Senior Credentialing Specialist – Fully Remote

We are seeking a highly proactive, reliable, and detail-oriented Senior Credentialing Specialist to oversee all credentialing, privileging, and payor enrollment activities for a rapidly growing healthcare organization. This is a fully remote, full-time, temp-to-perm opportunity offering the chance to take ownership of the credentialing function and partner directly with revenue cycle leadership during an exciting phase of expansion.

The ideal candidate is an experienced credentialing professional who thrives in an autonomous environment, understands the downstream revenue impact of enrollment timelines, and takes initiative to prevent delays before they occur.

The Senior Credentialing Specialist will independently manage the end-to-end credentialing lifecycle for all 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 the primary point of contact for credentialing operations, ensuring compliance, timely submissions, proactive payor follow-ups, and preventing enrollment lapses 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, and commercial insurance enrollment and revalidation
• Coordinate hospital and telemedicine credentialing applications and privileging documentation
• Proactively track application status and follow up with payors to minimize delays
• Ensure timely renewal of provider licenses, DEA registrations, board certifications, and malpractice coverage
• Maintain accurate, audit-ready provider files and credentialing databases
• Submit and maintain provider rosters with commercial and government payors
• Partner closely with Revenue Cycle to ensure enrollment timelines align with billing readiness
• Identify workflow gaps and recommend process improvements to support organizational growth
• Serve as the primary liaison between providers, hospitals, payors, and internal stakeholders

Qualifications

• Minimum 5 years of provider credentialing experience preferred
• Strong knowledge of commercial insurance, Medicare, and Medicaid enrollment processes
• Experience with hospital privileging and multi-entity credentialing
• Experience credentialing CRNAs, MDs, and APPs preferred
• Deep understanding of revalidation timelines and regulatory compliance requirements
• Exceptional attention to detail and organizational skills
• Highly proactive with strong follow-through and escalation capabilities
• Ability to work independently and manage competing priorities in a fully remote environment