Remote Health Insurance Credentialing Pro

Naukri Mitra; United States; Remote; USD 46,000 - 56,000; Full time

Benefits offered by this job

Remote work benefits

Flexible hours across time zones

Sponsored certifications

Job summary

Naukri Mitra is hiring a Remote Health Insurance Credentialing Specialist to streamline payer enrollment and provider onboarding across our national network. This role emphasizes data accuracy, regulatory compliance, and efficient workflows in a fully remote setting.

The ideal candidate has 2+ years in medical insurance credentialing, strong communication skills, and familiarity with CAQH ProView, NPPES, CHEQOS, and related databases. Remote work benefits and flexible hours are offered.

Qualifications

• Must have 2+ years of medical insurance credentialing or payer enrollment experience.
• Familiarity with CAQH, NPPES, PECOS, and other credentialing databases.
• Strong written and spoken communication in a remote work environment.

Responsibilities

• Credentialing Operations: manage end-to-end credentialing for healthcare providers across payers; verify and audit documents.
• Compliance & Regulatory: monitor adherence to NCQA, CMS, HIPAA; maintain credentialing calendar and audits.
• Communication & Stakeholder Engagement: liaise with payers, providers, and internal teams; provide status updates.
• Performance Optimization: identify inefficiencies and propose automation; use dashboards and KPIs to report progress.

Skills

Communication skills

Remote work proficiency

Attention to detail

Education

2+ years credentialing experience

Tools

CAQH ProView

Salesforce Health Cloud

Smartsheet

Zoom

Slack

Excel (PivotTables/VLOOKUP)

Job description

Naukri Mitra is hiring a Remote Health Insurance Credentialing Specialist to streamline payer enrollment and provider onboarding across our national network. This role emphasizes data accuracy, regulatory compliance, and efficient workflows in a fully remote setting.

The ideal candidate has 2+ years in medical insurance credentialing, strong communication skills, and familiarity with CAQH ProView, NPPES, CHEQOS, and related databases. Remote work benefits and flexible hours are offered.