Virtual Credentialing Associate

Hubstaff blog; Loganville (GA); Remote; USD 45,000 - 65,000; Full time

Job summary

Join a leading healthcare group as a Virtual Credentialing Associate, where you will manage credentialing processes for providers. We foster a collaborative and remote work environment focused on excellence in surgical care. Ideal candidates are experienced, detail-oriented, and thrive in compliance-focused environments.

Benefits

Remote Work Flexibility

Career Advancement

Collaborative Environment

Qualifications

• Minimum of 2 years handling provider credentialing.
• Familiarity with CMS, CAQH, PECOS, NPPES, and payer requirements.
• Certifications preferred or in progress.

Responsibilities

• Manage credentialing and recredentialing processes.
• Verify provider credentials and manage enrollment applications.
• Support provider onboarding and compliance.

Skills

Credentialing Experience

Regulatory Knowledge

Tech-Savvy

Compliance-Oriented

Highly Organized

Strong Communicator

Education

CPCS or CPMSM certification

Tools

Google Workspace

Microsoft Office

Job description

Virtual Credentialing Associate full time

Join Our Team as a Virtual Credentialing Associate at IBI Healthcare Institute!

If you are an experienced and detail-oriented Credentialing Associate who thrives in a fast-paced, remote environment, this opportunity is for you!

• Credentialing Experience: Minimum of 2 years handling provider credentialing and privileging processes, preferably in a multi-site or surgical setting.
• Regulatory Knowledge: Familiarity with CMS, CAQH, PECOS, NPPES, and commercial payer requirements.
• Tech-Savvy: Comfortable using credentialing software, Google Workspace, and Microsoft Office tools.
• Compliance-Oriented: Strong understanding of accreditation standards (AAAHC, Joint Commission, or NCQA).
• Highly Organized: Able to manage multiple credentialing timelines across states and specialties.
• Strong Communicator: Clear and professional written and verbal communication skills.
• Preferred: CPCS or CPMSM certification (or working toward it); experience with payer enrollment portals.
• Manage credentialing and recredentialing processes for providers across all IBI Healthcare locations.
• Verify provider credentials including licensure, board certifications, education, and employment history.
• Complete and track payer enrollment and revalidation applications (Medicare, Medicaid, private payers).
• Maintain accurate and updated provider files and credentialing trackers.
• Monitor credential expirations and ensure timely renewals.
• Work closely with HR, Billing, and Compliance teams to support provider onboarding and readiness.
• Prepare for internal audits and regulatory reviews.
• Support continuous improvement of credentialing workflows and documentation standards.

At IBI Healthcare Institute, we are committed to providing high-quality, accessible, and affordable surgical care solutions. Our vision is to become the most respected and successful surgical group in the United States for our patients, members, and partners. We specialize in a wide range of surgical services, including incision-less acid reflux treatment surgery and weight loss surgery, making us a leading provider in Georgia and beyond.

• Fast-Growing Practice: One of the leading surgical groups in the Southeastern United States.
• Remote Work Flexibility: Work from home while supporting a mission-driven healthcare team.
• Collaborative Environment: Be part of a team that values accuracy, accountability, and patient access.
• Career Advancement: Play a key role in strengthening provider operations and compliance.
• Commitment to Excellence: Work for an organization where quality and safety are the top priorities.

IBI Healthcare is an equal-opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.

We do not accept unsolicited resumes from individual recruiters or third-party recruiting agencies in response to job postings. No fee will be paid to third parties who submit unsolicited candidates directly to our hiring managers or HR team.