Remote-Eligible Credentialing Specialist

Transformations Care Network; United States; Remote; USD 32,000 - 33,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

401K

Low-cost virtual care

Remote-friendly environment

Job summary

Transformations Care Network is seeking a Credentialing Coordinator to support credentialing for physicians and other billable providers across multiple locations. You will ensure timely applications, enrollments, and re-credentialing activities while maintaining accurate provider data.

The role reports to the Credentialing Supervisor and involves collaboration with multiple departments, including payer relations and operations, to prevent any lapses in coverage or status.

Qualifications

• Minimum 2 years physician credentialing experience.
• High School Diploma or GED required.
• CPCS or other credentialing certification required.
• Physician billing experience is preferred.

Responsibilities

• Accurately complete and maintain provider applications for Initial and Re-credentialing/Renewals.
• Payer Enrollment/Credentialing for facilities or other entities.
• DEA/Licensure, Revalidations, CAQH processes.
• Update and maintain provider demographics in credentialing database.
• Request and maintain updated credentialing documents before expirations.
• Run regular reports and provide status updates to stakeholders.
• Participate in department projects and team meetings.
• Assist with other duties as assigned.

Skills

Provider credentialing

Payer enrollment

CAQH management

Documentation accuracy

Education

High School Diploma or GED

CPCS certification

Job description

Transformations Care Network is seeking a Credentialing Coordinator to support credentialing for physicians and other billable providers across multiple locations. You will ensure timely applications, enrollments, and re-credentialing activities while maintaining accurate provider data.

The role reports to the Credentialing Supervisor and involves collaboration with multiple departments, including payer relations and operations, to prevent any lapses in coverage or status.