applications for physicians, ancillary providers, and facilities with third-party payers and governmental programs.
• Perform primary source verification, maintain CAQH profiles, and update credentialing databases accurately.
• Partner with client liaisons and payers to manage enrollment status, follow up on applications, and communicate updates to providers and clients.

Skills

Credentialing

CAQH

Payer enrollment

Communication

Data accuracy

Job description

• Complete credentialing and re-credentialing applications for physicians, ancillary providers, and facilities with third-party payers and governmental programs.
• Perform primary source verification, maintain CAQH profiles, and update credentialing databases accurately.
• Partner with client liaisons and payers to manage enrollment status, follow up on applications, and communicate updates to providers and clients.