Remote Provider Credentialing Specialist for Healthcare

Rockstar

Arizona

Hybrid

USD 52,000 - 80,000

Full time

8 days ago

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Job summary

Rockstar is a remote-friendly staffing company based in Arizona, supporting U.S.-based healthcare practices with credentialing professionals. This full-time remote role covers the complete credentialing lifecycle, including CAQH profiles, NPI/PECOS enrollment, and payer follow-up.

You will ensure accurate, timely submissions and maintain organized records across multiple clients. The position emphasizes attention to detail, proactive follow-up, and strong communication with providers, payers,

Qualifications

  • 2+ years of hands-on provider credentialing experience: this is not an entry-level role.
  • 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 and requesting information from providers.
  • Exceptional attention to detail and deadline management: accuracy and follow-through are essential in this role.
  • Strong organizational skills with the ability to manage multiple active credentialing workflows simultaneously.
  • Excellent written and verbal English communication skills.

Responsibilities

  • Gather required documentation from providers to initiate credentialing.
  • Prepare and submit credentialing applications for new providers across commercial government payers.
  • Complete re-credentialing applications as due and ensure submissions before expiration.
  • Submit and track NPI, PECOS, and Medicare/Medicaid enrollments as required.
  • Manage multi-state credentialing processes and payer-specific enrollment requirements.
  • Track all active credentialing applications, submission dates, payer responses, and approvals.
  • Save credentialing confirmations in provider files and update trackers.

Skills

Provider credentialing
CAQH enrollment
NPI enrollment
Payer enrollment
Follow-up calls
Attention to detail
Microsoft Office
Google Workspace
Remote work setup
Communication skills

Tools

PECOS
CMS portals

Job description

Rockstar is a remote-friendly staffing company based in Arizona, supporting U.S.-based healthcare practices with credentialing professionals. This full-time remote role covers the complete credentialing lifecycle, including CAQH profiles, NPI/PECOS enrollment, and payer follow-up.

You will ensure accurate, timely submissions and maintain organized records across multiple clients. The position emphasizes attention to detail, proactive follow-up, and strong communication with providers, payers,

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