Healthcare Credentialing & Onboarding Specialist

Privia Health; United States; Remote; USD 63,000 - 67,000; Full time

Job summary

Privia Health is seeking a Credentialing Onboarding Specialist to support end-to-end credentialing and payer enrollment for new providers. You will gather documentation, populate internal systems, and ensure applications are complete and ready for processing.

Under supervision, you will coordinate with Credentialing, Enrollment, Operations, and practice managers to meet start dates, maintain accurate provider profiles, and escalate issues as needed.

Qualifications

• 1+ years of experience in healthcare administration, medical staff services, or provider enrollment/credentialing.
• 1+ years of provider-facing customer service experience.
• Fundamental understanding of CAQH, provider licensure, and general enrollment documentation requirements.

Responsibilities

• Serve as an accessible, supportive point of contact for onboarding providers, guiding them through required paperwork and baseline expectations.
• Deliver responsive, polite, and detail-oriented customer service to ensure providers feel supported and informed throughout the initial onboarding steps.
• Maintain ongoing tracking records and communicate routine status updates to providers, the Credentialing/Enrollment teams, and local practice managers.
• Escalate complex issues, missing documentation, or potential timeline delays to team leads or managers in a timely manner.
• Request, collect, and verify foundational documents from providers (e.g., licenses, DEA certificates, diplomas, malpractice insurance, peer references).
• Review incoming credentialing and payer enrollment applications, CAQH profiles, and supporting packages to ensure completeness, accuracy, and readiness for credentialing and enrollment processing.
• Create and update provider profiles in internal databases, ensuring high accuracy and compliance with standardized formatting.
• Work closely with cross-functional administrative teams (Operations, Implementation, Credentialing, Enrollment) to transfer verified provider information efficiently.
• Other duties as assigned

Skills

Healthcare administration

Provider enrollment

CAQH

Customer service

Google Workspace

Verity Credential Stream

Tools

Google Workspace

Verity Credential Stream

Job description

Privia Health is seeking a Credentialing Onboarding Specialist to support end-to-end credentialing and payer enrollment for new providers. You will gather documentation, populate internal systems, and ensure applications are complete and ready for processing.

Under supervision, you will coordinate with Credentialing, Enrollment, Operations, and practice managers to meet start dates, maintain accurate provider profiles, and escalate issues as needed.