Remote CAQH Specialist — Provider Data & Credentialing

Physicians Practice Enhancement Llc; Red Bank (NJ); Remote; USD 52,000 - 72,000; Full time

Job summary

Physicians Practice Enhancement Llc is seeking a CAQH Specialist to maintain provider profiles in the CAQH Provider Data Portal, supporting credentialing and payer enrollment. You will own provider records, resolve deficiencies, and coordinate with providers and internal teams to meet quality and turnaround SLAs.

Responsibilities include updating demographics, practice locations, licenses, and education; tracking attestations and document expirations; and safeguarding confidential information

Qualifications

• High school diploma or equivalent required.
• Data Entry Experience.
• Strong attention to detail and organizational skills.
• Comfort with spreadsheets, shared work queues, secure document systems, and remote collaboration tools.
• Ability to manage a high-volume assigned portfolio with minimal supervision.

Responsibilities

• Maintain CAQH profiles for assigned providers, including demographics, practice locations, education, training, licenses, certifications, insurance, and work history.
• Monitor attestation and reattestation requirements; coordinate provider review and authorization and complete permitted actions within established deadlines.
• Collect, verify, and upload required supporting documents; track expirations and resolve missing, inconsistent, or outdated information.
• Identify discrepancies between CAQH, internal credentialing systems, and payer enrollment records; escalate material mismatches.
• Communicate professionally with providers, practice contacts, and credentialing/enrollment colleagues to obtain outstanding items.
• Document work performed, follow-up attempts, barriers, and completion dates in designated systems; maintain reliable status reporting.
• Prioritize urgent provider starts, payer deadlines, expiring credentials, and overdue tasks according to department SLAs.
• Protect confidential provider information and follow company security, privacy, access-control, and approved remote-work procedures.
• Participate in quality audits, process improvement, and cross-training as assigned.

Skills

Data entry

Attention to detail

Organizational skills

Written communication

Remote collaboration tools

Education

High school diploma or equivalent

Associate degree preferred

Tools

Spreadsheets

Secure document systems

Remote work tools

Job description

Physicians Practice Enhancement Llc is seeking a CAQH Specialist to maintain provider profiles in the CAQH Provider Data Portal, supporting credentialing and payer enrollment. You will own provider records, resolve deficiencies, and coordinate with providers and internal teams to meet quality and turnaround SLAs.

Responsibilities include updating demographics, practice locations, licenses, and education; tracking attestations and document expirations; and safeguarding confidential information