Credentialing Specialist

We are hiring experienced Credentialing & Enrollment Specialists who can handle the entire process of enrolling healthcare providers with insurance companies. This is a permanent work-from-home role and Candidates comfortable with fixed night shifts are only eligible to apply. It requires strong attention to detail, good communication, and the ability to manage multiple applications independently.

Role & responsibilities

Manage end-to-end provider credentialing and insurance enrollment for individual and group providers

• Submit and track enrollment applications across all US states.
• File Letters of Interest (LOIs) and follow up with insurance payers via calls and emails.
• Work with private insurance, Medicare, Medicaid, Medicaid MCOs, and Medicare
• Advantage plans.
• Maintain and update provider profiles on portals like:
• CAQH
• PECOS
• Availity
• Navinet
• NPPES

Apply for and renew provider licenses such as:

• Professional licenses
• DEA
• Controlled Substance licenses
• Ensure provider information and documents are always accurate and up to date.
• Regularly update clients on application status and ensure providers remain active with
• payers.
• Work independently while staying highly engaged with the remote team.

Preferred candidate profile

Minimum 2 years of hands-on experience in provider credentialing and enrollment mandatory.

• Candidates willing to work in fixed night shifts across Mon - Friday in a remote setup.
• Strong understanding of documents required for individual and group enrollments.
• Proven experience handling payer communication and follow-ups.
• Comfortable managing multiple applications with accuracy and deadlines.
• Excellent organization and time-management skills.
• Strong written and verbal communication skills for remote work.