Associate Credentialing Consultant

 Posted 2 hours ago
     
5-10 years experience
Apply Now

Please mention DailyRemote when applying

AI Summary

Manage credentialing and enrollment activities for multiple healthcare clients across various commercial and government payers. Ensure application accuracy, track status, and resolve any deficiencies or enrollment issues throughout the process.

Credentialing Consultant – Healthcare Payer Enrollment

Company: Revu Healthcare
Position Type: Consultant / Contract
Start Date: ASAP
Work Arrangement: Remote

About the Opportunity

Revu Healthcare is seeking an experienced Credentialing Consultant to support two active credentialing projects for two separate healthcare clients. We are looking for someone who can begin as soon as possible and confidently manage credentialing activities across multiple payers, providers, and organizations.

The ideal consultant is highly organized, proactive with follow-up, and experienced in navigating payer-specific credentialing and enrollment requirements from initial submission through approval.

Key Responsibilities

  • Manage credentialing and enrollment activities for two concurrent client projects.
  • Complete and submit credentialing applications for individual providers and healthcare organizations.
  • Coordinate enrollment and credentialing with a variety of commercial and government payers.
  • Review applications and supporting documentation for accuracy and completeness prior to submission.
  • Track application status, outstanding requirements, effective dates, and payer communications.
  • Conduct timely follow-up with payers to move applications through the credentialing process.
  • Identify and resolve application deficiencies, enrollment issues, and payer requests for additional information.
  • Maintain clear and accurate documentation of credentialing activity and project status.
  • Provide regular progress updates to the Revu Healthcare team and escalate barriers that could impact project timelines.

Required Qualifications

  • 5+ years of hands-on provider and/or organizational credentialing experience.
  • Demonstrated experience credentialing with multiple healthcare payers.
  • Strong understanding of payer credentialing, provider enrollment, recredentialing, and application follow-up processes.
  • Experience managing multiple credentialing applications and priorities simultaneously.
  • Strong attention to detail, organization, communication, and follow-through.
  • Ability to work independently in a consultant capacity while meeting established project deadlines.
  • Availability to support two active credentialing projects concurrently.
  • Ability to start as soon as possible.

Preferred Qualifications

  • Medicaid credentialing and enrollment experience is strongly preferred.
  • Experience credentialing both individual providers and healthcare organizations/groups.
  • Experience working across multiple states, payer types, and provider specialties is a plus.
  • Familiarity with common credentialing and enrollment platforms and payer portals.

What We're Looking For

We are especially interested in an experienced credentialing professional who can step into active projects with minimal ramp-up, take ownership of assigned credentialing activities, and communicate proactively throughout the process.

If you have extensive payer credentialing experience and are available to begin immediately, we would love to hear from you.

To apply, please submit your resume highlighting your credentialing experience, including the types of payers and credentialing/enrollment projects you have supported.

Similar Jobs

See all Remote Others jobs →

Personalize your Remote Job Search in 3 Easy Steps!

Discover remote opportunities in Others

Answer easy questions

Answer easy questions

200,000+ jobs across 15+ categories

Get your best job matches

Get your best job matches

Only hand-screened, legit jobs

Find a remote job faster

Find a remote job faster

No ads, scams, or junk

I was the first applicant for a remote marketing position that got listed on the company website the same day I applied. Had an interview within 48 hours!

Sarah J. — Sarah J. · Marketing Manager ★★★★★ Verified