Remote Credentialing Specialist: Compliance & Data Accuracy

Sagility

United States

Remote

USD 22,730 - 32,373

Full time

14 days+

Get more replies from employers

Send a job-specific resume in minutes.

Job summary

BroadPath, a Sagility Company, is seeking credentialing specialists to join our remote team focused on provider credentialing and health plan operations. You will verify credentials, maintain records, and support a compliant provider experience while working from home.

This full-time remote role offers weekly pay and flexible hours within a 9:00 AM–9:00 PM ET window. Ideal candidates have 1+ year credentialing experience, strong attention to detail, and excellent communication skills.

Qualifications

  • 1+ year of experience in provider credentialing for a health plan.
  • Strong organizational and time-management skills.
  • Ability to meet deadlines and handle high-volume work.
  • Familiarity with NCQA, CMS, and state credentialing standards.
  • Excellent written, verbal, and interpersonal communication skills.

Responsibilities

  • Verify provider credentials through approved sources in a timely and accurate manner
  • Track and process credentialing and re-credentialing applications
  • Enter and update provider information in the credentialing database
  • Maintain and update provider demographics
  • Monitor and manage data from delegated entities
  • Communicate with providers or their office staff regarding credentialing status and required documentation
  • Identify and report non-compliance or credentialing issues to the supervisor
  • Ensure confidentiality of sensitive data and documents
  • Perform other duties as assigned

Skills

Provider credentialing
Healthcare operations
Time management
Attention to detail
Communication skills

Job description

BroadPath, a Sagility Company, is seeking credentialing specialists to join our remote team focused on provider credentialing and health plan operations. You will verify credentials, maintain records, and support a compliant provider experience while working from home.

This full-time remote role offers weekly pay and flexible hours within a 9:00 AM–9:00 PM ET window. Ideal candidates have 1+ year credentialing experience, strong attention to detail, and excellent communication skills.

Get your free, confidential resume review.
or drag and drop your file here.
Similar jobs

Similar jobs worth comparing

Remote Credentialing Specialist – Health Plan
Remote Credentialing Specialist – Health Plan

Sagility Member Enrollment LLC • United States

Remote
Medical, Dental, and Vision coverage
Life insurance
Disability insurance (STD/ LTD)
+5
Remote Credentialing Specialist – Provider Compliance
Remote Credentialing Specialist – Provider Compliance

BroadPath • United States

Remote
USD 60,000 - 80,000
Remote Credentialing Specialist – Detail‑Oriented
Remote Credentialing Specialist – Detail‑Oriented

Sagility • United States

Remote
Medical, Dental, and Vision coverage
Life Insurance
401(k) with employer contribution
Credentialing Specialist- Work at Home!
Credentialing Specialist- Work at Home!

BroadPath • United States

Remote
Remote Credentialing Coordinator - Healthcare Compliance
Remote Credentialing Coordinator - Healthcare Compliance

CarePoint Healthcare • United States

Remote
Health insurance
Health Savings Account (HSA)
Paid time off
+5
Remote Credentialing Specialist | Compliance & Audits
Remote Credentialing Specialist | Compliance & Audits

RXinsider LTD. • El Segundo (CA)

On-site
USD 25,000 - 44,000
Benefits package
Equity stock purchase
401k plan
Remote Credentialing Specialist
Remote Credentialing Specialist

Sagility • United States

Remote
Comprehensive medical coverage
Paid Time Off (PTO)
401(k) with employer contribution
+1
Remote Credentialing & Provider Data Specialist
Remote Credentialing & Provider Data Specialist

GlobalHealth, Inc. • Oklahoma City (OK)

On-site
USD 42,000 - 64,000
Remote Credentialing Specialist II – Growth & Impact
Remote Credentialing Specialist II – Growth & Impact

Sentara Health Plans • Norfolk (VA), Northern (KY)

Hybrid
USD 36,000 - 60,000
Medical benefits
Dental benefits
Vision benefits
+2
Remote Credentialing Specialist - Medical Billing
Remote Credentialing Specialist - Medical Billing

Gryphon-Healthcare • Houston (TX)

Hybrid
USD 42,000 - 64,000