Remote Credentialing Specialist — Payer Enrollment Pro

Call-On-Doc; Irving (TX); Remote; USD 60,000 - 75,000; Full time

Benefits offered by this job

Fully remote

Training provided

40 hours per week

Job summary

CallonDoc is seeking an experienced Credentialing Specialist to own provider credentialing and payer enrollment for the CallonDoc organization and the DFW clinic. The role involves independent handling of complex enrollments, ensuring quality, and guiding teammates in credentialing practices.

Reporting to the Supervisor of Licensing & Credentialing, you will manage timelines, maintain records, and verify payer requirements while coordinating with Licensing, HR and clinical teams.

Qualifications

• Minimum of 4 years of direct provider credentialing experience.
• Independent management of credentialing and payer enrollment.

Responsibilities

• Independently prepare, submit and track initial credentialing and payer enrollment for providers and entities.
• Resolve application deficiencies, enrollment delays and payer discrepancies.
• Support credentialing for CallonDoc and the DFW clinic, including prescriptive-only enrollment.
• Review applications and supporting documents for accuracy and completeness.
• Provide technical guidance and training to credentialing teammates.
• Research state and payer requirements.
• Maintain provider profiles, payer portal records and rosters.
• Coordinate provider additions, terminations and demographic updates.
• Monitor deadlines, approvals, effective dates and continued enrollment.

Skills

Spreadsheet management

Credentialing portal usage

Professional communication

Time management

Education

Associate or Bachelor’s in healthcare administration or related field

High school diploma or GED

Tools

CAQH

PECOS

Google Workspace

Job description

CallonDoc is seeking an experienced Credentialing Specialist to own provider credentialing and payer enrollment for the CallonDoc organization and the DFW clinic. The role involves independent handling of complex enrollments, ensuring quality, and guiding teammates in credentialing practices.

Reporting to the Supervisor of Licensing & Credentialing, you will manage timelines, maintain records, and verify payer requirements while coordinating with Licensing, HR and clinical teams.