Where to Find Remote Credentialing Specialist Jobs
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If you’re looking for a healthcare job that can be done from home, becoming a remote credentialing specialist may be worth considering.
Credentialing specialists help healthcare organizations make sure doctors, nurses, and other providers have the proper licenses, certifications, and qualifications to do their jobs.
While some positions require previous healthcare or credentialing experience, there are also opportunities for people who are looking to break into the field and build their experience.
Whether you’re an experienced credentialing specialist ready to make the switch to remote work or you’re just starting to explore this career, knowing where to look can make your job search much easier. In this guide, I’ll cover some of the companies that offer remote credentialing specialist jobs.
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What is a Remote Credentialing Specialist?
A credentialing specialist ensures healthcare providers, such as physicians, nurses, therapists, and other clinicians, have the appropriate qualifications, licenses, and documentation to provide care. While responsibilities vary by employer, a typical day may include:
- Reviewing provider applications
- Verifying credentials
- Managing credentialing files
- Handling recredentialing
- Checking licenses and sanctions
- Working with insurance plans
- Maintaining compliance
- Communicating with internal teams
- Tracking deadlines
For someone working remotely, much of this work can be performed online through credentialing software, databases, email, phone calls, and secure document-management systems.
Education and Skills Needed
Working as a remote credentialing specialist requires a combination of healthcare knowledge, administrative skills, attention to detail, and the ability to work independently.
While specific requirements vary by employer, the following skills and qualifications are commonly required:
Education and Experience
- High school diploma or equivalent. Some employers prefer an associate or bachelor’s degree.
- Previous experience in healthcare administration, medical staff services, provider enrollment, credentialing, or a related field.
- Familiarity with healthcare credentialing and provider enrollment processes.
- Experience working with electronic credentialing systems or healthcare databases.
- Knowledge of medical terminology and healthcare industry practices.
Technical Skills
- Proficiency with Microsoft Office, particularly Excel, Word, and Outlook.
- Ability to learn and navigate credentialing and provider-management software.
- Comfortable using online databases to verify licenses, certifications, and other provider information.
- Strong data-entry and document-management skills.
- Ability to work with electronic records and maintain accurate digital files.
Professional Skills
- Exceptional attention to detail and accuracy.
- Strong organizational and time-management skills.
- Ability to manage multiple providers, applications, and deadlines simultaneously.
- Strong written and verbal communication skills.
- Professional email and telephone etiquette.
- Ability to identify discrepancies and follow up to resolve missing or incorrect information.
- Problem-solving and research skills.
- Ability to work independently and stay productive in a remote environment.
- Dependability and the ability to meet deadlines without direct supervision.
Knowledge of Compliance and Credentialing
- Understanding of provider credentialing and recredentialing requirements.
- Familiarity with healthcare licensing and certification requirements.
- Knowledge of payer enrollment processes can be an advantage.
- Familiarity with accreditation and regulatory standards may be preferred.
- Understanding of confidentiality and the importance of protecting sensitive healthcare information.
Certifications
Certification is not always required for an entry-level credentialing specialist position, but professional credentials can strengthen your resume. Depending on the role and career goals, certifications related to medical staff services, provider credentialing, or healthcare management may be beneficial.
How Much Does a Credentialing Specialist Make?
Exact pay depends on your experience, where you live, and the company you work for, but many credentialing specialists in the U.S. earn about $45,000 to $65,000 a year.
Entry-level jobs may start a little lower, while experienced specialists and people with specialized skills can earn more.
Companies That Hire Remote Credentialing Specialists
The companies below are a great place to search for remote credentialing work. Openings change often, so check direct career pages and current listings before assuming a position is available.
Sagility
Sagility provides healthcare support services and has posted remote credentialing specialist work. The role requires a high school diploma or equivalent and relevant administrative, healthcare operations, or data-entry experience.
Sailor Health
Sailor Health is a virtual healthcare company that provides mental health and wellness services to older adults, including therapy covered by Medicare. In the past, the company has had openings for remote Credentialing Specialists in the U.S. and Canada on their website.
Bicycle Health
Bicycle Health is a telehealth company that provides treatment for opioid use disorder, combining medication treatment with behavioral health and ongoing support. The company operates a largely remote workforce and offers a variety of work-from-home opportunities, including credentialing roles.
