Remote Provider Network Operations & Credentialing Specialist

ZipRecruiter; Springfield (MO); Remote; USD 60,000 - 80,000; Full time

Job summary

A healthcare staffing agency is seeking a Remote Provider Network Operations & Credentialing Specialist. The ideal candidate will manage provider credentialing processes and maintain databases, requiring a focus on detail and communication skills. This role offers competitive pay and a comprehensive benefits package, with the opportunity to work remotely within the US or at the corporate office.

Benefits

Competitive pay $23–$26/hour

Annual Bonus Potential $1,000

Comprehensive benefits package (medical, dental, vision, 401k, tuition reimbursement)

Qualifications

• 3+ years in health insurance, credentialing, or provider network management.

Responsibilities

• Review and process provider credentialing applications.
• Verify licenses, certifications, and compliance documents.
• Maintain provider databases and renewal schedules.
• Communicate with providers and vendors to resolve issues.
• Support vendor set-ups, oversight calls, and reporting.

Skills

Attention to detail

Organizational skills

Communication abilities

Teamwork

Proficiency in MS Office

Education

Associate’s degree in healthcare/business administration

Job description

Overview

Are you detail-oriented and ready to grow in the healthcare insurance industry? Our client is looking for a Remote Provider Network Operations & Credentialing Specialist to join their team. In this role, you’ll play a key part in supporting provider enrollment, credentialing, delegation oversight, and vendor management — helping ensure smooth operations and a positive member experience.

What You’ll Do

• Review and process provider credentialing applications.
• Verify licenses, certifications, and compliance documents.
• Maintain provider databases and renewal schedules.
• Communicate with providers and vendors to resolve issues.
• Support vendor set-ups, oversight calls, and reporting.

What We’re Looking For

• Associate’s degree (or equivalent experience) in healthcare/business administration.
• 3+ years in health insurance, credentialing, or provider network management.
• Strong attention to detail and organizational skills.
• Excellent communication and teamwork abilities.
• Proficiency in MS Office (Excel, Word, Outlook).

Why Apply?

• Competitive pay $23–$26/hour
• Annual Bonus Potential $1,000
• Comprehensive benefits package (medical, dental, vision, 401k, tuition reimbursement, and more)
• Opportunity to work with a supportive, professional healthcare insurance team
• Location – Remote in the US or Office-Based in the Corporate Office

Company Description

The MH Group is a full-service staffing agency.