Remote Healthcare Credentialing Specialist

Sagility Member Enrollment LLC; United States; Remote; USD 23,000 - 32,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Life Insurance

Short/Long-Term Disability

FSA

EAP

401(k) with employer contribution

Paid Time Off

Tuition Reimbursement

Job summary

Sagility, via BroadPath, a Sagility Company, is seeking Credentialing Specialists to join a remote team serving health plans. You will ensure timely, accurate provider credentialing and maintain compliance with internal standards and external regulations while delivering a high-quality provider experience.

The role offers a work-from-home setup, weekly pay, and schedules between 9:00 AM–9:00 PM ET. Requires 1+ year credentialing experience and strong attention to detail.

Qualifications

• 1+ years of provider credentialing experience for a health plan.
• Strong organizational and time management skills.
• Ability to meet deadlines and handle high-volume work.
• Able to work independently and in a team setting.
• Strong attention to detail and problem-solving skills.
• Familiarity with NCQA, CMS, and state credentialing standards.
• Excellent written, verbal, and interpersonal communication skills.

Responsibilities

• Verify provider credentials through approved sources quickly and accurately.
• Track and process credentialing and re-credentialing applications.
• Enter and update provider information in the credentialing database.
• Maintain and update provider demographics.
• Monitor and manage data from delegated entities.
• Communicate with providers or their staff regarding credentialing status and required documents.
• Identify and report non-compliance or credentialing issues to the supervisor.
• Ensure confidentiality of sensitive data and documents.
• Perform other duties as assigned.

Skills

Provider credentialing

Organizational skills

Deadline management

Independent & team work

Attention to detail

Knowledge of NCQA/CMS

Communication skills

Job description

Sagility, via BroadPath, a Sagility Company, is seeking Credentialing Specialists to join a remote team serving health plans. You will ensure timely, accurate provider credentialing and maintain compliance with internal standards and external regulations while delivering a high-quality provider experience.

The role offers a work-from-home setup, weekly pay, and schedules between 9:00 AM–9:00 PM ET. Requires 1+ year credentialing experience and strong attention to detail.