Credentialing Specialist

Aspirion

. Manage initial credentialing, recredentialing, and provider enrollment processes .

Posted 9/18/2026full-timeRemote • Nevada • United StatesJuniorMid-Level💰 $20 - $25 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in credentialing processes, provider enrollment, and compliance with healthcare regulations. Proficient in managing provider information and maintaining accuracy in credentialing databases while ensuring timely renewals and adherence to service-level agreements.

Highest-signal resume keywords

Credentialing ManagementProvider EnrollmentMedicare and Medicaid KnowledgeCertified Provider Credentialing Specialist (CPCS)Attention to Detail

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Credentialing ProcessesProvider Management SystemsPrimary Source VerificationHealthcare AdministrationCredentialing DatabasesRegulatory ComplianceApplication MonitoringDocument TrackingData AccuracyPerformance Metrics

Soft Skills

Organizational SkillsEffective CommunicationProblem-SolvingIndependenceTime Management

Tools & Technologies

Microsoft Office SuiteExcelWordOutlookCAQHNPPESPECOSPayer Enrollment Portals

Certifications & Qualifications

Certified Provider Credentialing Specialist (CPCS)

Industry Keywords

Healthcare AdministrationCredentialingProvider EnrollmentPayer RequirementsHealthcare Revenue Cycle ManagementPhysician Practice ManagementAccreditation Standards

About the role

Key responsibilities & impact

Manage initial credentialing, recredentialing, and provider enrollment processes
Prepare, submit, and monitor credentialing applications to hospitals, health plans, government payers, and other credentialing entities
Maintain accurate and current provider information in credentialing databases
Track credential expirations, including licenses, certifications, DEA registrations, malpractice insurance, and other required documentation
Obtain renewal documentation proactively to prevent credentialing lapses
Monitor application status and follow up with payers and credentialing organizations
Maintain compliance with federal, state, payer, and organizational credentialing requirements
Conduct primary source verification according to accreditation and regulatory standards
Review provider files for completeness and accuracy before submission
Assist with provider enrollment, revalidation, and demographic updates with Medicare, Medicaid, and commercial insurance carriers
Respond to credentialing inquiries from providers, leadership, clients, and payer representatives
Prepare credentialing reports and provide status updates to leadership
Support audits and accreditation reviews by maintaining organized and compliant provider files
Collaborate with internal departments to resolve credentialing and enrollment issues affecting provider participation or reimbursement
Maintain confidentiality of sensitive provider and organizational information
Meet credentialing and enrollment timelines, maintain provider participation without lapses, ensure record accuracy, comply with requirements, and achieve service-level agreements and performance metrics

Requirements

What you’ll need

Strong understanding of credentialing, provider enrollment, and recredentialing processes
Knowledge of Medicare, Medicaid, and commercial payer requirements
Familiarity with CAQH, NPPES, PECOS, and payer enrollment portals
Excellent organizational skills with the ability to manage multiple deadlines simultaneously
Strong attention to detail and commitment to accuracy
Effective verbal and written communication skills
Ability to work independently and prioritize workload in a fast-paced environment
Proficiency with Microsoft Office Suite, including Excel, Word, and Outlook
Experience working with credentialing databases and provider management systems preferred
Strong problem-solving and follow-up skills
High school diploma or equivalent
Minimum of 2 years of credentialing, provider enrollment, healthcare administration, or related experience
Associate or bachelor's degree in healthcare administration, Business Administration, or a related field preferred
Certified Provider Credentialing Specialist (CPCS) designation or willingness to obtain certification
Experience credentialing providers across multiple states and payer networks
Experience within healthcare revenue cycle management, physician practice management, or healthcare consulting organizations
US remote-based colleagues are not permitted to work from a location outside of the United States, at any time, without prior, written approval

Benefits

Comp & perks

Fully remote work arrangement
Opportunity to work alongside a talented and driven team
Engagement with innovative technology
Continuous growth and professional development environment