Credentialing Specialist

Workit Health

. Follow and maintain credentialing & clinic licensure policies and protocols .

Posted 10/2/2026full-timeRemote • United StatesJuniorMid-Level💰 $23 per hourWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in credentialing processes and billing practices, with a strong understanding of HIPAA standards and payer portals. Capable of maintaining accurate provider data and collaborating effectively with various stakeholders.

Highest-signal resume keywords

Billing ExperienceCredentialing ExperienceHIPAA Standards KnowledgePayer Portal FamiliarityData Organization

ATS Keywords

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Applicant Tracking System Keywords

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

Hard Skills

Credentialing ProcessesBilling PracticesData ManagementApplication ProcessingVerification of Information

Soft Skills

Clear CommunicationCollaborationOrganizationIndependenceDeadline Management

Tools & Technologies

CAQH ManagementCredentialing DatabaseOnline Systems

Industry Keywords

Credentialing PoliciesClinic LicensureProvider Data AccuracyRevalidation RequestsAuthorization Issues

About the role

Key responsibilities & impact

Follow and maintain credentialing & clinic licensure policies and protocols
Ensure reports on the credentialing status of providers are up-to-date and accurate
Ensure all clinic information is accurate within payor directories
Process applications, verify information, research application details, and ensure processes are accurate and completed promptly
Maintain up-to-date data for each provider in the credentialing database and online systems
Monitor staff credentials and licenses
Work closely with the Credentialing Manager and billing staff to identify and resolve denials or authorization issues related to provider credentialing
Complete revalidation requests issued by payers
Perform other tasks as assigned

Requirements

What you’ll need

2-3 years of Billing and Credentialing experience
Deep knowledge of HIPAA standards of operations
Familiarity with major payer portals and CAQH management
Ability to communicate clearly and concisely via email, Slack, and face-to-face
Proven aptitude for collaboration inside and outside of the department
Ability to bring organization and precision to complex datasets
Ability to use technology at an appropriate level for the role
Access to consistent, high-speed internet access
Works independently and meets deadlines

Benefits

Comp & perks

Fully remote work
5 weeks PTO (includes your birthday, 2 mental health days, and 2 floating holidays!)
11 paid holidays
Comprehensive health, dental, pharmacy, and vision insurance with options to fit your family's needs
12 weeks paid Parental Leave after 1 year of employment (includes maternity, paternity, adoption, and all ways in which our people build modern families)
401k + 4% matching
Healthcare & dependent care Flexible Spending Accounts (FSA & DCFSA)
Health Savings Accounts (HSA)
Employee assistance program, complete with financial coaching and counseling sessions
Professional development allowance for Providers and Behavioral Health team
Opportunities for internal mobility and growth at a Company with a proven track record of really promoting internally
Vibrant, democratized culture with clubs and multiple ERG groups