Remote Provider Credentialing Specialist

Usph; Houston (TX); Remote; USD 55,000 - 75,000; Full time

Benefits offered by this job

Comprehensive benefits

Generous PTO

Mentoring program

Team environment

Job summary

USPh is seeking a Credentialing Provider Enrollment Specialist for the Managed Care Operations team. You will handle enrollment and billing data, research issues, and ensure accurate entry across all payor types.

The role emphasizes professional behavior, dependability, and strong communication while working in a remote, centralized-hour schedule with a focus on high-volume credentialing workflows.

Qualifications

• Minimum 3-5 years’ experience submitting payor credentialing applications for providers.
• Health plan knowledge and familiarity required credentialing all payor types: Managed Care, Medicare & Medicaid Replacements & Workers Compensation.
• Experience utilizing & maintaining credentialing database.
• Highly knowledgeable & proficient with CAQH database. Familiarity with CAQH Practice Administrator role.
• Have established relationships with credentialing reps at various health plans.
• Prepare and process credentialing applications for all payor types.
• Experience credentialing multi-Tax ID entities.
• Comfortable processing high volume credentialing applications & recredentialing applications.
• Meet and adhere to company’s turnaround time and comply with credentialing goals and performance metrics.
• Customer service oriented & easily able to develop relationships.
• Will have a detail-oriented and motivated work ethic, as well as capable of managing projects in a timely manner to meet set deadlines.
• Possess excellent organizational, interpersonal, and communication skills

Responsibilities

• Ensure accurate data entry of demographic and financial information for each account.
• Research complex problems using available resources and implement solutions.
• Manage multiple work queues and other duties as assigned.
• Enter all phases of enrollment/billing processes with a focus on timely, accurate service.

Skills

CAQH database

Credentialing

Data entry

Customer service

Tools

Microsoft Word

Excel

Access

Job description

USPh is seeking a Credentialing Provider Enrollment Specialist for the Managed Care Operations team. You will handle enrollment and billing data, research issues, and ensure accurate entry across all payor types.

The role emphasizes professional behavior, dependability, and strong communication while working in a remote, centralized-hour schedule with a focus on high-volume credentialing workflows.