Remote Payor Credentialing Specialist

BruntWork is seeking a State Payor Credentialing Representative for a remote full-time position. The role involves managing provider enrollment for high complexity states while ensuring compliance and accuracy in applications.Ideal candidates will have strong attention to detail, critical thinking skills, and at least 2 years in college. A background in...

Hirehawk is hiring a Credentialing Administrative Assistant to support a fast-paced medical practice where credentialing accuracy directly impacts provider readiness and patient experience. You’ll own critical, detail-heavy workflows across credentialing and administrative coordination, working independently while staying highly responsive during Pacific...

BruntWork is seeking a Provider Credentialing Specialist for telehealth services. You will manage credentialing, recredentialing, enrollment, and ongoing compliance with CMS, state, payer, and organizational requirements to ensure timely reimbursement. This remote/hybrid role requires attention to detail, strong communication, and ability to work...

Vector Outsourcing Solutions is seeking a detail-oriented Enrollment Support Specialist to assist new clients in gathering documents, completing enrollment forms, and maintaining accurate records. You will respond to inquiries, report issues, and liaise with insurance enrollment staff while upholding confidentiality and compliance.This work-from-home role...

Vector Outsourcing Solutions Phils. is seeking a Credentialing/Enrollment Coordinator to gather enrollment documents from new clients, assist in form completion, and maintain accurate client records in spreadsheets or databases.The role requires strong English, attention to detail, and the ability to work from home with a reliable internet connection....

Skilled Wound Care is seeking a Credentialing Coordinator to assist in the contracting and credentialing process for physicians and health practitioners. This remote-friendly role supports our national provider network.We value detail-oriented, proactive teammates who can work with health plans, complete credentialing applications, track progress, and...

Concentrix Philippines is seeking a clinical appeals specialist (PHRN) to review, process, and resolve appeals in line with NCQA, CMS, and client guidelines. You will ensure timely, clinically sound determinations, and support member communications and documentation for payor programs. The role requires BS Nursing, active PHRN license, and at least 1 year...

Concentrix Philippines is seeking a Clinical Appeals Specialist (PHRN) to review, process, and resolve appeals in line with NCQA and CMS guidelines. The role ensures timely, clinically sound determinations and supports documentation, member and provider communications, and quality targets of the payor program. The position offers permanent remote work with...

Join our dynamic team and make a meaningful impact in the healthcare industry. Enjoy competitive benefits upon hire, ongoing professional development, and the satisfaction of helping others every day. Take the next step in your career with Med-Metrix! Experience these exceptional benefits when you join Med-Metrix! Fulltime Permanent Remote Fixed Weekends...