Remote Payer Credentialing Specialist

knownwell; United States; Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

Fully remote opportunity

Medical, dental, and vision insurance

401K retirement plan with company match

Up to 20 days of PTO per year

Up to 14 weeks of parental leave

Annual work from home stipend

Job summary

A healthcare technology company is seeking a Payer Credentialing Specialist to support its Operations team. This fully remote role involves managing credentialing processes for healthcare providers and ensuring compliance with standards. The ideal candidate will have at least 2 years of experience in provider credentialing, with a strong understanding of payer enrollment processes and regulatory requirements. Benefits include comprehensive medical insurance, a 401K plan, and generous PTO.

Qualifications

• Minimum of 2 years of experience in provider credentialing and payer enrollment.
• Strong knowledge of CAQH, NPPES, PECOS, and insurance payer enrollment processes.
• Familiarity with credentialing standards from NCQA and CMS.

Responsibilities

• Manage end-to-end credentialing processes for new and existing providers.
• Coordinate payer enrollment applications for timely processing.
• Maintain accurate credentialing files compliant with regulations.

Skills

Provider credentialing

Payer enrollment

Attention to detail

Communication skills

Job description

A healthcare technology company is seeking a Payer Credentialing Specialist to support its Operations team. This fully remote role involves managing credentialing processes for healthcare providers and ensuring compliance with standards. The ideal candidate will have at least 2 years of experience in provider credentialing, with a strong understanding of payer enrollment processes and regulatory requirements. Benefits include comprehensive medical insurance, a 401K plan, and generous PTO.