Remote Physician Credentialing Specialist – Part-Time

Flexzo Ai; New York (NY); On-site; USD 55,000 - 69,000; Part time

Benefits offered by this job

Flexible remote schedule

Competitive hourly pay

Job summary

Maiden Lane Medical is seeking an experienced Physician Credentialing Specialist to oversee provider credentialing, payer enrollment, and recredentialing for our growing multi-specialty practice. This role supports uninterrupted patient care and revenue cycle operations.

This part-time, remote position offers flexible scheduling and requires strong knowledge of CAQH ProView, NPPES, PECOS, and payer enrollment processes, with attention to detail and the ability to manage multiple projects.

Qualifications

• Minimum 3 years of physician credentialing experience required.
• Experience credentialing physicians and APPs with commercial payers, Medicare, and Medicaid.
• Strong knowledge of CAQH ProView, NPPES, PECOS, and payer enrollment processes.
• Experience with multi-specialty medical practices preferred.
• Excellent organizational skills with strong attention to detail.
• Ability to manage multiple projects and meet deadlines independently.
• Proficiency with Microsoft Office and credentialing software.

Responsibilities

• Manage initial credentialing and recredentialing for physicians and advanced practice providers.
• Complete and submit payer enrollment applications for commercial insurance plans, Medicare, and Medicaid.
• Maintain and update provider information in CAQH and other credentialing databases.
• Monitor application status and proactively follow up with insurance payers to expedite approvals.
• Track credentialing expirations, including licenses, DEA registrations, board certifications, malpractice insurance, and payer recredentialing deadlines.
• Coordinate with providers to obtain required documentation and signatures.
• Maintain accurate credentialing files and ensure compliance with regulatory and payer requirements.
• Collaborate with Operations, Revenue Cycle, and Clinical Leadership regarding provider enrollment status.
• Develop and maintain credentialing reports and dashboards, including: New applications submitted, Pending applications, Approved enrollments, Recredentialing deadlines, Providers awaiting payer approval.
• Assist with provider credentialing and payer enrollment for new practice locations, telehealth services, and multi-state expansion initiatives.
• Identify opportunities to improve credentialing workflows and reduce enrollment turnaround times.

Skills

Organization

Detail-oriented

Multitasking

Communication

Tools

CAQH ProView

NPPES

PECOS

Credentialing software

Microsoft Office

Job description

Maiden Lane Medical is seeking an experienced Physician Credentialing Specialist to oversee provider credentialing, payer enrollment, and recredentialing for our growing multi-specialty practice. This role supports uninterrupted patient care and revenue cycle operations.

This part-time, remote position offers flexible scheduling and requires strong knowledge of CAQH ProView, NPPES, PECOS, and payer enrollment processes, with attention to detail and the ability to manage multiple projects.