Verifiable
Verifiable is a healthcare technology company that provides credentialing, provider enrollment, primary source verification, and network management solutions for healthcare organizations. The company also hires remote Credentialing Specialists who handle provider credentialing from end to end, manage credentialing caseloads, verify provider information, improve workflows, and work with healthcare clients.
Workit Health
Workit Health is a telehealth company that provides treatment and support for people with substance use disorders, with care delivered largely online. The company has offered fully remote Credentialing Specialist positions responsible for maintaining provider credentialing and renewal records, processing applications, verifying information, monitoring licenses, managing payer directories, and completing revalidations.
Heartbeat Health
Heartbeat Health is a virtual-first cardiovascular care company that provides telehealth, diagnostics, and other digital heart-care services. The company has offered remote Credentialing Specialist positions in the past, and targets experienced credentialing professionals.
Ophelia Health
Ophelia Health is an online medical service that provides treatment for opioid addiction. In the past, the company has posted openings for remote Credentialing & Enrollment Specialist positions on its website.
SteadyMD
SteadyMD is a telehealth company that helps healthcare organizations deliver virtual care across all 50 states. The company occasionally hires remote Credentialing Specialists with at least two years of credentialing experience.
Optum
Optum, part of UnitedHealth Group, is a large healthcare organization that provides care, technology, pharmacy, and health services across the U.S. It regularly hires for remote credentialing and provider enrollment positions, including Credentialing Specialists and Credentialing Representatives. Recent remote postings have included both entry-level-to-midlevel positions and more experienced roles, with some allowing employees to work remotely anywhere in the U.S.
BetterHelp
BetterHelp is an online therapy platform that connects people with licensed mental health professionals through video, phone, and messaging. The company hires remote credentialing professionals to help manage provider credentialing and recredentialing, verify therapist qualifications, and keep licensing and credentialing processes organized.
MultiCare
MultiCare is a nonprofit healthcare system that operates hospitals, clinics, and other healthcare services. The company has offered remote credentialing roles focused on reviewing and processing provider credentialing and recredentialing applications, verifying licenses and qualifications, maintaining credentialing records, and making sure providers meet regulatory and organizational requirements.
Aya Healthcare
Aya Healthcare is a major healthcare staffing company that connects nurses, allied health professionals, and other healthcare workers with hospitals and healthcare organizations across the U.S. The company offers remote credentialing positions where employees help verify licenses and qualifications, manage provider compliance paperwork, track deadlines, and coordinate credentialing and privileging requirements.
Oscar Health
Oscar Health is a technology-focused health insurance company that aims to make healthcare simpler and more affordable through its digital health platform. The company has previously posted remote Credentialing Specialist roles within its Provider Credentialing team, handling provider interactions, credentialing paperwork, assigned caseloads, issue tracking, compliance, and process improvement.
Upstream Rehabilitation
Upstream Rehabilitation is a large healthcare company focused on outpatient physical and occupational therapy services across the U.S. The company hires remote Credentialing Specialists. The position is remote for U.S.-based employees and targets candidates with experience in credentialing, provider enrollment, or healthcare administration.
OneOncology
OneOncology is a healthcare organization that supports independent community oncology practices by providing shared clinical, operational, and technology resources. The company hires remote Credentialing Specialists with at least two years of related experience.
Curana Health
Curana Health is a healthcare company focused on providing value-based primary care and support to seniors living in senior living communities and skilled nursing facilities. The company regularly has remote credentialing opportunities.
Alma
Alma is a mental health technology company that helps therapists accept insurance and makes it easier for people to find affordable, in-network mental health care. Alma occasionally has fully remote Credentialing Specialist positions focused on managing provider credentialing and recredentialing.
Midi Health
Midi Health is a virtual healthcare company focused on helping women navigate perimenopause, menopause, and other midlife health concerns through online care from specialized clinicians. In the past, the company has offered remote Credentialing Specialist roles that involve onboarding and credentialing providers, performing primary-source verification of licenses and credentials, tracking credentialing timelines, and resolving licensing issues.
Final Thoughts
Remote credentialing jobs can be a great option if you want to build a career in healthcare while having the flexibility to work from home.
As this list shows, opportunities are available with a wide range of employers. With the right experience and attention to detail, a remote credentialing specialist role can offer a solid healthcare career without requiring you to work in a traditional office.
