Medical Credentialing Specialist
Remote · Philippines or Pakistan
Philippines or PakistanRemoteFull TimeMid LevelNot SpecifiedUnknown
Type
Full Time
Level
Mid Level
Education
Not Specified
Company size
Unknown
Job Summary
Medical Credentialing Specialist to manage end-to-end credentialing and re-credentialing across multiple U.S. states, including CAQH ProView maintenance, payer enrollment with Medicare/Medicaid and commercial payers, and documentation management in a remote-capable healthcare billing practice.
Required Qualifications
- 2-5 years of hands-on medical credentialing and payer enrollment experience
- Strong working knowledge of CAQH ProView, PECOS, and NPPES/NPI systems
- Demonstrated experience with multi-state credentialing (enrollment across 3+ U.S. states)
- Familiarity with commercial payer enrollment processes (UnitedHealthcare, Aetna, Cigna, Blue Cross Blue Shield, Humana, etc.)
- Experience with Medicare and Medicaid enrollment procedures
- Proficiency in credentialing software and practice management systems
- Excellent attention to detail and organizational skills
- Strong written and verbal English communication skills
- Ability to manage multiple provider files and deadlines simultaneously
- Reliable internet connection and dedicated home office setup for remote work
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