Remote Credentialing Specialist — Healthcare Enrollments

H2 Health; Jacksonville (FL); Remote; USD 48,000 - 65,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

PTO and paid holidays

401(k) retirement plan

Professional development opportunities

Job summary

H2 Health is seeking a Credentialing Specialist to join our team in a full-time, remote role. You will coordinate provider credentialing, payer enrollments, and recredentialing, ensuring accurate credentials for our therapy providers to deliver quality patient care.

The role requires meticulous attention to detail, ability to collaborate with clinicians and internal teams, and strong familiarity with CAQH and NPI processes. This is a remote, full-time opportunity with comprehensive benefits.

Qualifications

• Detail-oriented with strong organizational skills and attention to accuracy.
• Experience in healthcare credentialing or provider enrollment is preferred.
• Familiarity with CAQH, NPI applications, and payer enrollment processes preferred.
• Proficiency in reviewing provider credentialing records in electronic platforms (e.g., Medallion).
• Ability to work independently in a remote setting while maintaining communication and accountability.

Responsibilities

• Coordinate credentialing, recredentialing, and enrollment with insurance payers including Medicare, Medicaid, and commercial plans.
• Review credentialing information in Medallion for accuracy and completeness.
• Maintain provider profiles in CAQH with attestations and supporting documentation.
• Assist clinicians with NPI applications and updates.
• Monitor licenses, certifications, expiration dates, and other credentialing documentation.
• Ensure newly hired providers are added to payer rosters and former providers are removed as required.
• Track credentialing applications, renewals, and documentation deadlines.
• Communicate with clinicians, insurance representatives, and internal departments to resolve discrepancies.
• Assist with fingerprinting and other credentialing documentation requirements.
• Maintain confidential credentialing records per regulations and company policies.
• Support additional administrative and compliance tasks as needed.

Skills

Detail-oriented

Organizational skills

Strong communication

Independent work

Confidentiality

Education

High school diploma or equivalent

Tools

Medallion system

CAQH

NPI applications

Microsoft Office

Job description

H2 Health is seeking a Credentialing Specialist to join our team in a full-time, remote role. You will coordinate provider credentialing, payer enrollments, and recredentialing, ensuring accurate credentials for our therapy providers to deliver quality patient care.

The role requires meticulous attention to detail, ability to collaborate with clinicians and internal teams, and strong familiarity with CAQH and NPI processes. This is a remote, full-time opportunity with comprehensive benefits.