Credentialing Specialist

Continuant • Fife, WA

11d • $3,500 - $4,500 • Remote

About The Position

We are seeking a highly motivated and detail-oriented Credentialing Specialist to support accurate and timely credentialing and recredentialing of healthcare providers with insurance networks. The role works directly with clients to ensure compliance, maintain accurate documentation, and coordinate with insurance networks and other credentialing entities so providers are credentialed and contracted.

This is a remote position. Flexibility may be needed during high-demand periods to meet deadlines. The position provides credentialing and recredentialing support, maintains compliant documentation, coordinates communication among providers, clients, and payers, and assists with administrative tasks and reporting.

Requirements

• Basic knowledge of credentialing processes and healthcare regulations.
• Proficiency in CAQH profile management and NPPES/PECOS enrollment tools.
• Strong organizational skills and exceptional attention to detail and accuracy.
• Proficiency in Microsoft Office Suite, including Word, Excel, and Outlook/Gmail.
• Proficiency in Medicaid and Medicare enrollments.
• Excellent verbal and written communication skills for interacting with internal and external departments.
• Ability to multitask and work collaboratively in a fast-paced environment.
• At least 1–3 years of provider enrollment and credentialing experience.
• Proactive and team-oriented, with the ability to handle sensitive information professionally.

Nice To Haves

• Familiarity with credentialing software.
• Familiarity with US payer processes.
• EMS enrollments and/or RCM experience.
• ABA enrollment and/or RCM experience.

Responsibilities

• Prepare, submit, and track provider enrollment applications for insurance networks and credentialing organizations.
• Ensure credentialing documentation—including licenses, certifications, and malpractice information—is accurate and complete.
• Monitor and update credentialing timelines to meet deadlines and payer requirements.
• Maintain organized credentialing records and accurately enter data in credentialing software or databases.
• Assist with audits of credentialing files to verify compliance with HIPAA and other regulatory requirements.
• Act as a liaison between clients and insurance payers.
• Follow up with providers and payers to gather required information or clarify discrepancies.
• Communicate credentialing process updates and progress to the Senior Credentialing Specialist and management.
• Provide support during high-volume credentialing periods and manage overflow tasks assigned by the Senior Credentialing Specialist.
• Prepare reports and summaries of credentialing activities for review by the Credentialing Manager or team.

Benefits

• Medical benefits with no premium.
• Dental benefits.
• Vision benefits.
• Fitness fund reimbursement for gym memberships and massages.
• 401(k) program with 100% match.
• Generous paid time off.
• Eight paid holidays.
• Annual portfolio bonus.
• HQ on-site amenities at Fife, WA, including a gym, massage, pickleball court, chiropractor, and naturopath.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed