Senior Credentialing Specialist – Fully Remote
Northeast Healthcare Recruitment, Inc. (NEHCR), Tucson, Arizona, United States, 85718
We are seeking a highlyproactive, reliable, and detail-oriented Senior Credentialing Specialist tooversee all credentialing, privileging, and payor enrollment activities for arapidly growing healthcare organization. This is a fully remote, full-time, temp-to-permopportunity offering the chance to take ownership of the credentialing functionand partner directly with revenue cycle leadership during an exciting phase ofexpansion.
The ideal candidate is anexperienced credentialing professional who thrives in an autonomousenvironment, understands the downstream revenue impact of enrollment timelines,and takes initiative to prevent delays before they occur.
The Senior CredentialingSpecialist will independently manage the end-to-end credentialing lifecycle forall providers, including CRNAs. Responsibilities include initial credentialing,re-credentialing, hospital privileging, Medicare and Medicaid enrollment,commercial payor enrollment, and revalidation processes.
This role serves as theprimary point of contact for credentialing operations, ensuring compliance,timely submissions, proactive payor follow-ups, and preventing enrollmentlapses that could impact revenue.
Compensation
$35–$40 per hour
Full-time | 100% Remote | Temp-to-Perm
Responsibilities
Manage all initial credentialing,re-credentialing, privileging, and payor enrollment processes
Oversee Medicare, Medicaid, andcommercial insurance enrollment and revalidation
Coordinate hospital and telemedicinecredentialing applications and privileging documentation
Proactively track application status andfollow up with payors to minimize delays
Ensure timely renewal of providerlicenses, DEA registrations, board certifications, and malpracticecoverage
Maintain accurate, audit-ready providerfiles and credentialing databases
Submit and maintain provider rosterswith commercial and government payors
Partner closely with Revenue Cycle toensure enrollment timelines align with billing readiness
Identify workflow gaps and recommendprocess improvements to support organizational growth
Serve as the primary liaison betweenproviders, hospitals, payors, and internal stakeholders
Qualifications
Minimum 5 years of providercredentialing experience preferred
Strong knowledge of commercialinsurance, Medicare, and Medicaid enrollment processes
Experience with hospital privileging andmulti-entity credentialing
Experience credentialing CRNAs, MDs, andAPPs preferred
Deep understanding of revalidationtimelines and regulatory compliance requirements
Exceptional attention to detail andorganizational skills
Highly proactive with strongfollow-through and escalation capabilities
Ability to work independently and managecompeting priorities in a fully remote environment
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The ideal candidate is anexperienced credentialing professional who thrives in an autonomousenvironment, understands the downstream revenue impact of enrollment timelines,and takes initiative to prevent delays before they occur.
The Senior CredentialingSpecialist will independently manage the end-to-end credentialing lifecycle forall providers, including CRNAs. Responsibilities include initial credentialing,re-credentialing, hospital privileging, Medicare and Medicaid enrollment,commercial payor enrollment, and revalidation processes.
This role serves as theprimary point of contact for credentialing operations, ensuring compliance,timely submissions, proactive payor follow-ups, and preventing enrollmentlapses that could impact revenue.
Compensation
$35–$40 per hour
Full-time | 100% Remote | Temp-to-Perm
Responsibilities
Manage all initial credentialing,re-credentialing, privileging, and payor enrollment processes
Oversee Medicare, Medicaid, andcommercial insurance enrollment and revalidation
Coordinate hospital and telemedicinecredentialing applications and privileging documentation
Proactively track application status andfollow up with payors to minimize delays
Ensure timely renewal of providerlicenses, DEA registrations, board certifications, and malpracticecoverage
Maintain accurate, audit-ready providerfiles and credentialing databases
Submit and maintain provider rosterswith commercial and government payors
Partner closely with Revenue Cycle toensure enrollment timelines align with billing readiness
Identify workflow gaps and recommendprocess improvements to support organizational growth
Serve as the primary liaison betweenproviders, hospitals, payors, and internal stakeholders
Qualifications
Minimum 5 years of providercredentialing experience preferred
Strong knowledge of commercialinsurance, Medicare, and Medicaid enrollment processes
Experience with hospital privileging andmulti-entity credentialing
Experience credentialing CRNAs, MDs, andAPPs preferred
Deep understanding of revalidationtimelines and regulatory compliance requirements
Exceptional attention to detail andorganizational skills
Highly proactive with strongfollow-through and escalation capabilities
Ability to work independently and managecompeting priorities in a fully remote environment
#J-18808-Ljbffr