Credentialing Assistant

Credentialing Assistant – Independent Contractor

**Position Type:** Independent Contractor
**Work Arrangement:** Remote
**Department:** Credentialing / Business Operations

About the Role

We are seeking a highly organized and detail-oriented Credentialing Assistant to support our credentialing operations. This role will work closely with our credentialing team to help keep provider applications, payer enrollments, renewals, licenses, and credentialing records organized and moving forward.

This is a great opportunity for someone who enjoys tracking details, following up on pending items, maintaining accurate records, and making sure deadlines do not fall through the cracks.

Key Responsibilities

The Credentialing Assistant will assist with:

Maintaining and updating credentialing trackers for providers, payers, licenses, renewals, and applications

Preparing and submitting provider enrollment and credentialing applications to insurance payers
Tracking the status of submitted applications and following up with insurance companies and credentialing organizations
Monitoring expiration and renewal dates for licenses, certifications, malpractice insurance, DEA registrations, and other provider credentials
Requesting updated documents and information from providers when needed
Maintaining accurate provider credentialing files and documentation
Assisting with CAQH profile updates, attestations, and document maintenance
Assisting with Medicare/PECOS and commercial payer enrollment activities
Tracking payer requests for additional information and helping ensure responses are submitted timely
Following up on pending applications, missing documentation, and outstanding credentialing items
Documenting application status, reference numbers, effective dates, and payer communications
Helping maintain provider rosters and payer participation information
Supporting recredentialing and renewal processes
Identifying upcoming deadlines or credentialing issues and escalating them to the appropriate team member

• Assisting with other credentialing and administrative projects as needed

What We're Looking For

The ideal candidate is:

Extremely organized and detail-oriented

Comfortable managing multiple providers, applications, and deadlines at the same time
Strong with spreadsheets, trackers, and documentation
Able to follow established processes while identifying items that need follow-up
Persistent and comfortable contacting insurance companies for application status updates
Able to communicate professionally with providers, payer representatives, and internal team members
Self-directed and dependable in a remote work environment

• Comfortable handling confidential healthcare and provider information

Preferred Experience

Previous healthcare credentialing, provider enrollment, or medical administrative experience preferred

Familiarity with **CAQH, PECOS, NPPES, Medicare enrollment, and commercial insurance credentialing** is a plus
Experience working with physician, NP, PA, or other healthcare provider credentialing preferred
Experience with Google Sheets, Excel, or similar tracking systems

• Knowledge of credentialing terminology, payer enrollment processes, and provider licensing is a plus

What Success Looks Like

Success in this role means our credentialing records are accurate and current, applications are consistently followed up on, renewal deadlines are identified early, and the team always has a clear picture of where each provider and payer application stands.

You'll serve as an important administrative support to our credentialing function, helping keep the many moving pieces of provider credentialing organized and on track.