Remote Credentialing Specialist: Payer Enrollments

Independent Practice Management Services Organization; United States; Remote; USD 50,000 - 70,000; Full time

Job summary

Independent Practice Management Services Organization is seeking a Credentialing Specialist for a fully remote, full-time role. You will manage provider credentialing, verify qualifications, and submit applications while ensuring compliance with payer and regulatory standards.

Responsibilities include Medicare enrollment support, maintaining credentialing records, and collaborating with providers, payers, and internal teams to resolve issues and improve workflows.

Qualifications

• Experience managing provider enrollment and verification processes.
• Knowledge of Commercial, Medicaid, Medicare and other payer requirements.
• Strong attention to accuracy and ability to manage multiple deadlines.

Responsibilities

• Verify provider qualifications and maintain credentialing records.
• Complete and submit credentialing applications and re-appointments.
• Ensure compliance with payer, regulatory, and organizational requirements.
• Support Medicare and payer enrollment activities and respond to inquiries.
• Improve credentialing workflows and documentation.

Skills

Credentialing expertise

Payer enrollment knowledge

Communication skills

Attention to detail

Regulatory familiarity

Remote work ability

Office tools proficiency

Education

Associate or Bachelor’s in healthcare administration or related field

Tools

Credentialing software

Job description

Independent Practice Management Services Organization is seeking a Credentialing Specialist for a fully remote, full-time role. You will manage provider credentialing, verify qualifications, and submit applications while ensuring compliance with payer and regulatory standards.

Responsibilities include Medicare enrollment support, maintaining credentialing records, and collaborating with providers, payers, and internal teams to resolve issues and improve workflows.