Remote Credentialing Specialist

Socket.dev; United States; Remote; USD 30,000 - 39,000; Full time

Benefits offered by this job

Health, vision & dental insurance

401k

WFH stipend $100/month

Flexible vacation policy

Equipment provided

Job summary

Pair Team is seeking a Credentialing Associate to manage the recurring licensing, renewal, and offboarding workflows to keep providers compliant with payers. You will work closely with the Senior Credentialing Specialist on deadlines, renewals, CAQH, and enrollments across the U.S.

This fully remote role offers a Monday–Friday schedule, with a focus on accuracy and coordination across multiple providers and credentialing cycles. A quiet at-home workspace and HIPAA-compliant setup are required.

Qualifications

• 1–2 years of experience in healthcare licensing operations or credentialing support preferred, not required
• High attention to detail and comfort managing deadline-driven, recurring workflows
• Strong organizational skills, with the ability to track multiple providers across multiple credentialing cycles and platforms simultaneously
• Clear communication skills for coordinating with clinical staff on documentation needs
• Comfort working in spreadsheet and tracking tools
• Familiarity with CAQH and clinical licensing management is a plus
• Must have a quiet, HIPAA-compliant at-home work environment with reliable internet and cell phone access

Responsibilities

• Track renewal deadlines for all active NP, MD, and RN licenses; prompt clinical staff to initiate renewals ahead of expiration and track completion
• Coordinate with CVO and providers to ensure timely license renewal submission
• Manage CAQH re-attestation cycles (every 60–90 days) across all active providers
• Maintain up to date CAQH profiles for providers, including updating with new Medicaid IDs, licenses, practice location or changes, COI updates, and renewals
• Monitor CAQH profiles for completeness and accuracy on an ongoing basis
• Manage Medicare and Medicaid revalidation cycles at the group level, tracking deadlines and initiating submission in advance of due dates
• Manage payer recredentialing cycles and completing demographic or enrollment updates with active payer relationships, including gathering required documentation from providers and coordinating with payer portals
• Track recredentialing submission status and follow up on outstanding items
• Collect and update provider personal documentation, including driver’s licenses, addresses, board certifications, and CPR certifications; route documentation to relevant payer or credentialing systems as required
• Manage end-to-end credentialing offboarding for departing providers, including COI carrier updates, ACCESS/Medicare roster removals, Medicaid terminations, payer disenrollment, and CAQH offboarding
• Provide overflow support to the Senior Credentialing Specialist during new-state expansion activity, including documentation gathering, provider data preparation, and tracking for new-state license applications and group enrollment submissions
• Support surge capacity on CVO or vendor coordinated workflows when new market timelines require additional bandwidth

Skills

Attention to detail

Organizational skills

Clear communication

Spreadsheets & tracking tools

CAQH familiarity

HIPAA at-home work environment

Tools

CAQH

Job description

Pair Team is seeking a Credentialing Associate to manage the recurring licensing, renewal, and offboarding workflows to keep providers compliant with payers. You will work closely with the Senior Credentialing Specialist on deadlines, renewals, CAQH, and enrollments across the U.S.

This fully remote role offers a Monday–Friday schedule, with a focus on accuracy and coordination across multiple providers and credentialing cycles. A quiet at-home workspace and HIPAA-compliant setup are required.