Remote Credentialing Specialist: Healthcare Payor Enrollment

OCHIN; United States; Remote; USD 55,000 - 85,000; Full time

Job summary

OCHIN is a nonprofit leader in health care innovation and a trusted partner to a growing national provider network. The Credentialing Specialist (Enrollment) will manage credentialing applications, verify credentials, and maintain provider files with payor plans, ensuring compliance with regulatory standards.

You will work remotely, collaborating with payers and internal teams to complete credentialing, privileging, and enrollment tasks efficiently while supporting OCHIN’s mission to expand

Qualifications

• Two years of credentialing experience.
• Knowledge of HRSA/FTCA/TJC/NCQA standards.
• Proficiency in credentialing software.
• Experience with provider enrollment and CAQH profiles.

Responsibilities

• Process initial credentialing and recredentialing applications per regulatory standards.
• Review credentialing documents for accuracy and completeness.
• Validate provider credentials through verification sources.
• Maintain payor enrollment, revalidations, CAQH profiles, and payer data.

Skills

Credentialing knowledge

Provider enrollment

Client communication

Regulatory compliance

Tools

Jira

Smartsheet

CAQH

NPPES

Job description

OCHIN is a nonprofit leader in health care innovation and a trusted partner to a growing national provider network. The Credentialing Specialist (Enrollment) will manage credentialing applications, verify credentials, and maintain provider files with payor plans, ensuring compliance with regulatory standards.

You will work remotely, collaborating with payers and internal teams to complete credentialing, privileging, and enrollment tasks efficiently while supporting OCHIN’s mission to expand