Credentialing Specialist

This is a remote position.

Job Highlights:

• Contract type: Independent Contractor
• Night Shift Schedule:Monday to Thursday - 8:45am to 5pm New York Time (8:45pm - 5am Manila Time)
• Friday - 8:45am to 3:45pm New York Time (8:45pm - 3:45am Manila Time)

The desired result of the State Payor Credentialing Representative role is confident, end-to-end ownership of provider enrollment for assigned high complexity states. This role consistently ensures that provider enrollment applications for both commercial and government payors are submitted accurately, compliantly, and within expected turnaround times. As the subject matter expert for assigned state(s), the Credentialing Representative demonstrates deep understanding of state specific credentialing requirements and applies that expertise to guide submissions, resolve issues, and navigate complex regulatory environments. Enrollment activity is wellmanaged from initial application through final approval, with clear accountability and minimal need for escalation. Clients, Account Teams, and internal leadership experience credentialing as reliable, organized, and proactive. Re-credentialing timelines are anticipated, documentation gaps are identified early, and payor requirements are consistently met.