Remote Provider Credentialing Specialist

Rockstar; Northern (KY); Hybrid; USD 60,000 - 86,000; Full time

Benefits offered by this job

Remote work

Career growth opportunities

Stable full-time remote employment

Job summary

Rockstar is a remote-friendly staffing partner based in Arizona, serving U.S. healthcare practices. We seek a Credentialing Specialist to manage end-to-end provider enrollment, CAQH maintenance, and payer communications for remote clients.

The role focuses on accuracy, organization, and timely processing of credentialing workflows, with potential light billing support as needed. A strong communicator with attention to detail will thrive in this remote, full-time position.

Qualifications

• 2+ years of hands-on provider credentialing experience.
• Proven experience managing full credentialing workflows: application submission, payer follow-up, re-credentialing, and documentation.
• Strong working knowledge of CAQH, NPI enrollment, and payer-specific credentialing requirements.
• Experience with Medicare, Medicaid, and commercial payer enrollment processes.
• Comfortable making proactive follow-up calls to insurance payers.
• Exceptional attention to detail and deadline management.
• Strong organizational skills with the ability to manage multiple active credentialing workflows simultaneously.
• Excellent written and verbal English communication skills.
• Proficiency with Microsoft Office Suite or Google Workspace.
• Reliable home office setup with a stable internet connection.

Responsibilities

• Gather required documentation from providers to initiate credentialing.
• Prepare and submit credentialing applications for new providers across commercial and government payers.
• Complete re-credentialing applications before expiration deadlines.
• Submit and track NPI enrollment, PECOS enrollment, and Medicare/Medicaid applications as required.
• Manage multi-state credentialing processes and payer-specific enrollment requirements.
• Track all active credentialing applications and approval confirmations.
• Create and maintain CAQH profiles and attestations on schedule.
• Proactively follow up with insurance payers to confirm receipt and resolve items.
• Escalate delays and keep stakeholders informed.
• Handle provider offboarding and update payer rosters.

Skills

Credentialing

CAQH

NPI enrollment

Payer enrollment

Medicare/Medicaid

Attention to detail

Communication

Tools

MS Office

Job description

Rockstar is a remote-friendly staffing partner based in Arizona, serving U.S. healthcare practices. We seek a Credentialing Specialist to manage end-to-end provider enrollment, CAQH maintenance, and payer communications for remote clients.

The role focuses on accuracy, organization, and timely processing of credentialing workflows, with potential light billing support as needed. A strong communicator with attention to detail will thrive in this remote, full-time position.