Credentialing Specialist

Job Title: Credentialing Specialist
Job Type: W2 Contract-to-Hire (Potential for Permanent Conversion)
Location: Remote
Schedule: Monday–Friday, 8:00 AM – 5:00 PM (OT Possible)

Pay Rate

• 1–2 years experience: $17/hour
• 3–4 years experience: $18/hour
• 4 years experience: $19/hour

Position Overview

We are seeking a Credentialing Specialist I to support high-volume provider credentialing operations within a fast-paced healthcare environment. This role is responsible for ensuring provider data is accurately processed, tracked, and maintained in alignment with organizational standards and NCQA requirements.

The ideal candidate is detail-oriented, organized, and comfortable working in a production-driven environment where accuracy and turnaround time are critical. This position offers the opportunity to grow into more advanced end-to-end credentialing responsibilities over time.

Key Responsibilities

• Perform credentialing and re-credentialing activities in accordance with established plan guidelines and compliance standards
• Triage and manage daily credentialing inventory to ensure timely workflow completion
• Communicate professionally with providers, office staff, and external stakeholders to obtain required documentation
• Compile and prepare credentialing files for committee review and decision-making
• Process, track, and maintain credentialing applications and provider records within required timelines
• Generate and utilize reports to support workflow tracking and operational reporting needs
• Maintain quality and accuracy while working in a high-volume production environment

Required Qualifications

• 1-4 years of experience in credentialing, provider data, healthcare operations, medical office support, billing, claims, data entry, or customer service within a healthcare environment
• High School Diploma or GED required
• Intermediate Microsoft Excel and MS Office skills
• Strong reading comprehension with the ability to interpret complex documentation
• Ability to self-manage, follow direction, and perform in a fast-paced production setting

Preferred Qualifications

• Experience in managed care, insurance, or provider data environments
• Prior exposure to credentialing processes or NCQA standards

Additional Requirements

• Candidates will be asked to complete a 1-minute typing test and computer basics test prior to submittal

INDSV

Pay: $17.00 - $19.00 per hour

Benefits:

• Dental insurance
• Health insurance
• Vision insurance

Application Question(s):

• Candidates will be required to complete a 1-minute typing test and computer basics test prior to submittal. What is your average words per minute/typing speed?

Education:

• High school or equivalent (Required)

Experience:

• credentialing: 1 year (Required)

Work Location: In person

Salary : $18