Remote Credentialing Manager

Description The Robert Half Healthcare Practice is working with a healthcare network to bring on a Fully Remote Medical Credentialing Specialist to join their team. The ideal candidate will be an excellent communicator. Shift: Monday - Friday 8am - 5pm EST core hours with flexibility Responsibilities for the position include the following: + Provider Credentialing: Review provider credentials, maintain accurate electronic data, and complete ARMS credentialing and re-credentialing. + Payer Enrollment: Complete, monitor, and follow up on provider credentialing and payer enrollment with all commercial, Medicaid, Medicare, and Medicaid managed care payers. + Data Management: Maintain CAQH, NPPES/PECOS, and state license information for all providers. + Risk Management: Obtain and maintain malpractice coverage, EMR licenses, and signed physician contracts. + Compliance: Ensure compliance with the affiliate, state, and federal regulations. + Equity and Accountability: Demonstrate commitment to health equity, racial equity, and continuous improvement. + Requirements + Must have Payer enrollment experience + Must have Primary Source Verification (PSV) experience + Must know how to use the following Credentialing software, PECOS, Medicare and Medicaid Enrollments for both provider and Facility, MPPES, CAQH and Excel + Knowledge of working with National Payors (UHC, Anthem BCBS, Etc) + Must know how to manage reports + Must have knowledge of working claims and denials + Bachelors and a CPCS preferred TalentMatchu00ae Robert Half is the worldu2019s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app ( and get 1-tap apply, notifications of AI-matched jobs, and much more. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. u00a9 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking u201cApply Now,u201d youu2019re agreeing to Robert Halfu2019s Terms of Use ( and Privacy Notice (.

Created: 2026-04-04