Remote Credentialing Specialist: Payer Enrollments & CAQH

H2 Health; United States; A distancia; USD 52.000 - 70.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical, dental, and vision insurance

Paid time off

401(k) retirement plan

Professional development opportunities

Collaborative team environment

Full-time remote work

Descripción de la vacante

H2 Health is seeking a Credentialing Specialist for a full-time remote role. You will coordinate provider credentialing, enrollments, and recredentialing across Medicare, Medicaid, and commercial plans, ensuring accuracy and up-to-date credentials for therapy providers.

The role emphasizes attention to detail, organization, and collaboration with clinicians and internal teams. Remote work, strong communication, and confidentiality are essential requirements.

Formación

• High school diploma or equivalent preferred.
• Experience in medical office administration or healthcare credentialing preferred.
• Familiarity with CAQH, NPI applications, insurer credentialing, and payer enrollment processes.
• Ability to review provider credentialing records in electronic platforms, including Medallion.
• Strong attention to detail and organizational skills; ability to manage multiple deadlines.
• Excellent written and verbal communication.
• Proficiency in Microsoft Office and electronic recordkeeping.
• Ability to work independently in a remote setting while maintaining communication.
• Commitment to protecting confidential provider and patient information.

Responsabilidades

• Coordinate provider and facility credentialing, recredentialing, and enrollment with payers.
• Review credentialing information in Medallion for accuracy.
• Maintain CAQH profiles with attestations and supporting documentation.
• Assist clinicians with NPI applications and updates.
• Monitor licenses, certifications, expiration dates, and other credentialing documents.
• Ensure providers are added/removed from payer rosters as required.
• Track credentialing applications, renewals, and documentation.
• Communicate with clinicians, insurers, and internal teams to resolve discrepancies.
• Assist with fingerprinting and other credentialing requirements.
• Maintain confidential credentialing records per regulations and policies.
• Support additional admin and compliance tasks as needed.

Conocimientos

Detail orientation

Organization

Communication skills

Remote work

MS Office

Recordkeeping

Multitasking

Independent work

Educación

High school diploma

Herramientas

CAQH

NPI applications

Medallion system

Payer enrollment

Electronic records

Descripción del empleo

H2 Health is seeking a Credentialing Specialist for a full-time remote role. You will coordinate provider credentialing, enrollments, and recredentialing across Medicare, Medicaid, and commercial plans, ensuring accuracy and up-to-date credentials for therapy providers.

The role emphasizes attention to detail, organization, and collaboration with clinicians and internal teams. Remote work, strong communication, and confidentiality are essential requirements.