Remote Credentialing Specialist - Healthcare Compliance

BerryDunn — Assurance, Tax and Consulting; United States; Remote; USD 56,000 - 61,000; Full time

Job summary

BerryDunn is seeking a Credentialing Specialist for our Healthcare Compliance and Credentialing Practice Area. This remote role involves credentialing/re-credentialing providers, PSV, CAQH maintenance, and database updates, collaborating with the leadership team and billing to ensure accurate enrollments.

Requirements include 2–3 years of healthcare credentialing experience, MS Office proficiency, and strong attention to detail. Travel is minimal.

Qualifications

• High school diploma required; bachelor’s degree preferred.
• 2-3 years of relevant healthcare experience including credentialing/medical billing.
• CPCS or CPMSM certification a plus.
• Ability to work independently and in a team.
• Strong organization and time management to handle priorities and deadlines.
• Excellent verbal, interpersonal, and written skills.
• Attention to detail and quality.
• Proficiency with MS Office and Adobe; Excel preferred.

Responsibilities

• Complete credentialing/re-credentialing applications for providers with third-party payers and government programs.
• Perform Primary Source Verification (PSV) services and file audits.
• Maintain CAQH profiles and the credentialing database.
• Coordinate enrollment and update payer statuses with clients.
• Communicate with payers and providers to gather required information.
• Provide timely updates to leadership on process status and delays.

Skills

Time management

Organization

Communication

MS Office

Education

Bachelor’s degree preferred

Tools

Microsoft Office Suite

Adobe

Job description

BerryDunn is seeking a Credentialing Specialist for our Healthcare Compliance and Credentialing Practice Area. This remote role involves credentialing/re-credentialing providers, PSV, CAQH maintenance, and database updates, collaborating with the leadership team and billing to ensure accurate enrollments.

Requirements include 2–3 years of healthcare credentialing experience, MS Office proficiency, and strong attention to detail. Travel is minimal.